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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Year of care

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,101–1,150. 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
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	70	$1,744	About average	$1,392	$21,379
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	244	$1,744	About average	$1,386	$8,955
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	201	$1,745	About average	$1,391	$19,306
Jersey Community HospitalJerseyville, IL · CCN 140059	92	$1,745	About average	$1,387	$4,805
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	246	$1,746	About average	$1,391	$15,048
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	301	$1,746	About average	$1,397	$10,070
Piedmont Hospital, IncAtlanta, GA · CCN 110083	190	$1,746	About average	$1,389	$15,230
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	38	$1,747	About average	$1,384	$5,143
Howard Young Medical CenterWoodruff, WI · CCN 520091	19	$1,747	About average	$1,396	$8,585
Berkeley Medical CenterMartinsburg, WV · CCN 510008	27	$1,747	About average	$1,408	$6,696
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	76	$1,747	About average	$1,387	$15,581
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	229	$1,748	About average	$1,394	$12,147
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	212	$1,748	About average	$1,386	$16,110
National Park Medical CenterHot Springs, AR · CCN 040078	39	$1,748	About average	$1,390	$17,453
Shannon Medical CenterSan Angelo, TX · CCN 450571	299	$1,748	About average	$1,407	$10,441
Hays Medical CenterHays, KS · CCN 170013	13	$1,748	About average	$1,393	$4,906
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	72	$1,749	About average	$1,401	$12,139
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	11	$1,749	About average	$1,404	$7,756
Inova Alexandria HospitalAlexandria, VA · CCN 490040	242	$1,749	About average	$1,389	$5,858
Summit Medical CenterCasper, WY · CCN 530034	63	$1,749	About average	$1,411	$14,327
Lancaster General HospitalLancaster, PA · CCN 390100	270	$1,749	About average	$1,389	$11,045
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	14	$1,750	About average	$1,373	$22,502
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	149	$1,751	About average	$1,395	$12,223
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	16	$1,753	About average	$1,402	$20,406
McLaren Northern MichiganPetoskey, MI · CCN 230105	77	$1,754	About average	$1,388	$4,483
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	240	$1,754	About average	$1,391	$13,666
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	67	$1,754	About average	$1,404	$18,732
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	118	$1,754	About average	$1,396	$15,602
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	136	$1,754	About average	$1,398	$14,307
Bon Secours Southampton Memorial HospitalFranklin, VA · CCN 490092	11	$1,754	About average	$1,406	$15,079
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	62	$1,754	About average	$1,411	$12,480
Essentia HealthFargo, ND · CCN 350070	223	$1,755	About average	$1,396	$7,949
CHI St Alexius HealthBismarck, ND · CCN 350002	62	$1,755	About average	$1,400	$7,067
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	76	$1,756	About average	$1,407	$4,628
Mercy Hospital AdaAda, OK · CCN 370020	16	$1,756	About average	$1,399	$6,855
Regional West Medical CenterScottsbluff, NE · CCN 280061	25	$1,756	About average	$1,402	$7,537
Emory University HospitalAtlanta, GA · CCN 110010	142	$1,756	About average	$1,396	$10,788
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	145	$1,757	About average	$1,397	$9,497
Elkhart General HospitalElkhart, IN · CCN 150018	27	$1,757	About average	$1,406	$10,169
Ottumwa Regional Health CenterOttumwa, IA · CCN 160089	26	$1,757	About average	$1,400	$18,175
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	94	$1,757	About average	$1,401	$5,905
Colleton Medical CenterWalterboro, SC · CCN 420030	20	$1,758	About average	$1,405	$14,832
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	59	$1,758	About average	$1,414	$14,866
Alton Memorial HospitalAlton, IL · CCN 140002	41	$1,758	About average	$1,412	$6,625
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	16	$1,758	About average	$1,412	$10,747
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 140113	11	$1,758	About average	$1,409	$20,293
St Marys HospitalDecatur, IL · CCN 140166	68	$1,758	About average	$1,408	$11,870
Carle Bromenn Medical CenterNormal, IL · CCN 140127	13	$1,758	About average	$1,408	$6,307
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	15	$1,758	About average	$1,407	$11,299
Heartland Regional Medical CenterMarion, IL · CCN 140184	28	$1,758	About average	$1,404	$26,424

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.