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 Pennsylvania

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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Pennsylvania

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Average payment across these 86 hospitals: $1,759National $1,815 · Pennsylvania $1,762
Median hospital: $1,735
Lowest to highest: $1,232–$2,006
Medicare procedures: 8,908

86 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–86. 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
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	28	$1,783	About average	$1,410	$10,964
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	77	$1,784	About average	$1,423	$15,577
Wellspan York HospitalYork, PA · CCN 390046	207	$1,784	About average	$1,423	$10,971
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	29	$1,785	About average	$1,434	$10,348
Pottstown HospitalPottstown, PA · CCN 390123	32	$1,785	About average	$1,416	$7,859
Temple University HospitalPhiladelphia, PA · CCN 390027	119	$1,786	About average	$1,416	$29,716
Penn Highlands DuboisDubois, PA · CCN 390086	45	$1,788	About average	$1,420	$7,083
Phoenixville HospitalPhoenixville, PA · CCN 390127	35	$1,794	About average	$1,421	$8,561
St Mary Medical CenterLanghorne, PA · CCN 390258	16	$1,797	About average	$1,408	$8,473
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	103	$1,799	About average	$1,432	$13,566
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	64	$1,804	About average	$1,444	$8,995
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	433	$1,805	About average	$1,438	$13,491
Lehigh Valley HospitalAllentown, PA · CCN 390133	394	$1,815	About average	$1,438	$20,492
UPMC AltoonaAltoona, PA · CCN 390073	63	$1,820	About average	$1,459	$13,725
Meadville Medical CenterMeadville, PA · CCN 390113	110	$1,820	About average	$1,456	$12,701
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	97	$1,820	About average	$1,448	$6,734
Crozer Chester Medical CenterUpland, PA · CCN 390180	40	$1,821	About average	$1,443	$14,237
Main Line Hospital LankenauWynnewood, PA · CCN 390195	306	$1,826	About average	$1,454	$11,403
Doylestown HospitalDoylestown, PA · CCN 390203	195	$1,835	About average	$1,472	$10,069
Chester County HospitalWest Chester, PA · CCN 390179	66	$1,836	About average	$1,469	$15,627
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	48	$1,836	About average	$1,465	$13,772
Paoli HospitalPaoli, PA · CCN 390153	35	$1,836	About average	$1,459	$10,498
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	30	$1,836	About average	$1,458	$10,409
St Lukes HospitalBethlehem, PA · CCN 390049	470	$1,843	About average	$1,472	$18,570
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	76	$1,845	About average	$1,474	$13,060
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	69	$1,849	About average	$1,474	$12,342
Riddle Memorial HospitalMedia, PA · CCN 390222	39	$1,849	About average	$1,473	$10,565
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	67	$1,856	About average	$1,480	$17,523
Mount Nittany Medical CenterState College, PA · CCN 390268	28	$1,865	About average	$1,482	$7,145
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	692	$1,894	About average	$1,511	$19,242
Wellspan Waynesboro HospitalWaynesboro, PA · CCN 390138	13	$1,898	About average	$1,530	$8,331
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	14	$1,898	About average	$1,519	$13,187
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	83	$1,901	About average	$1,512	$20,212
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	79	$1,917	About average	$1,531	$14,629
UPMC HamotErie, PA · CCN 390063	54	$2,005	11% above the national average	$1,599	$13,199
Saint Vincent HospitalErie, PA · CCN 390009	50	$2,006	11% above the national average	$1,594	$9,251

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.