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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Year of care

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,451–1,500. 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
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	37	$1,855	About average	$1,485	$11,227
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	32	$1,855	About average	$1,484	$9,628
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	81	$1,855	About average	$1,483	$12,662
City Of Hope Cancer Center PhoenixGoodyear, AZ · CCN 030138	116	$1,855	About average	$1,483	$25,354
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	177	$1,855	About average	$1,483	$13,077
Kingman Regional Medical CenterKingman, AZ · CCN 030055	49	$1,855	About average	$1,482	$27,006
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	220	$1,855	About average	$1,481	$10,006
Banner Boswell Medical CenterSun City, AZ · CCN 030061	89	$1,855	About average	$1,480	$10,470
Chandler Regional Medical CenterChandler, AZ · CCN 030036	138	$1,855	About average	$1,480	$19,649
Northwest Medical CenterTucson, AZ · CCN 030085	178	$1,855	About average	$1,479	$17,414
Banner Desert Medical CenterMesa, AZ · CCN 030065	49	$1,855	About average	$1,478	$10,258
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	17	$1,855	About average	$1,478	$29,265
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	18	$1,855	About average	$1,478	$9,038
Tucson Medical CenterTucson, AZ · CCN 030006	33	$1,855	About average	$1,478	$13,340
Banner Baywood Medical CenterMesa, AZ · CCN 030088	51	$1,855	About average	$1,478	$10,014
Abrazo Central CampusPhoenix, AZ · CCN 030030	31	$1,856	About average	$1,471	$25,635
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	19	$1,856	About average	$1,468	$13,051
Valleywise Health Medical CenterPhoenix, AZ · CCN 030022	11	$1,856	About average	$1,461	$8,174
Winchester Medical CenterWinchester, VA · CCN 490005	293	$1,856	About average	$1,480	$4,983
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	67	$1,856	About average	$1,480	$17,523
Cooper University HospitalCamden, NJ · CCN 310014	582	$1,857	About average	$1,485	$15,654
Copley Memorial HospitalAurora, IL · CCN 140029	27	$1,857	About average	$1,490	$12,930
Upson Regional Medical CenterThomaston, GA · CCN 110002	11	$1,858	About average	$1,480	$12,774
Catholic Medical CenterManchester, NH · CCN 300034	67	$1,858	About average	$1,485	$11,564
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	36	$1,864	About average	$1,475	$12,420
Missouri Delta Medical CenterSikeston, MO · CCN 260113	11	$1,864	About average	$1,494	$8,945
Mount Nittany Medical CenterState College, PA · CCN 390268	28	$1,865	About average	$1,482	$7,145
Saint James HospitalPontiac, IL · CCN 140161	30	$1,866	About average	$1,483	$10,718
Capital Health Regional Medical CenterTrenton, NJ · CCN 310092	13	$1,870	About average	$1,488	$66,107
Nathan Littauer HospitalGloversville, NY · CCN 330276	11	$1,871	About average	$1,470	$9,036
Multicare Auburn Medical CenterAuburn, WA · CCN 500015	22	$1,873	About average	$1,495	$11,402
Harborview Medical CenterSeattle, WA · CCN 500064	41	$1,873	About average	$1,489	$14,438
Sheridan Memorial HospitalSheridan, WY · CCN 530006	15	$1,873	About average	$1,505	$5,284
St Peters HealthHelena, MT · CCN 270003	58	$1,874	About average	$1,495	$5,364
Southside HospitalBay Shore, NY · CCN 330043	115	$1,876	About average	$1,445	$11,908
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	33	$1,877	About average	$1,496	$5,351
Trinity HospitalsMinot, ND · CCN 350006	33	$1,882	About average	$1,496	$8,948
St Clare HospitalLakewood, WA · CCN 500021	20	$1,882	About average	$1,499	$15,920
St Mary Medical CenterGalesburg, IL · CCN 140064	11	$1,883	About average	$1,526	$15,159
Harrisburg Medical CenterHarrisburg, IL · CCN 140210	32	$1,883	About average	$1,521	$18,188
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	59	$1,883	About average	$1,513	$5,541
Blessing HospitalQuincy, IL · CCN 140015	68	$1,883	About average	$1,513	$14,119
Mc Donough District HospitalMacomb, IL · CCN 140089	26	$1,883	About average	$1,501	$9,349
Deaconess Medical CenterSpokane, WA · CCN 500044	145	$1,889	About average	$1,503	$10,776
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	294	$1,890	About average	$1,507	$10,359
Altru HospitalGrand Forks, ND · CCN 350019	169	$1,894	About average	$1,505	$9,687
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	692	$1,894	About average	$1,511	$19,242
Parkland Medical CenterDerry, NH · CCN 300017	16	$1,894	About average	$1,515	$32,297
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	132	$1,894	About average	$1,508	$27,813
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	367	$1,894	About average	$1,507	$8,614

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.