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 Ohio

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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Year of care

Average payment across these 87 hospitals: $1,606National $1,815 · Ohio $1,607
Median hospital: $1,619
Lowest to highest: $1,046–$1,829
Medicare procedures: 8,452

87 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–87. 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
Marymount HospitalGarfield Heights, OH · CCN 360143	15	$1,624	10% below the national average	$1,310	$9,045
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	21	$1,624	10% below the national average	$1,298	$10,165
Fairview HospitalCleveland, OH · CCN 360077	122	$1,624	10% below the national average	$1,296	$9,167
Lake HealthConcord, OH · CCN 360098	14	$1,624	10% below the national average	$1,294	$13,405
UH Regional HospitalsChardon, OH · CCN 360075	18	$1,624	10% below the national average	$1,294	$9,654
Grand Lake Health SystemSaint Marys, OH · CCN 360032	47	$1,627	10% below the national average	$1,300	$8,042
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	58	$1,627	10% below the national average	$1,290	$11,251
Wooster Community HospitalWooster, OH · CCN 360036	48	$1,628	10% below the national average	$1,302	$4,418
Mercy Health - West HospitalCincinnati, OH · CCN 360234	113	$1,631	10% below the national average	$1,299	$17,199
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	73	$1,637	About average	$1,299	$15,516
Bethesda NorthCincinnati, OH · CCN 360179	171	$1,639	About average	$1,303	$7,790
University Of Toledo Medical CenterToledo, OH · CCN 360048	103	$1,641	About average	$1,300	$14,708
ProMedica Toledo HospitalToledo, OH · CCN 360068	259	$1,642	About average	$1,297	$12,183
West Chester HospitalWest Chester, OH · CCN 360354	101	$1,642	About average	$1,310	$7,935
Miami Valley HospitalDayton, OH · CCN 360051	129	$1,645	About average	$1,308	$11,120
Avita OntarioOntario, OH · CCN 360365	18	$1,655	About average	$1,328	$12,088
Marion General HospitalMarion, OH · CCN 360011	34	$1,665	About average	$1,333	$13,482
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	53	$1,666	About average	$1,325	$13,537
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	153	$1,682	About average	$1,336	$19,288
Mount Carmel East & WestColumbus, OH · CCN 360035	219	$1,683	About average	$1,336	$7,234
Dublin Methodist HospitalDublin, OH · CCN 360348	92	$1,687	About average	$1,348	$15,199
Ohio State University State Health SystemColumbus, OH · CCN 360085	506	$1,687	About average	$1,341	$8,263
Mount Carmel St Ann'sWesterville, OH · CCN 360012	93	$1,693	About average	$1,350	$6,566
Springfield Regional Medical CenterSpringfield, OH · CCN 360086	68	$1,694	About average	$1,351	$11,669
Riverside Methodist HospitalColumbus, OH · CCN 360006	391	$1,698	About average	$1,353	$15,021
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	104	$1,700	About average	$1,365	$6,674
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	41	$1,700	About average	$1,346	$3,817
Grant Medical CenterColumbus, OH · CCN 360017	19	$1,701	About average	$1,365	$17,811
Licking Memorial HospitalNewark, OH · CCN 360218	41	$1,702	About average	$1,357	$9,192
Memorial HospitalMarysville, OH · CCN 360092	32	$1,702	About average	$1,355	$8,188
Ohio Valley Surgical HospitalSpringfield, OH · CCN 360355	11	$1,708	About average	$1,365	$5,476
Wilson Memorial HospitalSidney, OH · CCN 360013	30	$1,708	About average	$1,364	$15,573
Kettering Health Main CampusKettering, OH · CCN 360079	79	$1,708	About average	$1,361	$16,351
Genesis HospitalZanesville, OH · CCN 360039	168	$1,715	About average	$1,374	$9,486
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 360203	23	$1,734	About average	$1,389	$6,551
Ashtabula County Medical CenterAshtabula, OH · CCN 360125	30	$1,734	About average	$1,384	$9,596
Mary Rutan HospitalBellefontaine, OH · CCN 360197	26	$1,829	About average	$1,461	$4,630

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.