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 1,001–1,050. 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
Orlando Health St Cloud HospitalSaint Cloud, FL · CCN 100302	24	$1,724	About average	$1,370	$25,305
Cape Coral HospitalCape Coral, FL · CCN 100244	51	$1,724	About average	$1,370	$17,125
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	63	$1,724	About average	$1,369	$34,102
Santa Rosa Medical CenterMilton, FL · CCN 100124	13	$1,724	About average	$1,368	$22,819
Sacred Heart HospitalPensacola, FL · CCN 100025	69	$1,724	About average	$1,368	$14,555
Palm Bay HospitalPalm Bay, FL · CCN 100316	40	$1,724	About average	$1,367	$11,721
Parrish Medical CenterTitusville, FL · CCN 100028	16	$1,724	About average	$1,367	$23,373
Orlando Health South Lake HospitalClermont, FL · CCN 100051	28	$1,724	About average	$1,367	$23,223
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	23	$1,724	About average	$1,365	$19,157
HCA Florida Bayonet Point HospitalHudson, FL · CCN 100256	11	$1,724	About average	$1,365	$32,261
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 100264	20	$1,724	About average	$1,361	$37,605
Mainehealth Pen Bay HospitalRockport, ME · CCN 200063	57	$1,724	About average	$1,370	$5,497
Moberly Regional Medical CenterMoberly, MO · CCN 260074	11	$1,724	About average	$1,374	$28,153
Faith HealthNorfolk, NE · CCN 280125	183	$1,725	About average	$1,384	$11,156
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	286	$1,725	About average	$1,378	$11,483
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	280	$1,725	About average	$1,371	$17,848
Watauga Medical CenterBoone, NC · CCN 340051	89	$1,726	About average	$1,376	$10,902
Salina Regional Health CenterSalina, KS · CCN 170012	265	$1,726	About average	$1,373	$6,330
Dupont Hospital LLCFort Wayne, IN · CCN 150150	34	$1,728	About average	$1,376	$11,627
Twin County Regional HospitalGalax, VA · CCN 490115	81	$1,729	About average	$1,381	$15,707
Columbus Regional HospitalColumbus, IN · CCN 150112	130	$1,729	About average	$1,381	$9,416
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	49	$1,730	About average	$1,378	$14,139
AD Hospital East, LLCHouston, TX · CCN 670102	23	$1,730	About average	$1,379	$17,777
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026	69	$1,730	About average	$1,374	$8,954
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	487	$1,730	About average	$1,376	$13,650
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	53	$1,730	About average	$1,382	$8,595
Integris Health Ponca CityPonca City, OK · CCN 370006	15	$1,731	About average	$1,379	$20,295
Mcalester Regional Health CenterMcalester, OK · CCN 370034	15	$1,731	About average	$1,379	$2,976
Stillwater Medical CenterStillwater, OK · CCN 370049	143	$1,731	About average	$1,379	$12,985
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	23	$1,732	About average	$1,373	$37,144
Houston Methodist HospitalHouston, TX · CCN 450358	342	$1,732	About average	$1,377	$15,328
Huntsville Memorial HospitalHuntsville, TX · CCN 450347	86	$1,732	About average	$1,364	$8,737
St Nicholas HospitalSheboygan, WI · CCN 520044	31	$1,732	About average	$1,383	$11,513
Jefferson Regional Medical CenterPine Bluff, AR · CCN 040071	13	$1,732	About average	$1,387	$8,645
White County Medical CenterSearcy, AR · CCN 040014	29	$1,732	About average	$1,380	$4,405
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	114	$1,733	About average	$1,381	$6,625
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	11	$1,733	About average	$1,389	$14,197
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	14	$1,733	About average	$1,387	$11,949
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	100	$1,733	About average	$1,380	$14,301
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	52	$1,734	About average	$1,385	$13,572
Schneck Medical CenterSeymour, IN · CCN 150065	26	$1,734	About average	$1,385	$9,374
Indiana University HealthIndianapolis, IN · CCN 150056	250	$1,734	About average	$1,381	$21,596
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 360203	23	$1,734	About average	$1,389	$6,551
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	113	$1,734	About average	$1,390	$15,061
Ashtabula County Medical CenterAshtabula, OH · CCN 360125	30	$1,734	About average	$1,384	$9,596
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	32	$1,734	About average	$1,387	$16,969
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	47	$1,734	About average	$1,389	$16,280
Novant Health Thomasville Medical CenterThomasville, NC · CCN 340085	11	$1,734	About average	$1,390	$6,322
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	39	$1,734	About average	$1,385	$21,879
Lexington Memorial Hospital IncLexington, NC · CCN 340096	17	$1,734	About average	$1,382	$14,062

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.