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 1,201–1,250. 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
Jefferson Abington HospitalAbington, PA · CCN 390231	162	$1,767	About average	$1,406	$11,591
Franciscan Health MunsterMunster, IN · CCN 150165	172	$1,768	About average	$1,414	$10,895
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	88	$1,768	About average	$1,428	$11,413
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	29	$1,768	About average	$1,412	$16,472
M Health Fairview Woodwinds HospitalWoodbury, MN · CCN 240213	29	$1,769	About average	$1,399	$7,588
Community Medical CenterMissoula, MT · CCN 270023	97	$1,769	About average	$1,406	$9,796
St. Patrick HospitalMissoula, MT · CCN 270014	195	$1,769	About average	$1,405	$7,078
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	62	$1,770	About average	$1,403	$10,783
LmhLawrence, KS · CCN 170137	158	$1,771	About average	$1,420	$13,432
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	455	$1,771	About average	$1,417	$11,471
Essentia Health VirginiaVirginia, MN · CCN 240084	54	$1,771	About average	$1,418	$10,572
Range Regional Health ServicesHibbing, MN · CCN 240040	21	$1,771	About average	$1,410	$7,282
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	644	$1,771	About average	$1,411	$9,517
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	37	$1,772	About average	$1,420	$12,753
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	13	$1,773	About average	$1,433	$7,452
McLaren FlintFlint, MI · CCN 230141	76	$1,773	About average	$1,411	$6,701
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	52	$1,773	About average	$1,391	$15,081
Southside Community Hospital, IncFarmville, VA · CCN 490090	24	$1,773	About average	$1,412	$11,930
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	55	$1,773	About average	$1,407	$8,638
Sentara Albemarle Medical CenterElizabeth City, NC · CCN 340109	25	$1,773	About average	$1,419	$17,395
Carolina East Medical CenterNew Bern, NC · CCN 340131	192	$1,773	About average	$1,415	$8,230
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	24	$1,773	About average	$1,412	$6,530
Hurley Medical CenterFlint, MI · CCN 230132	24	$1,774	About average	$1,414	$8,738
Community HospitalMunster, IN · CCN 150125	362	$1,774	About average	$1,416	$11,736
Artesia General HospitalArtesia, NM · CCN 320030	11	$1,775	About average	$1,403	$13,374
UPMC HanoverHanover, PA · CCN 390233	189	$1,775	About average	$1,422	$7,461
Dickinson County Memorial HospitalIron Mountain, MI · CCN 230055	14	$1,775	About average	$1,415	$8,302
Munson Medical CenterTraverse City, MI · CCN 230097	61	$1,775	About average	$1,413	$7,131
Munson Healthcare Grayling HospitalGrayling, MI · CCN 230058	17	$1,776	About average	$1,407	$5,160
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	29	$1,776	About average	$1,399	$4,695
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	47	$1,776	About average	$1,422	$12,920
The Monroe ClinicMonroe, WI · CCN 520028	25	$1,776	About average	$1,439	$9,605
Aspirus Divine Savior HospitalPortage, WI · CCN 520041	14	$1,776	About average	$1,434	$8,901
Carteret General HospitalMorehead City, NC · CCN 340142	20	$1,776	About average	$1,411	$4,541
Lakeview Memorial HospitalStillwater, MN · CCN 240066	34	$1,776	About average	$1,412	$8,725
UnityPoint Health - MeriterMadison, WI · CCN 520089	127	$1,776	About average	$1,416	$10,526
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	249	$1,776	About average	$1,416	$7,981
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	338	$1,777	About average	$1,413	$12,203
Exeter Hospital IncExeter, NH · CCN 300023	154	$1,777	About average	$1,419	$8,772
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	34	$1,777	About average	$1,407	$12,779
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	78	$1,777	About average	$1,421	$10,494
Virginia Hospital CenterArlington, VA · CCN 490050	129	$1,777	About average	$1,421	$10,010
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	204	$1,777	About average	$1,421	$5,382
Longs Peak HospitalLongmont, CO · CCN 060128	86	$1,778	About average	$1,412	$18,597
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	196	$1,778	About average	$1,422	$13,224
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	97	$1,779	About average	$1,417	$7,054
Golden Valley Memorial HospitalClinton, MO · CCN 260175	52	$1,780	About average	$1,422	$7,614
Bothwell Regional Health CenterSedalia, MO · CCN 260009	12	$1,780	About average	$1,418	$9,603
Sanford Medical Center FargoFargo, ND · CCN 350011	567	$1,780	About average	$1,419	$9,395
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	110	$1,780	About average	$1,421	$7,576

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.