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 1,251–1,300. 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
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	94	$1,780	About average	$1,414	$9,834
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	41	$1,781	About average	$1,415	$19,242
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	305	$1,781	About average	$1,417	$17,889
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	48	$1,781	About average	$1,413	$13,839
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	508	$1,781	About average	$1,420	$5,605
Monmouth Medical CenterLong Branch, NJ · CCN 310075	88	$1,782	About average	$1,371	$9,215
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	217	$1,782	About average	$1,435	$22,724
Reid HealthRichmond, IN · CCN 150048	259	$1,783	About average	$1,420	$5,569
Saint Joseph Medical CenterJoliet, IL · CCN 140007	61	$1,783	About average	$1,420	$10,214
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	154	$1,783	About average	$1,421	$10,487
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	28	$1,783	About average	$1,410	$10,964
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	52	$1,784	About average	$1,417	$50,978
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	77	$1,784	About average	$1,423	$15,577
Edward HospitalNaperville, IL · CCN 140231	364	$1,784	About average	$1,415	$14,906
Sanford Medical Center BismarckBismarck, ND · CCN 350015	106	$1,784	About average	$1,432	$9,561
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 270049	164	$1,784	About average	$1,426	$6,602
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	46	$1,784	About average	$1,423	$8,889
Avera St LukesAberdeen, SD · CCN 430014	11	$1,784	About average	$1,421	$11,616
St Joseph HospitalNashua, NH · CCN 300011	80	$1,784	About average	$1,413	$14,147
Inova Loudoun HospitalLeesburg, VA · CCN 490043	39	$1,784	About average	$1,433	$6,235
Wellspan York HospitalYork, PA · CCN 390046	207	$1,784	About average	$1,423	$10,971
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	27	$1,784	About average	$1,424	$20,542
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	50	$1,784	About average	$1,420	$8,976
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	275	$1,785	About average	$1,424	$8,085
Medical Center Of The RockiesLoveland, CO · CCN 060119	115	$1,785	About average	$1,421	$13,174
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	29	$1,785	About average	$1,434	$10,348
Pottstown HospitalPottstown, PA · CCN 390123	32	$1,785	About average	$1,416	$7,859
Temple University HospitalPhiladelphia, PA · CCN 390027	119	$1,786	About average	$1,416	$29,716
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	59	$1,786	About average	$1,424	$8,664
Community HospitalGrand Junction, CO · CCN 060054	68	$1,786	About average	$1,419	$10,352
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	14	$1,787	About average	$1,430	$6,876
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	42	$1,787	About average	$1,424	$6,776
Parkland Health CenterFarmington, MO · CCN 260163	34	$1,787	About average	$1,419	$8,655
York HospitalYork, ME · CCN 200020	92	$1,788	About average	$1,434	$7,300
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	294	$1,788	About average	$1,425	$10,586
Northern Light Mercy HospitalPortland, ME · CCN 200008	47	$1,788	About average	$1,426	$10,310
Penn Highlands DuboisDubois, PA · CCN 390086	45	$1,788	About average	$1,420	$7,083
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	330	$1,788	About average	$1,422	$8,732
AdventHealth PorterDenver, CO · CCN 060064	177	$1,789	About average	$1,421	$10,258
Chelsea HospitalChelsea, MI · CCN 230259	16	$1,789	About average	$1,427	$7,722
St Catherine Hospital IncEast Chicago, IN · CCN 150008	11	$1,789	About average	$1,434	$17,243
Franciscan Health Crown PointCrown Point, IN · CCN 150126	69	$1,789	About average	$1,432	$12,472
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	65	$1,789	About average	$1,432	$6,584
Presence St Marys HospitalKankakee, IL · CCN 140155	33	$1,789	About average	$1,431	$15,013
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	98	$1,789	About average	$1,430	$12,537
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	30	$1,789	About average	$1,429	$12,464
Pinnacle HospitalCrown Point, IN · CCN 150166	11	$1,790	About average	$1,426	$31,251
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	113	$1,790	About average	$1,437	$13,114
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	85	$1,790	About average	$1,428	$6,865
Ascension All Saints HospitalRacine, WI · CCN 520096	36	$1,790	About average	$1,432	$7,503

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.