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 801–850. 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
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	17	$1,703	About average	$1,362	$9,110
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	41	$1,703	About average	$1,360	$9,866
Marshfield Medical Center - WestonWeston, WI · CCN 520202	40	$1,703	About average	$1,359	$9,418
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	66	$1,703	About average	$1,363	$26,791
UNC HospitalsChapel Hill, NC · CCN 340061	397	$1,703	About average	$1,351	$7,694
Orlando HealthOrlando, FL · CCN 100006	693	$1,703	About average	$1,352	$26,321
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	144	$1,703	About average	$1,357	$11,364
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	26	$1,703	About average	$1,377	$11,267
Ascension St Vincent CarmelCarmel, IN · CCN 150157	78	$1,704	About average	$1,349	$15,036
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	30	$1,704	About average	$1,337	$8,129
Southern Maine Health CareBiddeford, ME · CCN 200019	17	$1,704	About average	$1,346	$8,053
Park City HospitalPark City, UT · CCN 460057	41	$1,704	About average	$1,372	$5,914
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	71	$1,704	About average	$1,353	$12,956
AdventHealth TampaTampa, FL · CCN 100173	141	$1,704	About average	$1,355	$30,580
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	41	$1,705	About average	$1,360	$14,312
Mountain View HospitalPayson, UT · CCN 460013	69	$1,705	About average	$1,356	$11,687
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	196	$1,705	About average	$1,360	$20,933
Bryan Medical CenterLincoln, NE · CCN 280003	273	$1,705	About average	$1,352	$12,931
HCA Florida Brandon HospitalBrandon, FL · CCN 100243	63	$1,705	About average	$1,351	$29,411
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	14	$1,706	About average	$1,352	$11,949
St Josephs HospitalTampa, FL · CCN 100075	159	$1,706	About average	$1,372	$15,052
Mary Washington HospitalFredericksburg, VA · CCN 490022	197	$1,706	About average	$1,345	$11,129
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	75	$1,706	About average	$1,357	$17,741
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	161	$1,706	About average	$1,362	$10,896
Bolivar Medical CenterCleveland, MS · CCN 250093	14	$1,707	About average	$1,352	$20,329
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	75	$1,707	About average	$1,353	$9,334
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	239	$1,708	About average	$1,370	$30,450
Grady Memorial HospitalChickasha, OK · CCN 370054	45	$1,708	About average	$1,360	$5,681
Ohio Valley Surgical HospitalSpringfield, OH · CCN 360355	11	$1,708	About average	$1,365	$5,476
Wilson Memorial HospitalSidney, OH · CCN 360013	30	$1,708	About average	$1,364	$15,573
Kettering Health Main CampusKettering, OH · CCN 360079	79	$1,708	About average	$1,361	$16,351
Mease Countryside HospitalSafety Harbor, FL · CCN 100265	60	$1,708	About average	$1,362	$12,472
St Anthonys HospitalSaint Petersburg, FL · CCN 100067	176	$1,708	About average	$1,357	$11,979
T J Samson Community HospitalGlasgow, KY · CCN 180017	40	$1,708	About average	$1,356	$7,316
Northeastern Health SystemTahlequah, OK · CCN 370089	121	$1,709	About average	$1,360	$4,227
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	276	$1,709	About average	$1,361	$27,310
AdventHealth RedmondRome, GA · CCN 110168	53	$1,709	About average	$1,358	$23,522
Cleveland Clinic HospitalWeston, FL · CCN 100289	282	$1,709	About average	$1,363	$9,585
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	248	$1,709	About average	$1,361	$27,537
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	31	$1,709	About average	$1,367	$9,102
Baxter HealthMountain Home, AR · CCN 040027	145	$1,710	About average	$1,359	$6,555
Stanly Regional Medical CenterAlbemarle, NC · CCN 340119	17	$1,710	About average	$1,372	$13,937
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	28	$1,710	About average	$1,365	$7,454
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	61	$1,710	About average	$1,371	$14,600
Memorial Regional HospitalHollywood, FL · CCN 100038	99	$1,710	About average	$1,360	$15,872
Atrium Health University CityCharlotte, NC · CCN 340166	29	$1,710	About average	$1,362	$11,129
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	19	$1,710	About average	$1,362	$6,488
Meadowview Regional Medical CenterMaysville, KY · CCN 180019	14	$1,710	About average	$1,353	$12,175
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	57	$1,710	About average	$1,373	$5,767
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	46	$1,710	About average	$1,358	$7,619

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.