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 901–950. 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
Medical City DecaturDecatur, TX · CCN 450271	14	$1,718	About average	$1,381	$25,822
Medical City AllianceFort Worth, TX · CCN 670103	16	$1,718	About average	$1,379	$34,415
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	87	$1,718	About average	$1,361	$9,315
Lake Granbury Medical CenterGranbury, TX · CCN 450596	21	$1,718	About average	$1,372	$23,040
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 450639	36	$1,718	About average	$1,371	$13,057
Medical City WeatherfordWeatherford, TX · CCN 450203	104	$1,718	About average	$1,371	$15,679
Union General HospitalBlairsville, GA · CCN 110051	103	$1,718	About average	$1,358	$3,502
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	64	$1,718	About average	$1,370	$11,336
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	45	$1,718	About average	$1,369	$9,614
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	53	$1,718	About average	$1,369	$11,196
Texas Health Arlington Memorial HospitalArlington, TX · CCN 450064	45	$1,718	About average	$1,369	$12,027
Medical City DentonDenton, TX · CCN 450634	53	$1,718	About average	$1,368	$35,171
JPS Health NetworkFort Worth, TX · CCN 450039	32	$1,718	About average	$1,367	$11,758
Advocate Trinity HospitalChicago, IL · CCN 140048	49	$1,718	About average	$1,374	$14,878
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	195	$1,718	About average	$1,364	$8,365
Riverview HealthNoblesville, IN · CCN 150059	16	$1,718	About average	$1,385	$12,802
Christus Southern New MexicoAlamogordo, NM · CCN 320004	41	$1,719	About average	$1,364	$39,126
Major HospitalShelbyville, IN · CCN 150097	11	$1,719	About average	$1,377	$16,838
Johnson Memorial HospitalFranklin, IN · CCN 150001	14	$1,719	About average	$1,375	$11,324
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	247	$1,719	About average	$1,380	$9,694
Union Hospital IncTerre Haute, IN · CCN 150023	154	$1,719	About average	$1,374	$7,185
IU Health West HospitalAvon, IN · CCN 150158	39	$1,719	About average	$1,372	$17,647
Hancock Regional HospitalGreenfield, IN · CCN 150037	48	$1,719	About average	$1,370	$9,870
Ascension St Vincent AndersonAnderson, IN · CCN 150088	14	$1,719	About average	$1,369	$22,413
Eskenazi HealthIndianapolis, IN · CCN 150024	11	$1,719	About average	$1,368	$10,987
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	188	$1,719	About average	$1,374	$10,631
North Arkansas Regional Medical CenterHarrison, AR · CCN 040017	15	$1,719	About average	$1,365	$6,856
Piedmont Newton HospitalCovington, GA · CCN 110018	61	$1,719	About average	$1,367	$19,210
Rutherford Regional Medical CenterRutherfordton, NC · CCN 340013	66	$1,720	About average	$1,366	$9,287
Munson Healthcare Otsego Memorial HospitalGaylord, MI · CCN 230133	32	$1,720	About average	$1,370	$5,865
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 450788	26	$1,720	About average	$1,370	$16,955
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	225	$1,720	About average	$1,366	$26,341
Hamilton Medical CenterDalton, GA · CCN 110001	213	$1,721	About average	$1,379	$16,098
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	581	$1,721	About average	$1,365	$8,001
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	362	$1,721	About average	$1,378	$13,427
Froedtert South Inc.Kenosha, WI · CCN 520021	62	$1,722	About average	$1,354	$9,959
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	23	$1,722	About average	$1,367	$6,114
Southeast Georgia Health System -- Camden CampusSaint Marys, GA · CCN 110146	27	$1,723	About average	$1,372	$5,292
Memorial Health Meadows HospitalVidalia, GA · CCN 110128	12	$1,723	About average	$1,372	$17,136
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	18	$1,723	About average	$1,373	$16,969
UPMC CarlisleCarlisle, PA · CCN 390058	12	$1,723	About average	$1,371	$8,905
CHI Health Good SamaritanKearney, NE · CCN 280009	65	$1,723	About average	$1,374	$10,612
Mary Lanning HealthcareHastings, NE · CCN 280032	17	$1,723	About average	$1,373	$7,710
AdventHealth ZephyrhillsZephyrhills, FL · CCN 100046	15	$1,723	About average	$1,402	$32,350
Northwest Specialty HospitalPost Falls, ID · CCN 130066	138	$1,723	About average	$1,375	$7,361
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	20	$1,723	About average	$1,390	$28,681
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	30	$1,723	About average	$1,390	$20,919
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	16	$1,723	About average	$1,389	$19,654
UF Health Leesburg HospitalLeesburg, FL · CCN 100084	26	$1,723	About average	$1,386	$9,083
AdventHealth DelandDeland, FL · CCN 100045	46	$1,723	About average	$1,386	$14,477

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.