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

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1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 951–1,000. 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
AdventHealth Palm Coast ParkwayPalm Coast, FL · CCN 100363	46	$1,723	About average	$1,386	$12,528
HCA Florida Palms West HospitalLoxahatchee, FL · CCN 100269	27	$1,723	About average	$1,386	$30,815
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 100117	46	$1,723	About average	$1,384	$10,573
AdventHealth CarrollwoodTampa, FL · CCN 100069	39	$1,723	About average	$1,382	$27,931
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	122	$1,723	About average	$1,382	$14,962
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 100321	44	$1,723	About average	$1,381	$18,473
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	22	$1,723	About average	$1,381	$39,447
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	38	$1,723	About average	$1,380	$12,848
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	47	$1,723	About average	$1,361	$5,945
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 100014	52	$1,724	About average	$1,379	$7,897
North Okaloosa Medical CenterCrestview, FL · CCN 100122	49	$1,724	About average	$1,379	$28,286
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	133	$1,724	About average	$1,378	$12,513
Memorial Hospital WestPembroke Pines, FL · CCN 100281	18	$1,724	About average	$1,378	$20,183
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 100071	39	$1,724	About average	$1,378	$41,620
HCA Florida Poinciana HospitalKissimmee, FL · CCN 100320	40	$1,724	About average	$1,378	$44,126
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	61	$1,724	About average	$1,378	$16,231
HCA Florida Osceola HospitalKissimmee, FL · CCN 100110	21	$1,724	About average	$1,377	$41,696
AdventHealth OcalaOcala, FL · CCN 100062	55	$1,724	About average	$1,377	$26,716
Cape Canaveral HospitalCocoa Beach, FL · CCN 100177	50	$1,724	About average	$1,377	$13,191
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	46	$1,724	About average	$1,377	$37,082
Viera HospitalMelbourne, FL · CCN 100315	149	$1,724	About average	$1,377	$13,837
Marion Communtiy HospitalOcala, FL · CCN 100212	52	$1,724	About average	$1,377	$34,928
Baptist HospitalPensacola, FL · CCN 100093	62	$1,724	About average	$1,376	$14,601
HCA Florida Trinity HospitalTrinity, FL · CCN 100191	28	$1,724	About average	$1,376	$50,808
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	136	$1,724	About average	$1,375	$16,366
HCA Florida JFK HospitalAtlantis, FL · CCN 100080	63	$1,724	About average	$1,375	$40,357
AdventHealth SebringSebring, FL · CCN 100109	49	$1,724	About average	$1,373	$16,441
AdventHealth WatermanTavares, FL · CCN 100057	19	$1,724	About average	$1,373	$11,860
Broward Health Coral SpringsCoral Springs, FL · CCN 100276	17	$1,724	About average	$1,373	$10,019
Broward Health Imperial PointFort Lauderdale, FL · CCN 100200	12	$1,724	About average	$1,373	$11,801
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	28	$1,724	About average	$1,373	$15,428
HCA Florida Aventura HospitalAventura, FL · CCN 100131	23	$1,724	About average	$1,373	$31,123
HCA Florida Blake HospitalBradenton, FL · CCN 100213	20	$1,724	About average	$1,373	$16,874
HCA Florida Citrus HospitalInverness, FL · CCN 100023	12	$1,724	About average	$1,373	$39,313
HCA Florida Englewood HospitalEnglewood, FL · CCN 100267	12	$1,724	About average	$1,373	$32,969
HCA Florida Mercy HospitalPlantation, FL · CCN 100167	11	$1,724	About average	$1,373	$33,279
HCA Florida Northwest HospitalMargate, FL · CCN 100189	17	$1,724	About average	$1,373	$30,545
HCA Florida South Shore HospitalSun City Center, FL · CCN 100259	16	$1,724	About average	$1,373	$38,599
HCA Florida West HospitalPensacola, FL · CCN 100231	27	$1,724	About average	$1,373	$29,496
Homestead HospitalHomestead, FL · CCN 100125	15	$1,724	About average	$1,373	$26,146
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291	21	$1,724	About average	$1,373	$13,801
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	32	$1,724	About average	$1,373	$13,490
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 100249	14	$1,724	About average	$1,373	$41,269
University Hospital And Medical CenterTamarac, FL · CCN 100224	13	$1,724	About average	$1,373	$21,434
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	52	$1,724	About average	$1,373	$15,990
HCA Florida Largo HospitalLargo, FL · CCN 100248	64	$1,724	About average	$1,372	$50,938
HCA Florida South Tampa HospitalTampa, FL · CCN 100206	38	$1,724	About average	$1,371	$16,701
Tampa General HospitalTampa, FL · CCN 100128	150	$1,724	About average	$1,371	$24,958
Manatee Memorial HospitalBradenton, FL · CCN 100035	27	$1,724	About average	$1,371	$19,237
HCA Florida Northside HospitalSaint Petersburg, FL · CCN 100238	26	$1,724	About average	$1,370	$31,662

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.