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 1,301–1,350. 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 Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	262	$1,791	About average	$1,422	$8,824
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	36	$1,791	About average	$1,424	$7,891
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	217	$1,792	About average	$1,425	$10,046
Palos Community HospitalPalos Heights, IL · CCN 140062	103	$1,792	About average	$1,431	$13,605
Phoenixville HospitalPhoenixville, PA · CCN 390127	35	$1,794	About average	$1,421	$8,561
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	23	$1,794	About average	$1,417	$18,271
Regions HospitalSaint Paul, MN · CCN 240106	235	$1,795	About average	$1,427	$8,699
St. George Regional HospitalSt George, UT · CCN 460021	193	$1,795	About average	$1,426	$6,226
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	400	$1,796	About average	$1,438	$18,932
Midwestern Region Medical Center, IncZion, IL · CCN 140100	59	$1,796	About average	$1,431	$17,291
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	649	$1,796	About average	$1,427	$14,170
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	359	$1,796	About average	$1,424	$8,337
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	104	$1,797	About average	$1,429	$18,542
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	176	$1,797	About average	$1,424	$10,477
St Mary Medical CenterLanghorne, PA · CCN 390258	16	$1,797	About average	$1,408	$8,473
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	106	$1,798	About average	$1,435	$25,282
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	224	$1,799	About average	$1,438	$9,312
The University Of Chicago Medical CenterChicago, IL · CCN 140088	341	$1,799	About average	$1,425	$21,416
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	19	$1,799	About average	$1,443	$6,645
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	103	$1,799	About average	$1,432	$13,566
St Lukes HospitalDuluth, MN · CCN 240047	189	$1,800	About average	$1,438	$7,302
Reston Hospital CenterReston, VA · CCN 490107	88	$1,803	About average	$1,433	$14,632
Concord HospitalConcord, NH · CCN 300001	119	$1,803	About average	$1,431	$10,443
St. Catherine Hospital - Garden CityGarden City, KS · CCN 170023	34	$1,804	About average	$1,433	$7,718
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	91	$1,804	About average	$1,433	$6,515
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	64	$1,804	About average	$1,444	$8,995
Mercy HospitalCoon Rapids, MN · CCN 240115	99	$1,804	About average	$1,434	$6,957
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	433	$1,805	About average	$1,438	$13,491
Poudre Valley HospitalFort Collins, CO · CCN 060010	232	$1,805	About average	$1,437	$11,034
Frisbie Memorial HospitalRochester, NH · CCN 300014	136	$1,805	About average	$1,440	$21,759
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	38	$1,806	About average	$1,463	$6,945
Mercyhealth Hospital & Physician Clinic-Crystal LaCrystal Lake, IL · CCN 140308	28	$1,806	About average	$1,462	$15,379
Cheshire Medical CenterKeene, NH · CCN 300019	81	$1,806	About average	$1,441	$10,775
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	31	$1,806	About average	$1,445	$7,878
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	38	$1,806	About average	$1,444	$15,468
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	64	$1,807	About average	$1,442	$14,359
Swedish HospitalChicago, IL · CCN 140114	28	$1,807	About average	$1,439	$11,570
Ingalls Memorial HospitalHarvey, IL · CCN 140191	26	$1,807	About average	$1,439	$10,627
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	187	$1,807	About average	$1,439	$14,783
John H Stroger Jr HospitalChicago, IL · CCN 140124	19	$1,807	About average	$1,435	$7,991
Community First Medical CenterChicago, IL · CCN 140251	16	$1,807	About average	$1,420	$9,850
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	251	$1,808	About average	$1,440	$19,225
Saint Anthony Medical CenterRockford, IL · CCN 140233	174	$1,810	About average	$1,425	$12,904
National Jewish HealthDenver, CO · CCN 060107 · +$279 outlier payments per case	141	$1,811	About average	$1,460	$11,989
AdventHealth Castle RockCastle Rock, CO · CCN 060125	31	$1,811	About average	$1,453	$11,950
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	55	$1,811	About average	$1,450	$19,089
AdventHealth ParkerParker, CO · CCN 060114	35	$1,811	About average	$1,448	$8,764
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	23	$1,811	About average	$1,447	$11,329
Swedish Medical CenterEnglewood, CO · CCN 060034	31	$1,811	About average	$1,446	$21,359
AdventHealth AvistaLouisville, CO · CCN 060103	42	$1,811	About average	$1,446	$7,968

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.