Skip to main content
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 North Carolina

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
North Carolina
Specific hospitals up to 10
Average payment across these 62 hospitals
$1,687National $1,815 · North Carolina $1,687
Median hospital
$1,683
Lowest to highest
$1,596–$1,849
Medicare procedures
6,724

62 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–62. Download as CSV

Medicare payments per case for Level 2 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
WakeMed, Raleigh CampusRaleigh, NC · CCN 34006949$1,713About average$1,365$15,344
Rutherford Regional Medical CenterRutherfordton, NC · CCN 34001366$1,720About average$1,366$9,287
Watauga Medical CenterBoone, NC · CCN 34005189$1,726About average$1,376$10,902
Novant Health Thomasville Medical CenterThomasville, NC · CCN 34008511$1,734About average$1,390$6,322
Lexington Memorial Hospital IncLexington, NC · CCN 34009617$1,734About average$1,382$14,062
Alamance Regional Medical CenterBurlington, NC · CCN 34007058$1,737About average$1,390$8,015
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141626$1,762About average$1,402$8,290
Sentara Albemarle Medical CenterElizabeth City, NC · CCN 34010925$1,773About average$1,419$17,395
Carolina East Medical CenterNew Bern, NC · CCN 340131192$1,773About average$1,415$8,230
Southeastern Regional Medical CenterLumberton, NC · CCN 34005024$1,773About average$1,412$6,530
Carteret General HospitalMorehead City, NC · CCN 34014220$1,776About average$1,411$4,541
UNC Health Care WayneGoldsboro, NC · CCN 34001028$1,849About average$1,465$6,212

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.