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 1,051–1,100. 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
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	29	$1,735	About average	$1,393	$7,445
St Mary's HospitalAthens, GA · CCN 110006	64	$1,735	About average	$1,384	$12,356
AdventHealth GordonCalhoun, GA · CCN 110023	13	$1,735	About average	$1,382	$16,499
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	36	$1,735	About average	$1,380	$17,106
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	20	$1,735	About average	$1,382	$13,536
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	51	$1,735	About average	$1,382	$10,091
Aurora Medical Center - SummitSummit, WI · CCN 520206	25	$1,735	About average	$1,380	$9,035
Penn State Health St. JosephReading, PA · CCN 390096	13	$1,735	About average	$1,382	$17,576
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	16	$1,735	About average	$1,382	$9,130
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	11	$1,735	About average	$1,373	$11,293
AdventHealth Lake WalesLake Wales, FL · CCN 100099	33	$1,735	About average	$1,388	$26,996
AdventHealth Central TexasKilleen, TX · CCN 450152	17	$1,737	About average	$1,380	$13,423
St Johns HospitalSpringfield, IL · CCN 140053	122	$1,737	About average	$1,381	$13,805
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	208	$1,737	About average	$1,385	$8,716
Alamance Regional Medical CenterBurlington, NC · CCN 340070	58	$1,737	About average	$1,390	$8,015
Trinity Health Livingston HospitalHowell, MI · CCN 230069	26	$1,738	About average	$1,398	$8,086
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	38	$1,738	About average	$1,375	$7,858
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	359	$1,738	About average	$1,384	$18,500
Graham Hospital AssociationCanton, IL · CCN 140001	39	$1,738	About average	$1,390	$9,581
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	48	$1,738	About average	$1,387	$16,700
Reading HospitalWest Reading, PA · CCN 390044	253	$1,738	About average	$1,385	$9,179
Goshen HospitalGoshen, IN · CCN 150026	120	$1,739	About average	$1,387	$11,929
Northside Hospital CherokeeCanton, GA · CCN 110008	117	$1,739	About average	$1,386	$16,855
Memorial HospitalBelleville, IL · CCN 140185	72	$1,739	About average	$1,392	$11,638
Decatur Memorial HospitalDecatur, IL · CCN 140135	72	$1,739	About average	$1,384	$10,197
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	352	$1,739	About average	$1,387	$18,594
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	240	$1,739	About average	$1,395	$7,602
Labette HealthParsons, KS · CCN 170120	23	$1,740	About average	$1,398	$5,082
Pratt Regional Medical CenterPratt, KS · CCN 170027	32	$1,740	About average	$1,388	$7,624
Mercy Hospital Pittsburg, IncPittsburg, KS · CCN 170006	42	$1,740	About average	$1,384	$8,088
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 170020	14	$1,740	About average	$1,381	$14,092
Saint Francis Medical CenterPeoria, IL · CCN 140067	307	$1,740	About average	$1,386	$12,390
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	62	$1,741	About average	$1,400	$8,028
Javon Bea HospitalRockford, IL · CCN 140239	84	$1,741	About average	$1,391	$13,024
Baptist Health PaducahPaducah, KY · CCN 180104	118	$1,741	About average	$1,395	$15,520
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	52	$1,741	About average	$1,388	$17,171
Houston Methodist West HospitalHouston, TX · CCN 670077	60	$1,741	About average	$1,388	$13,100
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	60	$1,741	About average	$1,387	$8,610
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	101	$1,741	About average	$1,383	$10,255
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	115	$1,742	About average	$1,378	$17,459
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	250	$1,742	About average	$1,383	$14,272
HCA Houston Healthcare TomballTomball, TX · CCN 450670	62	$1,742	About average	$1,389	$21,558
Emory Decatur HospitalDecatur, GA · CCN 110076	59	$1,742	About average	$1,385	$8,719
St Mary Medical Center IncHobart, IN · CCN 150034	83	$1,742	About average	$1,379	$10,907
Highlands Medical CenterScottsboro, AL · CCN 010061	14	$1,742	About average	$1,384	$6,273
Piedmont Rockdale HospitalConyers, GA · CCN 110091	61	$1,743	About average	$1,386	$17,386
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	35	$1,743	About average	$1,399	$5,335
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	19	$1,743	About average	$1,384	$9,802
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	128	$1,743	About average	$1,386	$13,055
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	127	$1,744	About average	$1,391	$12,304

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.