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 New York

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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New York

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Year of care

Average payment across these 85 hospitals: $2,084National $1,815 · New York $2,088
Median hospital: $2,087
Lowest to highest: $807–$2,203
Medicare procedures: 9,597

85 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–85. 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
Bassett HealthcareCooperstown, NY · CCN 330136	98	$2,110	16% above the national average	$1,684	$4,449
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	37	$2,114	16% above the national average	$1,698	$4,950
Staten Island University HospitalStaten Island, NY · CCN 330160	158	$2,121	17% above the national average	$1,687	$14,338
Mount Sinai South NassauOceanside, NY · CCN 330198	178	$2,122	17% above the national average	$1,690	$26,593
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	27	$2,122	17% above the national average	$1,691	$13,932
Long Island Community HospitalPatchogue, NY · CCN 330141	37	$2,125	17% above the national average	$1,702	$31,786
Mount Sinai WestNew York, NY · CCN 330046	113	$2,128	17% above the national average	$1,696	$12,889
Westchester Medical CenterValhalla, NY · CCN 330234	164	$2,129	17% above the national average	$1,691	$20,431
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	119	$2,129	17% above the national average	$1,713	$9,536
Phelps HospitalSleepy Hollow, NY · CCN 330261	109	$2,132	18% above the national average	$1,704	$24,937
Nyu Langone HospitalsNew York, NY · CCN 330214	1,238	$2,134	18% above the national average	$1,708	$32,122
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	366	$2,135	18% above the national average	$1,698	$11,757
Plainview HospitalPlainview, NY · CCN 330331	44	$2,136	18% above the national average	$1,705	$10,330
White Plains Hospital CenterWhite Plains, NY · CCN 330304	396	$2,141	18% above the national average	$1,703	$19,313
St Anthony Community HospitalWarwick, NY · CCN 330205	26	$2,141	18% above the national average	$1,705	$35,108
Montefiore Medical CenterBronx, NY · CCN 330059	128	$2,142	18% above the national average	$1,709	$16,274
New York-Presbyterian HospitalNew York, NY · CCN 330101	973	$2,143	18% above the national average	$1,707	$16,537
New York-Presbyterian/QueensFlushing, NY · CCN 330055	78	$2,143	18% above the national average	$1,707	$12,082
Lenox Hill HospitalNew York, NY · CCN 330119	87	$2,143	18% above the national average	$1,710	$13,047
Mount Sinai Beth IsraelNew York, NY · CCN 330169	33	$2,143	18% above the national average	$1,705	$12,528
St Joseph HospitalBethpage, NY · CCN 330332	18	$2,143	18% above the national average	$1,738	$12,105
Mercy Medical CenterRockville Centre, NY · CCN 330259	14	$2,144	18% above the national average	$1,708	$15,327
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	85	$2,145	18% above the national average	$1,705	$32,883
Mount Sinai HospitalNew York, NY · CCN 330024	258	$2,145	18% above the national average	$1,706	$11,774
Samaritan Medical CenterWatertown, NY · CCN 330157	74	$2,160	19% above the national average	$1,741	$5,671
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	30	$2,160	19% above the national average	$1,739	$9,815
Auburn Community HospitalAuburn, NY · CCN 330235	21	$2,160	19% above the national average	$1,732	$7,090
Cayuga Medical Center At IthacaIthaca, NY · CCN 330307	43	$2,160	19% above the national average	$1,731	$6,393
Nyack HospitalNyack, NY · CCN 330104	66	$2,162	19% above the national average	$1,724	$13,426
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	36	$2,165	19% above the national average	$1,740	$12,677
Maimonides Medical CenterBrooklyn, NY · CCN 330194	90	$2,165	19% above the national average	$1,726	$15,483
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	11	$2,165	19% above the national average	$1,725	$7,349
Richmond University Medical CenterStaten Island, NY · CCN 330028	26	$2,165	19% above the national average	$1,718	$19,937
Bellevue Hospital CenterNew York, NY · CCN 330204	16	$2,165	19% above the national average	$1,713	$10,277
Garnet Health Medical Center CatskillsHarris, NY · CCN 330386	15	$2,203	21% above the national average	$1,763	$15,207

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.