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

Hospitals in Texas

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

Average payment across these 146 hospitals: $1,682National $1,815 · Texas $1,687
Median hospital: $1,684
Lowest to highest: $1,478–$1,834
Medicare procedures: 12,160

146 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–146. 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
Medical City WeatherfordWeatherford, TX · CCN 450203	104	$1,718	About average	$1,371	$15,679
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	64	$1,718	About average	$1,370	$11,336
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	45	$1,718	About average	$1,369	$9,614
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	53	$1,718	About average	$1,369	$11,196
Texas Health Arlington Memorial HospitalArlington, TX · CCN 450064	45	$1,718	About average	$1,369	$12,027
Medical City DentonDenton, TX · CCN 450634	53	$1,718	About average	$1,368	$35,171
JPS Health NetworkFort Worth, TX · CCN 450039	32	$1,718	About average	$1,367	$11,758
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 450788	26	$1,720	About average	$1,370	$16,955
AD Hospital East, LLCHouston, TX · CCN 670102	23	$1,730	About average	$1,379	$17,777
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	23	$1,732	About average	$1,373	$37,144
Houston Methodist HospitalHouston, TX · CCN 450358	342	$1,732	About average	$1,377	$15,328
Huntsville Memorial HospitalHuntsville, TX · CCN 450347	86	$1,732	About average	$1,364	$8,737
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	47	$1,734	About average	$1,389	$16,280
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	39	$1,734	About average	$1,385	$21,879
AdventHealth Central TexasKilleen, TX · CCN 450152	17	$1,737	About average	$1,380	$13,423
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	359	$1,738	About average	$1,384	$18,500
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	48	$1,738	About average	$1,387	$16,700
Houston Methodist West HospitalHouston, TX · CCN 670077	60	$1,741	About average	$1,388	$13,100
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	60	$1,741	About average	$1,387	$8,610
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	250	$1,742	About average	$1,383	$14,272
HCA Houston Healthcare TomballTomball, TX · CCN 450670	62	$1,742	About average	$1,389	$21,558
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	127	$1,744	About average	$1,391	$12,304
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	70	$1,744	About average	$1,392	$21,379
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	201	$1,745	About average	$1,391	$19,306
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	229	$1,748	About average	$1,394	$12,147
Shannon Medical CenterSan Angelo, TX · CCN 450571	299	$1,748	About average	$1,407	$10,441
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	136	$1,754	About average	$1,398	$14,307
Harris HealthHouston, TX · CCN 450289	23	$1,759	About average	$1,393	$15,232
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	36	$1,764	About average	$1,420	$12,795
HCA Houston Healthcare Medical CenterHouston, TX · CCN 450659	13	$1,764	About average	$1,420	$43,331
Sugar Land Surgical Hospital LLPSugar Land, TX · CCN 450860	14	$1,764	About average	$1,418	$7,701
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	52	$1,764	About average	$1,418	$46,173
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	35	$1,764	About average	$1,415	$11,112
St Luke's Hospital At The VintageHouston, TX · CCN 670075	16	$1,764	About average	$1,411	$14,196
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	67	$1,764	About average	$1,411	$20,433
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	127	$1,764	About average	$1,410	$14,249
St Luke's Sugar Land HospitalSugar Land, TX · CCN 670053	43	$1,764	About average	$1,408	$14,365
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	19	$1,764	About average	$1,407	$41,843
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	17	$1,764	About average	$1,406	$26,962
Oakbend Medical CenterRichmond, TX · CCN 450330	19	$1,764	About average	$1,406	$10,474
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	32	$1,764	About average	$1,405	$16,718
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	88	$1,768	About average	$1,428	$11,413
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	29	$1,768	About average	$1,412	$16,472
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	24	$1,834	About average	$1,476	$20,620
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

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.