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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 701–750. 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
UPMC WilliamsportWilliamsport, PA · CCN 390045	124	$1,689	About average	$1,346	$16,920
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	149	$1,690	About average	$1,347	$13,173
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	182	$1,690	About average	$1,350	$11,771
Broward Health NorthDeerfield Beach, FL · CCN 100086	16	$1,690	About average	$1,348	$14,558
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	187	$1,690	About average	$1,339	$10,026
Intermountain Health Layton HospitalLayton, UT · CCN 460061	95	$1,690	About average	$1,349	$4,981
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	190	$1,691	About average	$1,348	$9,960
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	189	$1,691	About average	$1,345	$5,969
High Point Regional Health SystemHigh Point, NC · CCN 340004	21	$1,691	About average	$1,344	$12,461
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	104	$1,691	About average	$1,351	$6,044
Aspirus Wausau HospitalWausau, WI · CCN 520030	118	$1,691	About average	$1,352	$9,234
Pikeville Medical CenterPikeville, KY · CCN 180044	74	$1,691	About average	$1,340	$11,101
WakeMed, Cary HospitalCary, NC · CCN 340173	178	$1,691	About average	$1,340	$15,402
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	106	$1,691	About average	$1,361	$5,647
Caromont Regional Medical CenterGastonia, NC · CCN 340032	75	$1,692	About average	$1,346	$11,227
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	173	$1,692	About average	$1,344	$20,436
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	29	$1,692	About average	$1,338	$6,716
Atrium Health ClevelandShelby, NC · CCN 340021	40	$1,692	About average	$1,350	$13,727
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	27	$1,692	About average	$1,348	$14,628
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	334	$1,692	About average	$1,346	$11,425
Mount Carmel St Ann'sWesterville, OH · CCN 360012	93	$1,693	About average	$1,350	$6,566
Longview Regional Medical CenterLongview, TX · CCN 450702	34	$1,693	About average	$1,350	$23,505
St. Mary's HospitalTucson, AZ · CCN 030010	12	$1,693	About average	$1,300	$33,067
West Allis Memorial HospitalWest Allis, WI · CCN 520139	47	$1,693	About average	$1,351	$15,438
Progress West HospitalOfallon, MO · CCN 260219	44	$1,693	About average	$1,362	$6,775
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	81	$1,693	About average	$1,354	$7,342
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	69	$1,693	About average	$1,345	$11,598
Mercy Hospital WashingtonWashington, MO · CCN 260052	52	$1,693	About average	$1,352	$6,683
Holy Cross Hospital-DavisLayton, UT · CCN 460041	123	$1,694	About average	$1,348	$13,571
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	138	$1,694	About average	$1,346	$17,291
Springfield Regional Medical CenterSpringfield, OH · CCN 360086	68	$1,694	About average	$1,351	$11,669
Atrium Health PinevilleCharlotte, NC · CCN 340098	89	$1,694	About average	$1,352	$13,563
Methodist Hospitals IncGary, IN · CCN 150002	15	$1,694	About average	$1,331	$15,540
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	138	$1,695	About average	$1,347	$11,231
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	396	$1,696	About average	$1,343	$15,932
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	41	$1,696	About average	$1,360	$21,023
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	53	$1,696	About average	$1,356	$9,056
Covenant Medical CenterSaginaw, MI · CCN 230070	60	$1,696	About average	$1,354	$8,420
Parkview Dekalb HospitalAuburn, IN · CCN 150045	13	$1,696	About average	$1,364	$11,793
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	14	$1,696	About average	$1,351	$9,902
Franciscan Health LafayetteLafayette, IN · CCN 150109	17	$1,696	About average	$1,356	$14,396
Terre Haute Regional HospitalTerre Haute, IN · CCN 150046	18	$1,696	About average	$1,356	$31,578
Mymichigan Medical Center SaginawSaginaw, MI · CCN 230077	30	$1,696	About average	$1,345	$4,052
Good Samaritan HospitalVincennes, IN · CCN 150042	73	$1,696	About average	$1,355	$6,752
Norton Clark HospitalJeffersonville, IN · CCN 150009	86	$1,696	About average	$1,354	$18,370
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	125	$1,696	About average	$1,352	$13,749
Northwest Health-La PorteLa Porte, IN · CCN 150006	26	$1,696	About average	$1,349	$19,620
Baptist Hospital Of MiamiMiami, FL · CCN 100008	49	$1,696	About average	$1,347	$21,311
Methodist Charlton Medical CenterDallas, TX · CCN 450723	76	$1,696	About average	$1,354	$15,758
Anmed HealthAnderson, SC · CCN 420027	143	$1,697	About average	$1,344	$15,857

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.