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

Hospitals in Illinois

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.

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Illinois

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Year of care

Average payment across these 84 hospitals: $1,792National $1,815 · Illinois $1,792
Median hospital: $1,789
Lowest to highest: $1,646–$1,883
Medicare procedures: 9,354

84 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–84. 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
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	38	$1,806	About average	$1,463	$6,945
Mercyhealth Hospital & Physician Clinic-Crystal LaCrystal Lake, IL · CCN 140308	28	$1,806	About average	$1,462	$15,379
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	31	$1,806	About average	$1,445	$7,878
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	38	$1,806	About average	$1,444	$15,468
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	64	$1,807	About average	$1,442	$14,359
Swedish HospitalChicago, IL · CCN 140114	28	$1,807	About average	$1,439	$11,570
Ingalls Memorial HospitalHarvey, IL · CCN 140191	26	$1,807	About average	$1,439	$10,627
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	187	$1,807	About average	$1,439	$14,783
John H Stroger Jr HospitalChicago, IL · CCN 140124	19	$1,807	About average	$1,435	$7,991
Community First Medical CenterChicago, IL · CCN 140251	16	$1,807	About average	$1,420	$9,850
Saint Anthony Medical CenterRockford, IL · CCN 140233	174	$1,810	About average	$1,425	$12,904
MacNeal HospitalBerwyn, IL · CCN 140054	42	$1,816	About average	$1,442	$13,950
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	49	$1,820	About average	$1,450	$13,162
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	72	$1,825	About average	$1,445	$11,352
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	82	$1,833	About average	$1,460	$14,498
Northwestern Memorial HospitalChicago, IL · CCN 140281	743	$1,833	About average	$1,460	$16,536
Uw HealthRockford, IL · CCN 140228	101	$1,836	About average	$1,461	$22,652
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	173	$1,842	About average	$1,478	$17,158
Loyola University Medical CenterMaywood, IL · CCN 140276	168	$1,842	About average	$1,469	$11,752
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	205	$1,842	About average	$1,477	$16,638
Rush University Medical CenterChicago, IL · CCN 140119	357	$1,842	About average	$1,466	$15,755
Advocate Sherman HospitalElgin, IL · CCN 140030	171	$1,850	About average	$1,475	$18,812
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	16	$1,850	About average	$1,498	$11,134
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	51	$1,850	About average	$1,487	$14,045
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	15	$1,851	About average	$1,481	$14,251
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	49	$1,851	About average	$1,480	$16,980
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	39	$1,851	About average	$1,475	$13,958
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	26	$1,851	About average	$1,471	$13,653
Copley Memorial HospitalAurora, IL · CCN 140029	27	$1,857	About average	$1,490	$12,930
Saint James HospitalPontiac, IL · CCN 140161	30	$1,866	About average	$1,483	$10,718
St Mary Medical CenterGalesburg, IL · CCN 140064	11	$1,883	About average	$1,526	$15,159
Harrisburg Medical CenterHarrisburg, IL · CCN 140210	32	$1,883	About average	$1,521	$18,188
Blessing HospitalQuincy, IL · CCN 140015	68	$1,883	About average	$1,513	$14,119
Mc Donough District HospitalMacomb, IL · CCN 140089	26	$1,883	About average	$1,501	$9,349

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.