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 651–700. 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
Baptist Health FloydNew Albany, IN · CCN 150044	142	$1,677	About average	$1,335	$18,380
Henry Ford Allegiance HealthJackson, MI · CCN 230092	123	$1,677	About average	$1,334	$6,838
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	21	$1,677	About average	$1,336	$22,204
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	107	$1,678	About average	$1,335	$12,553
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	32	$1,678	About average	$1,322	$8,651
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	65	$1,678	About average	$1,333	$12,301
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	35	$1,679	About average	$1,332	$21,557
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	292	$1,679	About average	$1,338	$7,720
Medical City Dallas HospitalDallas, TX · CCN 450647	42	$1,680	About average	$1,331	$21,968
South Miami HospitalMiami, FL · CCN 100154	27	$1,680	About average	$1,316	$23,802
Mercy Hospital SouthSaint Louis, MO · CCN 260077	255	$1,680	About average	$1,340	$6,066
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	577	$1,680	About average	$1,327	$15,186
Baylor Scott & White Medical Center - CentennialFrisco, TX · CCN 450885	43	$1,680	About average	$1,345	$11,310
Mayo ClinicJacksonville, FL · CCN 100151	970	$1,681	About average	$1,333	$14,006
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	65	$1,682	About average	$1,335	$8,682
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	153	$1,682	About average	$1,336	$19,288
AdventHealth Port CharlottePort Charlotte, FL · CCN 100077	156	$1,682	About average	$1,333	$43,520
Catawba Valley Medical CenterHickory, NC · CCN 340143	71	$1,682	About average	$1,351	$9,606
Geisinger Medical CenterDanville, PA · CCN 390006	251	$1,682	About average	$1,336	$25,625
UNC Health NashRocky Mount, NC · CCN 340147	11	$1,682	About average	$1,348	$5,425
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	107	$1,683	About average	$1,342	$8,999
Duke University HospitalDurham, NC · CCN 340030	603	$1,683	About average	$1,335	$12,818
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	171	$1,683	About average	$1,339	$8,213
Mount Carmel East & WestColumbus, OH · CCN 360035	219	$1,683	About average	$1,336	$7,234
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	22	$1,683	About average	$1,345	$4,666
Methodist Dallas Medical CenterDallas, TX · CCN 450051	143	$1,684	About average	$1,336	$14,370
Lake Regional Health SystemOsage Beach, MO · CCN 260186	46	$1,684	About average	$1,339	$9,069
Texas Health Hospital FriscoFrisco, TX · CCN 670260	49	$1,684	About average	$1,360	$11,432
Lovelace Westside HospitalAlbuquerque, NM · CCN 320074	13	$1,684	About average	$1,342	$17,513
UNM HospitalAlbuquerque, NM · CCN 320001	201	$1,684	About average	$1,339	$5,289
Community Hospital NorthIndianapolis, IN · CCN 150169	242	$1,685	About average	$1,334	$12,376
Rex HospitalRaleigh, NC · CCN 340114	193	$1,685	About average	$1,340	$7,317
St Bernards Five Rivers Medical CenterPocahontas, AR · CCN 040779	13	$1,685	About average	$1,364	$3,765
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	110	$1,685	About average	$1,344	$13,861
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	26	$1,685	About average	$1,357	$18,133
St Lukes HospitalChesterfield, MO · CCN 260179	157	$1,686	About average	$1,336	$5,296
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	169	$1,686	About average	$1,341	$11,479
Beaumont Hospital, TroyTroy, MI · CCN 230269	90	$1,686	About average	$1,347	$8,599
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	91	$1,687	About average	$1,340	$24,549
Dublin Methodist HospitalDublin, OH · CCN 360348	92	$1,687	About average	$1,348	$15,199
Ohio State University State Health SystemColumbus, OH · CCN 360085	506	$1,687	About average	$1,341	$8,263
Memorial Satilla HealthWaycross, GA · CCN 110003	14	$1,687	About average	$1,324	$20,716
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	48	$1,687	About average	$1,340	$22,312
Deaconess Hospital IncEvansville, IN · CCN 150082	492	$1,688	About average	$1,349	$9,074
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	62	$1,688	About average	$1,351	$9,685
MUSC Health Lancaster Medical CenterLancaster, SC · CCN 420036	49	$1,688	About average	$1,349	$32,581
UPMC PassavantPittsburgh, PA · CCN 390107	115	$1,688	About average	$1,344	$17,722
St Mark's HospitalSalt Lake City, UT · CCN 460047	84	$1,688	About average	$1,343	$22,593
Carle Foundation HospitalUrbana, IL · CCN 140091	291	$1,688	About average	$1,346	$10,147
UF Health Shands HospitalGainesville, FL · CCN 100113	343	$1,688	About average	$1,342	$11,815

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.