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 51–100. 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
McLeod Health ClarendonManning, SC · CCN 420109	25	$1,534	15% below the national average	$1,204	$13,992
Singing River GulfportGulfport, MS · CCN 250123	95	$1,535	15% below the national average	$1,223	$49,495
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	95	$1,536	15% below the national average	$1,220	$6,336
Stormont Vail Health Flint Hills, LLCJunction City, KS · CCN 170074	12	$1,537	15% below the national average	$1,197	$5,769
Baldwin HealthFoley, AL · CCN 010083	85	$1,537	15% below the national average	$1,214	$27,556
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	88	$1,538	15% below the national average	$1,218	$4,793
Conway Medical CenterConway, SC · CCN 420049	262	$1,539	15% below the national average	$1,229	$12,275
Helen Keller HospitalSheffield, AL · CCN 010019	67	$1,540	15% below the national average	$1,224	$6,747
USA Health University HospitalMobile, AL · CCN 010087	155	$1,541	15% below the national average	$1,223	$7,631
Huntsville HospitalHuntsville, AL · CCN 010039	176	$1,542	15% below the national average	$1,218	$7,270
Palo Pinto General HospitalMineral Wells, TX · CCN 450565	11	$1,544	15% below the national average	$1,201	$7,823
University Health System, IncKnoxville, TN · CCN 440015	180	$1,545	15% below the national average	$1,225	$8,132
Coosa Valley Medical CenterSylacauga, AL · CCN 010164	34	$1,545	15% below the national average	$1,224	$8,357
West Jefferson Medical CenterMarrero, LA · CCN 190039	58	$1,545	15% below the national average	$1,222	$14,519
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 370212	16	$1,546	15% below the national average	$1,206	$8,213
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	148	$1,547	15% below the national average	$1,212	$7,613
Mercy Health Kings Mills Hospital LLCMason, OH · CCN 360374	49	$1,547	15% below the national average	$1,218	$15,731
Anderson Regional Medical CenterMeridian, MS · CCN 250104	82	$1,547	15% below the national average	$1,227	$5,090
Piedmont Columbus Regional MidtownColumbus, GA · CCN 110064	147	$1,547	15% below the national average	$1,221	$14,293
Vanderbilt University Medical CenterNashville, TN · CCN 440039	704	$1,548	15% below the national average	$1,232	$12,917
Thomas HospitalFairhope, AL · CCN 010100	151	$1,548	15% below the national average	$1,226	$6,061
Marshall Medical CentersBoaz, AL · CCN 010005	101	$1,548	15% below the national average	$1,230	$5,519
Northwest Texas HospitalAmarillo, TX · CCN 450209	13	$1,550	15% below the national average	$1,210	$19,659
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	289	$1,551	15% below the national average	$1,227	$7,051
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	25	$1,551	15% below the national average	$1,220	$8,977
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	85	$1,552	14% below the national average	$1,230	$9,196
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	330	$1,553	14% below the national average	$1,229	$8,611
Weirton Medical Center, IncWeirton, WV · CCN 510023	99	$1,553	14% below the national average	$1,241	$17,267
Wood County HospitalBowling Green, OH · CCN 360029	13	$1,553	14% below the national average	$1,223	$7,655
North Mississippi Medical Center-Gilmore AmoryAmory, MS · CCN 250025	26	$1,554	14% below the national average	$1,242	$6,966
Southwest Mississippi Regional Medical CenterMccomb, MS · CCN 250097	77	$1,554	14% below the national average	$1,239	$3,631
Baptist Memorial Hospital BoonevilleBooneville, MS · CCN 250044	11	$1,554	14% below the national average	$1,238	$10,409
Forrest General HospitalHattiesburg, MS · CCN 250078	18	$1,554	14% below the national average	$1,238	$9,117
West Tennessee Healthcare Milan HospitalMilan, TN · CCN 440060	84	$1,554	14% below the national average	$1,242	$7,401
Memorial Hospital BiloxiBiloxi, MS · CCN 250007	12	$1,554	14% below the national average	$1,213	$48,396
Baptist Medical Center SouthMontgomery, AL · CCN 010023	17	$1,555	14% below the national average	$1,244	$5,618
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	91	$1,555	14% below the national average	$1,246	$5,859
Russell Medical CenterAlexander City, AL · CCN 010065	160	$1,558	14% below the national average	$1,236	$4,656
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	90	$1,558	14% below the national average	$1,230	$7,861
Mercy Regional Medical CenterLorain, OH · CCN 360172	39	$1,558	14% below the national average	$1,228	$12,479
St Vincent's BirminghamBirmingham, AL · CCN 010056	42	$1,558	14% below the national average	$1,232	$17,177
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	520	$1,559	14% below the national average	$1,233	$10,642
De Tar Hospital NavarroVictoria, TX · CCN 450147	13	$1,559	14% below the national average	$1,200	$43,329
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	79	$1,560	14% below the national average	$1,226	$7,751
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	63	$1,561	14% below the national average	$1,240	$16,302
Uofl Health - Shelbyville HospitalShelbyville, KY · CCN 180016	16	$1,562	14% below the national average	$1,230	$13,197
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	15	$1,562	14% below the national average	$1,250	$12,331
Riverview Regional Medical CenterGadsden, AL · CCN 010046	81	$1,562	14% below the national average	$1,236	$11,623
Charleston Area Medical CenterCharleston, WV · CCN 510022	169	$1,563	14% below the national average	$1,234	$14,524
Greenwood Leflore HospitalGreenwood, MS · CCN 250099	37	$1,563	14% below the national average	$1,245	$4,711

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.