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 1,401–1,450. 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
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	746	$1,832	About average	$1,457	$15,551
Geneva General HospitalGeneva, NY · CCN 330058	34	$1,832	About average	$1,430	$3,417
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	82	$1,833	About average	$1,460	$14,498
Northwestern Memorial HospitalChicago, IL · CCN 140281	743	$1,833	About average	$1,460	$16,536
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	24	$1,834	About average	$1,476	$20,620
Portneuf Medical CenterPocatello, ID · CCN 130028	25	$1,834	About average	$1,464	$14,395
North Texas Medical CenterGainesville, TX · CCN 450090	24	$1,834	About average	$1,463	$7,224
Paris Regional Medical CenterParis, TX · CCN 450196	14	$1,834	About average	$1,461	$15,128
St Joseph Regional Medical CenterLewiston, ID · CCN 130003	56	$1,834	About average	$1,459	$10,407
Doylestown HospitalDoylestown, PA · CCN 390203	195	$1,835	About average	$1,472	$10,069
Chester County HospitalWest Chester, PA · CCN 390179	66	$1,836	About average	$1,469	$15,627
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	48	$1,836	About average	$1,465	$13,772
Paoli HospitalPaoli, PA · CCN 390153	35	$1,836	About average	$1,459	$10,498
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	30	$1,836	About average	$1,458	$10,409
Uw HealthRockford, IL · CCN 140228	101	$1,836	About average	$1,461	$22,652
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	319	$1,837	About average	$1,460	$10,682
Marion General HospitalMarion, IN · CCN 150011	18	$1,841	About average	$1,464	$9,501
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 130013	14	$1,842	About average	$1,474	$7,122
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	173	$1,842	About average	$1,478	$17,158
Loyola University Medical CenterMaywood, IL · CCN 140276	168	$1,842	About average	$1,469	$11,752
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	205	$1,842	About average	$1,477	$16,638
Rush University Medical CenterChicago, IL · CCN 140119	357	$1,842	About average	$1,466	$15,755
St Lukes HospitalBethlehem, PA · CCN 390049	470	$1,843	About average	$1,472	$18,570
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	131	$1,844	About average	$1,474	$7,789
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	62	$1,844	About average	$1,469	$15,049
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	76	$1,845	About average	$1,474	$13,060
Ascension Sacred Heart GulfPort Saint Joe, FL · CCN 100313	12	$1,845	About average	$1,501	$17,337
Lower Keys Medical CenterKey West, FL · CCN 100150	39	$1,846	About average	$1,483	$14,336
Ed Fraser Memorial HospitalMacclenny, FL · CCN 100134	11	$1,846	About average	$1,479	$9,316
Jackson HospitalMarianna, FL · CCN 100142	12	$1,846	About average	$1,472	$6,439
Flagler HospitalSaint Augustine, FL · CCN 100090	98	$1,846	About average	$1,468	$13,764
HCA Florida Raulerson HospitalOkeechobee, FL · CCN 100252	20	$1,846	About average	$1,467	$23,227
Southern NH Medical CenterNashua, NH · CCN 300020	266	$1,847	About average	$1,490	$12,493
Essentia Health St Joseph's Medical CenterBrainerd, MN · CCN 240075	30	$1,847	About average	$1,462	$6,439
Great Plains HealthNorth Platte, NE · CCN 280065	32	$1,847	About average	$1,480	$7,685
San Juan Regional Medical Center IncFarmington, NM · CCN 320005	66	$1,847	About average	$1,471	$12,218
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	69	$1,849	About average	$1,474	$12,342
Riddle Memorial HospitalMedia, PA · CCN 390222	39	$1,849	About average	$1,473	$10,565
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	433	$1,849	About average	$1,471	$13,548
UNC Health Care WayneGoldsboro, NC · CCN 340010	28	$1,849	About average	$1,465	$6,212
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	78	$1,850	About average	$1,475	$8,200
Advocate Sherman HospitalElgin, IL · CCN 140030	171	$1,850	About average	$1,475	$18,812
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	16	$1,850	About average	$1,498	$11,134
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	51	$1,850	About average	$1,487	$14,045
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	15	$1,851	About average	$1,481	$14,251
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	49	$1,851	About average	$1,480	$16,980
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	39	$1,851	About average	$1,475	$13,958
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	26	$1,851	About average	$1,471	$13,653
Elliot HospitalManchester, NH · CCN 300012	130	$1,853	About average	$1,478	$10,256
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	58	$1,855	About average	$1,485	$13,992

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.