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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

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 851–900. Download as CSV

Medicare payments per case for Level 2 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Self Regional HealthcareGreenwood, SC · CCN 42007136$1,711About average$1,357$9,184
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162181$1,711About average$1,361$14,090
Columbus Community Hospital, IncColumbus, NE · CCN 28011144$1,711About average$1,365$9,601
Holy Family MemorialManitowoc, WI · CCN 52010722$1,711About average$1,375$13,685
East Georgia Regional Medical CenterStatesboro, GA · CCN 110075121$1,711About average$1,365$13,283
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 100292230$1,712About average$1,366$20,099
Baylor Scott & White Medical Center - FriscoFrisco, TX · CCN 45085338$1,712About average$1,382$9,785
Medical Center Of McKinneyMckinney, TX · CCN 45040349$1,712About average$1,373$23,530
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 45074247$1,712About average$1,371$11,861
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 13001814$1,712About average$1,370$19,441
Idaho Falls Community Hospital, LLCIdaho Falls, ID · CCN 13007423$1,712About average$1,368$7,647
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462156$1,712About average$1,366$12,296
Hunt Regional Medical CenterGreenville, TX · CCN 45035270$1,712About average$1,366$6,750
St Luke's Nampa Medical CenterNampa, ID · CCN 13007160$1,712About average$1,366$7,767
Medical City PlanoPlano, TX · CCN 450651134$1,712About average$1,365$31,793
Parkland Health & Hospital SystemDallas, TX · CCN 45001541$1,712About average$1,364$14,655
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089111$1,713About average$1,367$18,436
Medical City Las ColinasIrving, TX · CCN 45082213$1,713About average$1,354$46,299
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 100223129$1,713About average$1,381$49,448
UPMC MemorialYork, PA · CCN 39010131$1,713About average$1,353$8,737
Ascension Seton WilliamsonRound Rock, TX · CCN 67004113$1,713About average$1,362$10,737
Citizens Memorial HospitalBolivar, MO · CCN 26019514$1,713About average$1,390$11,065
WakeMed, Raleigh CampusRaleigh, NC · CCN 34006949$1,713About average$1,365$15,344
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168533$1,713About average$1,362$17,334
Western Missouri Medical CenterWarrensburg, MO · CCN 26009711$1,713About average$1,373$5,817
Mercy Hospital LebanonLebanon, MO · CCN 26005915$1,713About average$1,371$6,730
Ozarks HealthcareWest Plains, MO · CCN 26007825$1,714About average$1,369$12,686
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 52003571$1,714About average$1,362$10,841
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088406$1,714About average$1,366$13,423
Jackson Health SystemMiami, FL · CCN 10002257$1,714About average$1,370$6,422
Baptist Medical Center - NassauFernandina Beach, FL · CCN 100140156$1,714About average$1,385$11,746
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 16004732$1,715About average$1,364$7,705
CHI Health LakesideOmaha, NE · CCN 28013076$1,715About average$1,364$9,868
Emory University Hospital MidtownAtlanta, GA · CCN 11007838$1,715About average$1,366$11,844
Morton Plant HospitalClearwater, FL · CCN 100127160$1,715About average$1,364$10,972
Genesis HospitalZanesville, OH · CCN 360039168$1,715About average$1,374$9,486
Robert Packer HospitalSayre, PA · CCN 390079299$1,715About average$1,361$12,153
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286174$1,716About average$1,375$20,734
Jupiter Medical CenterJupiter, FL · CCN 100253176$1,716About average$1,370$8,729
St Claire Regional Medical CenterMorehead, KY · CCN 18001823$1,716About average$1,367$9,875
Bethesda Hospital EastBoynton Beach, FL · CCN 100002110$1,716About average$1,365$14,510
Sarasota Memorial HospitalSarasota, FL · CCN 100087535$1,716About average$1,370$16,142
Mercy Health System CorpJanesville, WI · CCN 520066173$1,716About average$1,386$9,676
Orlando Health Rockledge HospitalRockledge, FL · CCN 10009273$1,716About average$1,366$14,860
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 04000796$1,717About average$1,362$14,367
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 14018032$1,717About average$1,346$15,698
Naples Community HospitalNaples, FL · CCN 100018416$1,717About average$1,373$14,968
Memorial Hospital Of South BendSouth Bend, IN · CCN 15005834$1,717About average$1,375$11,251
Aurora Medical CenterGrafton, WI · CCN 52020790$1,717About average$1,371$14,985
Medical City North HillsNorth Richland Hills, TX · CCN 45008728$1,717About average$1,396$30,462

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6377$1,027$845–$993
Mississippi271,517$1,477$1,550–$1,595
Alabama434,221$1,560$1,518–$1,586
Louisiana322,348$1,585$1,580–$1,599
Tennessee414,358$1,593$1,566–$1,621
West Virginia171,850$1,594$1,551–$1,613
Ohio888,558$1,607$1,602–$1,657
South Carolina394,850$1,625$1,601–$1,643
Oklahoma363,876$1,632$1,608–$1,654
Arkansas231,701$1,633$1,605–$1,713
Iowa242,336$1,637$1,628–$1,735
Kentucky443,946$1,639$1,604–$1,680
Kansas293,078$1,651$1,620–$1,726
Missouri506,250$1,657$1,645–$1,713
Utah242,774$1,674$1,659–$1,704
Michigan635,044$1,680$1,658–$1,725
Texas14713,129$1,687$1,651–$1,732
North Carolina626,724$1,687$1,656–$1,708
Georgia695,427$1,689$1,616–$1,754
Virginia537,105$1,691$1,631–$1,760
Nebraska161,614$1,699$1,672–$1,723
Florida13213,872$1,708$1,706–$1,724
Indiana565,387$1,712$1,691–$1,734
New Mexico13914$1,729$1,657–$1,775
Maine111,038$1,741$1,678–$1,782
Wisconsin524,716$1,748$1,708–$1,776
Pennsylvania879,237$1,762$1,699–$1,820
Idaho121,421$1,765$1,712–$1,831
Illinois849,354$1,792$1,758–$1,822
North Dakota61,160$1,794$1,761–$1,857
South Dakota71,422$1,801$1,759–$1,900
Montana91,328$1,811$1,769–$1,874
Colorado363,352$1,819$1,803–$1,811
New Hampshire132,049$1,858$1,805–$1,894
Wyoming7210$1,859$1,892–$1,911
Arizona384,351$1,861$1,833–$1,856
Minnesota284,454$1,861$1,792–$1,826
Delaware5721$1,902$1,896–$1,909
District of Columbia51,155$1,918$1,910–$1,942
Rhode Island8696$1,919$1,918–$1,931
Washington424,083$1,935$1,897–$2,000
Alaska5323$2,004$1,964–$2,103
New Jersey494,740$2,013$1,992–$2,111
Oregon211,674$2,019$1,971–$2,011
Nevada14807$2,030$2,007–$2,038
Massachusetts498,033$2,031$2,019–$2,043
New York8710,807$2,088$2,017–$2,141
Connecticut212,140$2,108$2,093–$2,141
Hawaii7441$2,151$2,136–$2,266
California15417,365$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.