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 751–800. 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
Piedmont Henry HospitalStockbridge, GA · CCN 110191	38	$1,697	About average	$1,335	$18,811
Texoma Medical CenterDenison, TX · CCN 450324	177	$1,697	About average	$1,354	$17,493
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	66	$1,697	About average	$1,356	$17,085
Ascension ProvidenceWaco, TX · CCN 450042	86	$1,697	About average	$1,351	$7,979
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	395	$1,697	About average	$1,349	$6,959
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	139	$1,697	About average	$1,345	$8,354
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	116	$1,698	About average	$1,352	$8,772
Riverside Methodist HospitalColumbus, OH · CCN 360006	391	$1,698	About average	$1,353	$15,021
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	22	$1,698	About average	$1,359	$14,655
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	108	$1,698	About average	$1,348	$32,602
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	81	$1,698	About average	$1,341	$8,296
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137	55	$1,698	About average	$1,362	$22,938
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	89	$1,698	About average	$1,351	$17,801
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	45	$1,699	About average	$1,352	$15,917
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	167	$1,699	About average	$1,352	$19,976
McLaren Greater LansingLansing, MI · CCN 230167	82	$1,699	About average	$1,358	$9,472
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	13	$1,699	About average	$1,354	$12,946
Harper University HospitalDetroit, MI · CCN 230104	24	$1,699	About average	$1,352	$21,177
AdventHealth OrlandoOrlando, FL · CCN 100007 · +$62 outlier payments per case	823	$1,699	About average	$1,354	$18,952
UPMC HorizonGreenville, PA · CCN 390178	20	$1,699	About average	$1,367	$14,081
UPMC St MargaretPittsburgh, PA · CCN 390102	27	$1,699	About average	$1,367	$22,230
Allegheny Valley HospitalNatrona, PA · CCN 390032	15	$1,699	About average	$1,365	$10,027
Heritage Valley SewickleySewickley, PA · CCN 390037	23	$1,699	About average	$1,365	$5,755
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	14	$1,699	About average	$1,360	$16,912
Uniontown HospitalUniontown, PA · CCN 390041	15	$1,699	About average	$1,360	$4,396
United Regional Health Care SystemWichita Falls, TX · CCN 450010	72	$1,699	About average	$1,334	$10,202
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	21	$1,700	About average	$1,354	$6,671
UPMC MercyPittsburgh, PA · CCN 390028	58	$1,700	About average	$1,354	$20,112
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	15	$1,700	About average	$1,354	$19,688
The Washington HospitalWashington, PA · CCN 390042	34	$1,700	About average	$1,353	$6,777
UPMC JamesonNew Castle, PA · CCN 390016	11	$1,700	About average	$1,353	$8,964
Geisinger-Community Medical CenterScranton, PA · CCN 390001	87	$1,700	About average	$1,352	$23,150
St Clair HospitalPittsburgh, PA · CCN 390228	107	$1,700	About average	$1,352	$9,723
Excela Health - Frick HospitalMount Pleasant, PA · CCN 390217	13	$1,700	About average	$1,347	$5,557
CHI Health Bergan MercyOmaha, NE · CCN 280060	92	$1,700	About average	$1,354	$13,898
Jefferson HospitalJefferson Hills, PA · CCN 390265	67	$1,700	About average	$1,343	$9,177
ACMH HospitalKittanning, PA · CCN 390163	29	$1,700	About average	$1,336	$7,680
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	104	$1,700	About average	$1,365	$6,674
Bluffton Regional Medical CenterBluffton, IN · CCN 150075	17	$1,700	About average	$1,365	$13,459
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 450771	115	$1,700	About average	$1,358	$11,752
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	41	$1,700	About average	$1,346	$3,817
Wellstar West Georgia Medical CenterLagrange, GA · CCN 110016	81	$1,700	About average	$1,360	$25,670
Wythe County Community HospitalWytheville, VA · CCN 490111	26	$1,701	About average	$1,347	$19,895
St Luke's Regional Medical CenterBoise, ID · CCN 130006	236	$1,701	About average	$1,354	$9,809
Grant Medical CenterColumbus, OH · CCN 360017	19	$1,701	About average	$1,365	$17,811
Licking Memorial HospitalNewark, OH · CCN 360218	41	$1,702	About average	$1,357	$9,192
Princeton Community Hospital Assn IncPrinceton, WV · CCN 510046	50	$1,702	About average	$1,354	$8,861
Memorial HospitalMarysville, OH · CCN 360092	32	$1,702	About average	$1,355	$8,188
Wellstar Douglas Medical CenterDouglasville, GA · CCN 110184	22	$1,702	About average	$1,348	$24,600
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	198	$1,702	About average	$1,356	$14,039

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.