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

Compare hospitals

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.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,151–1,200. 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
Trinity Rock IslandRock Island, IL · CCN 140280	30	$1,758	About average	$1,404	$8,994
Herrin HospitalHerrin, IL · CCN 140011	33	$1,758	About average	$1,404	$17,954
Anderson HospitalMaryville, IL · CCN 140289	59	$1,759	About average	$1,402	$8,320
Memorial Medical CenterSpringfield, IL · CCN 140148	170	$1,759	About average	$1,401	$12,196
CGH Medical CenterSterling, IL · CCN 140043	21	$1,759	About average	$1,401	$14,760
Genesis Medical CenterSilvis, IL · CCN 140275	16	$1,759	About average	$1,401	$5,087
Carle Health Methodist HospitalPeoria, IL · CCN 140209	56	$1,759	About average	$1,398	$27,660
Inova Fairfax HospitalFalls Church, VA · CCN 490063	278	$1,759	About average	$1,395	$5,761
Central Maine Medical CenterLewiston, ME · CCN 200024	97	$1,759	About average	$1,399	$9,348
Harris HealthHouston, TX · CCN 450289	23	$1,759	About average	$1,393	$15,232
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	95	$1,759	About average	$1,402	$20,647
Stafford Hospital, LLCStafford, VA · CCN 490140	58	$1,760	About average	$1,400	$11,335
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	23	$1,760	About average	$1,402	$9,637
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	59	$1,760	About average	$1,407	$17,294
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	741	$1,761	About average	$1,400	$11,980
Riverside Medical CenterKankakee, IL · CCN 140186	51	$1,762	About average	$1,400	$15,617
Northside HospitalAtlanta, GA · CCN 110161	338	$1,762	About average	$1,406	$15,594
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	626	$1,762	About average	$1,402	$8,290
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	116	$1,762	About average	$1,404	$19,589
Milton S Hershey Medical CenterHershey, PA · CCN 390256	394	$1,763	About average	$1,403	$16,523
United Hospital Center, IncBridgeport, WV · CCN 510006	314	$1,763	About average	$1,400	$4,700
Grand Island Regional Medical CenterGrand Island, NE · CCN 280139	19	$1,763	About average	$1,397	$5,594
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	36	$1,764	About average	$1,420	$12,795
HCA Houston Healthcare Medical CenterHouston, TX · CCN 450659	13	$1,764	About average	$1,420	$43,331
Sugar Land Surgical Hospital LLPSugar Land, TX · CCN 450860	14	$1,764	About average	$1,418	$7,701
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	52	$1,764	About average	$1,418	$46,173
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	35	$1,764	About average	$1,415	$11,112
St Luke's Hospital At The VintageHouston, TX · CCN 670075	16	$1,764	About average	$1,411	$14,196
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	67	$1,764	About average	$1,411	$20,433
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	127	$1,764	About average	$1,410	$14,249
St Luke's Sugar Land HospitalSugar Land, TX · CCN 670053	43	$1,764	About average	$1,408	$14,365
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	19	$1,764	About average	$1,407	$41,843
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	17	$1,764	About average	$1,406	$26,962
Oakbend Medical CenterRichmond, TX · CCN 450330	19	$1,764	About average	$1,406	$10,474
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	32	$1,764	About average	$1,405	$16,718
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	278	$1,765	About average	$1,410	$8,996
Benefis Hospitals IncGreat Falls, MT · CCN 270012	142	$1,765	About average	$1,395	$8,992
Kootenai HealthCoeur D'Alene, ID · CCN 130049	373	$1,765	About average	$1,401	$6,080
Piedmont Walton HospitalMonroe, GA · CCN 110046	28	$1,766	About average	$1,423	$18,132
Wellstar Paulding Medical CenterHiram, GA · CCN 110042	14	$1,766	About average	$1,419	$26,427
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	45	$1,766	About average	$1,411	$10,084
Piedmont Eastside Medical CenterSnellville, GA · CCN 110192	24	$1,766	About average	$1,411	$17,525
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	29	$1,766	About average	$1,410	$19,196
Northside Hospital ForsythCumming, GA · CCN 110005	74	$1,766	About average	$1,409	$13,529
Southeastern Regional Medical Center, IncNewnan, GA · CCN 110233	47	$1,766	About average	$1,409	$18,446
Northside Hospital DuluthDuluth, GA · CCN 110252	35	$1,766	About average	$1,407	$14,961
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	57	$1,766	About average	$1,407	$25,218
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	28	$1,766	About average	$1,407	$13,076
Grady Memorial HospitalAtlanta, GA · CCN 110079	13	$1,766	About average	$1,406	$16,243
Wellstar Spalding Medical CenterGriffin, GA · CCN 110031	22	$1,766	About average	$1,393	$19,374

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.