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 101–150. 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
Pomerene HospitalMillersburg, OH · CCN 360148	23	$1,564	14% below the national average	$1,210	$4,221
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	146	$1,565	14% below the national average	$1,243	$11,911
Crestwood Medical CenterHuntsville, AL · CCN 010131	284	$1,565	14% below the national average	$1,238	$32,260
Fmol Health St FrancisMonroe, LA · CCN 190125	75	$1,565	14% below the national average	$1,243	$8,874
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	345	$1,566	14% below the national average	$1,244	$5,245
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	28	$1,567	14% below the national average	$1,219	$9,815
Fort Loudoun Medical CenterLenoir City, TN · CCN 440110	20	$1,569	14% below the national average	$1,262	$4,770
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	42	$1,569	14% below the national average	$1,258	$5,027
Parkwest Medical CenterKnoxville, TN · CCN 440173	53	$1,569	14% below the national average	$1,255	$4,304
Physicians Regional Medical CenterPowell, TN · CCN 440120	140	$1,569	14% below the national average	$1,252	$16,848
Sweetwater Hospital AssociationSweetwater, TN · CCN 440084	17	$1,569	14% below the national average	$1,250	$3,617
Leconte Medical CenterSevierville, TN · CCN 440081	26	$1,569	14% below the national average	$1,247	$5,287
Greeneville Community HospitalGreeneville, TN · CCN 440050	26	$1,570	13% below the national average	$1,257	$10,679
Medina HospitalMedina, OH · CCN 360091	24	$1,570	13% below the national average	$1,240	$8,306
Integris Health Edmond HospitalEdmond, OK · CCN 370236	19	$1,571	13% below the national average	$1,242	$14,287
Candler HospitalSavannah, GA · CCN 110024	101	$1,571	13% below the national average	$1,244	$9,012
Kearney Regional Medical CenterKearney, NE · CCN 280134	19	$1,571	13% below the national average	$1,238	$15,166
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	69	$1,571	13% below the national average	$1,243	$6,694
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	18	$1,573	13% below the national average	$1,234	$16,811
Southeast Health Medical CenterDothan, AL · CCN 010001	110	$1,574	13% below the national average	$1,247	$11,944
Washington Regional Medical CenterFayetteville, AR · CCN 040004	41	$1,574	13% below the national average	$1,250	$9,755
Sycamore Shoals HospitalElizabethton, TN · CCN 440018	12	$1,574	13% below the national average	$1,274	$14,948
Bmh-Golden TriangleColumbus, MS · CCN 250100	27	$1,574	13% below the national average	$1,256	$9,765
Rapides Regional Medical CenterAlexandria, LA · CCN 190026	18	$1,575	13% below the national average	$1,239	$46,157
Sentara Obici HospitalSuffolk, VA · CCN 490044	41	$1,575	13% below the national average	$1,244	$9,975
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	112	$1,576	13% below the national average	$1,249	$14,127
Frankfort Regional Medical CenterFrankfort, KY · CCN 180127	17	$1,577	13% below the national average	$1,251	$19,164
Madison HealthLondon, OH · CCN 360189	11	$1,578	13% below the national average	$1,240	$12,128
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	63	$1,578	13% below the national average	$1,250	$10,413
Merit Health River OaksFlowood, MS · CCN 250138	213	$1,579	13% below the national average	$1,249	$28,711
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 420033	323	$1,580	13% below the national average	$1,274	$14,253
Parma Community General HospitalParma, OH · CCN 360041	30	$1,581	13% below the national average	$1,259	$11,946
Maury Regional HospitalColumbia, TN · CCN 440073	207	$1,581	13% below the national average	$1,248	$7,027
Monroe Surgical HospitalMonroe, LA · CCN 190245	11	$1,582	13% below the national average	$1,268	$6,186
Northern Louisiana Medical CenterRuston, LA · CCN 190086	39	$1,582	13% below the national average	$1,264	$7,897
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 250048	115	$1,582	13% below the national average	$1,255	$9,142
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	50	$1,582	13% below the national average	$1,261	$9,508
Acadia General HospitalCrowley, LA · CCN 190044	14	$1,582	13% below the national average	$1,260	$8,524
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	104	$1,582	13% below the national average	$1,255	$11,512
East Jefferson General HospitalMetairie, LA · CCN 190176	135	$1,583	13% below the national average	$1,254	$15,947
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	207	$1,583	13% below the national average	$1,257	$10,282
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	34	$1,584	13% below the national average	$1,256	$27,762
Flowers HospitalDothan, AL · CCN 010055	81	$1,584	13% below the national average	$1,250	$66,416
University Medical Center New OrleansNew Orleans, LA · CCN 190005	35	$1,584	13% below the national average	$1,256	$14,307
North Oaks Medical CenterHammond, LA · CCN 190015	18	$1,584	13% below the national average	$1,263	$12,787
Wesley Medical CenterWichita, KS · CCN 170123	187	$1,585	13% below the national average	$1,250	$24,761
Merit Health WesleyHattiesburg, MS · CCN 250094	15	$1,585	13% below the national average	$1,263	$21,439
Aultman HospitalCanton, OH · CCN 360084	24	$1,585	13% below the national average	$1,261	$10,688
Camc Charleston Surgical HospitalCharleston, WV · CCN 510091	47	$1,586	13% below the national average	$1,266	$3,558
King's Daughters' Medical CenterAshland, KY · CCN 180009	204	$1,586	13% below the national average	$1,264	$10,838

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.