Outpatient procedure · APC 5302 · Surgery or procedure

Level 2 Upper GI Procedures

In 2024, Medicare and patients paid an average of $1,815 per procedure at 1,991 hospitals. Half of hospitals averaged between $1,651 and $1,880.

Also known as: Upper endoscopy, EGD

National figures, 2024

Average payment per case: $1,815
Typical range (middle half of hospitals): $1,651–$1,880
Medicare’s share: $1,44580% of the payment
Average billed charge: $13,589
Hospitals reporting: 1,991208,333 procedures

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Year of care

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 601–650. Download as CSV

Medicare payments per case for Level 2 Upper GI Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	96	$1,666	About average	$1,334	$8,710
American Fork HospitalAmerican Fork, UT · CCN 460023	60	$1,667	About average	$1,317	$4,772
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	40	$1,667	About average	$1,318	$6,646
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	172	$1,667	About average	$1,337	$9,647
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	291	$1,667	About average	$1,315	$12,177
Central Florida Lake Monroe HospitalSanford, FL · CCN 100161	49	$1,668	About average	$1,319	$36,259
Jackson-Madison County General HospitalJackson, TN · CCN 440002	71	$1,668	About average	$1,323	$9,975
Heritage Valley BeaverBeaver, PA · CCN 390036	27	$1,668	About average	$1,322	$5,602
Fairview Park HospitalDublin, GA · CCN 110125	21	$1,669	About average	$1,342	$25,964
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	28	$1,669	About average	$1,326	$10,871
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	137	$1,669	About average	$1,328	$16,615
Intermountain Health Spanish Fork HospitalSpanish Fork, UT · CCN 460062	39	$1,670	About average	$1,332	$3,518
Intermountain Medical CenterMurray, UT · CCN 460010	254	$1,670	About average	$1,325	$7,441
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	144	$1,670	About average	$1,329	$9,781
Granville Health SystemsOxford, NC · CCN 340127	30	$1,671	About average	$1,330	$12,251
Atrium Health LincolnLincolnton, NC · CCN 340145	35	$1,671	About average	$1,331	$12,642
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	92	$1,671	About average	$1,329	$8,285
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	86	$1,671	About average	$1,316	$8,179
Canonsburg General HospitalCanonsburg, PA · CCN 390160	48	$1,671	About average	$1,319	$7,789
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	168	$1,672	About average	$1,326	$11,356
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	101	$1,672	About average	$1,336	$7,854
Johnston HealthSmithfield, NC · CCN 340090	69	$1,673	About average	$1,339	$7,148
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	286	$1,673	About average	$1,331	$6,121
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	59	$1,673	About average	$1,330	$7,764
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	420	$1,673	About average	$1,332	$26,411
St Luke's Patients Medical CenterPasadena, TX · CCN 670031	32	$1,674	About average	$1,323	$21,698
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	36	$1,674	About average	$1,335	$10,303
Garden City HospitalGarden City, MI · CCN 230244	21	$1,674	About average	$1,333	$11,420
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	76	$1,674	About average	$1,332	$7,829
Corewell Health Wayne HospitalWayne, MI · CCN 230142	11	$1,674	About average	$1,328	$14,205
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	465	$1,675	About average	$1,329	$14,963
Indiana University Health North HospitalCarmel, IN · CCN 150161	33	$1,675	About average	$1,326	$18,479
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	65	$1,675	About average	$1,337	$15,132
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	47	$1,675	About average	$1,334	$39,426
Ascension Seton HaysKyle, TX · CCN 670056	13	$1,675	About average	$1,334	$12,054
Round Rock Medical CenterRound Rock, TX · CCN 450718	15	$1,675	About average	$1,334	$22,205
St David's South Austin Medical CenterAustin, TX · CCN 450713	86	$1,675	About average	$1,334	$28,597
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	100	$1,675	About average	$1,335	$15,625
Mountain View HospitalIdaho Falls, ID · CCN 130065	73	$1,675	About average	$1,327	$5,718
Crisp Regional HospitalCordele, GA · CCN 110104	29	$1,675	About average	$1,331	$8,930
Baylor Scott & White Medical Center At IrvingIrving, TX · CCN 450079	37	$1,675	About average	$1,330	$11,030
The Nebraska Medical CenterOmaha, NE · CCN 280013	276	$1,676	About average	$1,328	$10,284
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	139	$1,676	About average	$1,328	$9,823
Crittenden Community HospitalMarion, KY · CCN 180779	28	$1,676	About average	$1,351	$8,167
McLaren Port HuronPort Huron, MI · CCN 230216	32	$1,676	About average	$1,333	$5,155
Karmanos Cancer CenterDetroit, MI · CCN 230297	24	$1,676	About average	$1,332	$8,100
McLaren OaklandPontiac, MI · CCN 230207	36	$1,676	About average	$1,332	$8,768
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	47	$1,676	About average	$1,337	$12,876
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	88	$1,677	About average	$1,331	$43,110
North Mississippi Medical CenterTupelo, MS · CCN 250004	46	$1,677	About average	$1,327	$8,340

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 186,493 procedures at 2,033 hospitals · 2021: 203,386 procedures at 2,103 hospitals · 2022: 198,293 procedures at 2,035 hospitals · 2023: 202,554 procedures at 2,007 hospitals · 2024: 208,333 procedures at 1,991 hospitals

View data as a table

National average payment and billed charge for Level 2 Upper GI Procedures
Year of care	Average payment	Average billed charge
2020	$1,545	$11K
2021	$1,624	$11K
2022	$1,646	$12K
2023	$1,719	$13K
2024	$1,815	$14K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 2 Upper GI Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	377	$1,027	$845–$993
Mississippi	27	1,517	$1,477	$1,550–$1,595
Alabama	43	4,221	$1,560	$1,518–$1,586
Louisiana	32	2,348	$1,585	$1,580–$1,599
Tennessee	41	4,358	$1,593	$1,566–$1,621
West Virginia	17	1,850	$1,594	$1,551–$1,613
Ohio	88	8,558	$1,607	$1,602–$1,657
South Carolina	39	4,850	$1,625	$1,601–$1,643
Oklahoma	36	3,876	$1,632	$1,608–$1,654
Arkansas	23	1,701	$1,633	$1,605–$1,713
Iowa	24	2,336	$1,637	$1,628–$1,735
Kentucky	44	3,946	$1,639	$1,604–$1,680
Kansas	29	3,078	$1,651	$1,620–$1,726
Missouri	50	6,250	$1,657	$1,645–$1,713
Utah	24	2,774	$1,674	$1,659–$1,704
Michigan	63	5,044	$1,680	$1,658–$1,725
Texas	147	13,129	$1,687	$1,651–$1,732
North Carolina	62	6,724	$1,687	$1,656–$1,708
Georgia	69	5,427	$1,689	$1,616–$1,754
Virginia	53	7,105	$1,691	$1,631–$1,760
Nebraska	16	1,614	$1,699	$1,672–$1,723
Florida	132	13,872	$1,708	$1,706–$1,724
Indiana	56	5,387	$1,712	$1,691–$1,734
New Mexico	13	914	$1,729	$1,657–$1,775
Maine	11	1,038	$1,741	$1,678–$1,782
Wisconsin	52	4,716	$1,748	$1,708–$1,776
Pennsylvania	87	9,237	$1,762	$1,699–$1,820
Idaho	12	1,421	$1,765	$1,712–$1,831
Illinois	84	9,354	$1,792	$1,758–$1,822
North Dakota	6	1,160	$1,794	$1,761–$1,857
South Dakota	7	1,422	$1,801	$1,759–$1,900
Montana	9	1,328	$1,811	$1,769–$1,874
Colorado	36	3,352	$1,819	$1,803–$1,811
New Hampshire	13	2,049	$1,858	$1,805–$1,894
Wyoming	7	210	$1,859	$1,892–$1,911
Arizona	38	4,351	$1,861	$1,833–$1,856
Minnesota	28	4,454	$1,861	$1,792–$1,826
Delaware	5	721	$1,902	$1,896–$1,909
District of Columbia	5	1,155	$1,918	$1,910–$1,942
Rhode Island	8	696	$1,919	$1,918–$1,931
Washington	42	4,083	$1,935	$1,897–$2,000
Alaska	5	323	$2,004	$1,964–$2,103
New Jersey	49	4,740	$2,013	$1,992–$2,111
Oregon	21	1,674	$2,019	$1,971–$2,011
Nevada	14	807	$2,030	$2,007–$2,038
Massachusetts	49	8,033	$2,031	$2,019–$2,043
New York	87	10,807	$2,088	$2,017–$2,141
Connecticut	21	2,140	$2,108	$2,093–$2,141
Hawaii	7	441	$2,151	$2,136–$2,266
California	154	17,365	$2,420	$2,335–$2,439

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.