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 1,351–1,400. 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
Parkview Medical Center, IncPueblo, CO · CCN 060020	40	$1,811	About average	$1,445	$8,930
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	40	$1,811	About average	$1,445	$41,010
AdventHealth LittletonLittleton, CO · CCN 060113	56	$1,811	About average	$1,445	$8,238
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	20	$1,811	About average	$1,443	$5,602
Boulder Community HealthBoulder, CO · CCN 060027	34	$1,811	About average	$1,443	$13,976
HCA Healthone RoseDenver, CO · CCN 060032	29	$1,811	About average	$1,443	$22,657
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	72	$1,811	About average	$1,442	$31,864
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	214	$1,811	About average	$1,442	$12,938
Saint Joseph HospitalDenver, CO · CCN 060028	26	$1,811	About average	$1,442	$19,179
St Mary-Corwin HospitalPueblo, CO · CCN 060012	46	$1,811	About average	$1,439	$11,993
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	16	$1,812	About average	$1,438	$8,768
Wentworth-Douglass HospitalDover, NH · CCN 300018	222	$1,812	About average	$1,445	$11,536
Hannibal Regional HospitalHannibal, MO · CCN 260025	26	$1,813	About average	$1,459	$16,992
Phelps County Regional Medical CenterRolla, MO · CCN 260017	42	$1,813	About average	$1,455	$10,311
Lehigh Valley HospitalAllentown, PA · CCN 390133	394	$1,815	About average	$1,438	$20,492
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	144	$1,815	About average	$1,439	$12,428
MacNeal HospitalBerwyn, IL · CCN 140054	42	$1,816	About average	$1,442	$13,950
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	246	$1,816	About average	$1,446	$7,974
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	26	$1,816	About average	$1,437	$9,307
Norton-King's Daughters' HealthMadison, IN · CCN 150069	12	$1,816	About average	$1,453	$10,443
Beloit Health SystemBeloit, WI · CCN 520100	148	$1,816	About average	$1,469	$18,908
Maine General Medical CenterAugusta, ME · CCN 200039	141	$1,818	About average	$1,445	$8,075
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	66	$1,818	About average	$1,454	$9,799
UCHealth Greeley HospitalGreeley, CO · CCN 060131	31	$1,818	About average	$1,452	$13,871
Allina United HospitalSaint Paul, MN · CCN 240038	80	$1,819	About average	$1,452	$7,307
Maple Grove HospitalMaple Grove, MN · CCN 240214	15	$1,819	About average	$1,451	$5,300
Ridgeview Medical CenterWaconia, MN · CCN 240056	107	$1,819	About average	$1,450	$8,377
M Health Fairview St John's HospitalMaplewood, MN · CCN 240210	69	$1,819	About average	$1,449	$8,655
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	42	$1,819	About average	$1,449	$8,066
St Francis Regional Medical CenterShakopee, MN · CCN 240104	18	$1,819	About average	$1,449	$7,054
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	120	$1,819	About average	$1,447	$9,424
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	39	$1,819	About average	$1,445	$9,275
UPMC AltoonaAltoona, PA · CCN 390073	63	$1,820	About average	$1,459	$13,725
Meadville Medical CenterMeadville, PA · CCN 390113	110	$1,820	About average	$1,456	$12,701
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	97	$1,820	About average	$1,448	$6,734
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	49	$1,820	About average	$1,450	$13,162
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	219	$1,821	About average	$1,441	$17,301
Crozer Chester Medical CenterUpland, PA · CCN 390180	40	$1,821	About average	$1,443	$14,237
Marshfield Medical CenterMarshfield, WI · CCN 520037	48	$1,824	About average	$1,452	$8,115
Oro Valley HospitalOro Valley, AZ · CCN 030114	92	$1,824	About average	$1,453	$19,321
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	72	$1,825	About average	$1,445	$11,352
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	32	$1,826	About average	$1,458	$4,312
Castleview HospitalPrice, UT · CCN 460011	32	$1,826	About average	$1,455	$8,502
Main Line Hospital LankenauWynnewood, PA · CCN 390195	306	$1,826	About average	$1,454	$11,403
Abrazo West CampusGoodyear, AZ · CCN 030110	51	$1,826	About average	$1,449	$21,753
Augusta HealthFishersville, VA · CCN 490018	138	$1,828	About average	$1,462	$7,127
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	286	$1,829	About average	$1,472	$9,952
Mary Rutan HospitalBellefontaine, OH · CCN 360197	26	$1,829	About average	$1,461	$4,630
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	123	$1,830	About average	$1,452	$7,656
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	111	$1,831	About average	$1,454	$7,409

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.