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 1,551–1,600. 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
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	34	$1,929	About average	$1,528	$9,607
Our Lady Of Fatima HospitalNorth Providence, RI · CCN 410005	23	$1,931	About average	$1,545	$8,671
Kent County Memorial HospitalWarwick, RI · CCN 410009	50	$1,931	About average	$1,542	$6,507
Newport HospitalNewport, RI · CCN 410006	29	$1,931	About average	$1,542	$7,754
St Francis Community HospitalFederal Way, WA · CCN 500141	148	$1,933	About average	$1,545	$14,896
Valley Medical CenterRenton, WA · CCN 500088	149	$1,933	About average	$1,546	$8,918
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	103	$1,934	About average	$1,533	$13,904
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	107	$1,936	About average	$1,545	$8,102
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010 · +$72 outlier payments per case	1,680	$1,940	About average	$1,543	$14,105
Mercy Regional Medical CenterDurango, CO · CCN 060013	81	$1,940	About average	$1,558	$11,846
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	174	$1,940	About average	$1,556	$7,029
UCHealth Yampa Valley Medical CenterSteamboat Springs, CO · CCN 060049	42	$1,940	About average	$1,554	$5,304
Delta County Memorial HospitalDelta, CO · CCN 060071	29	$1,940	About average	$1,546	$4,747
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	90	$1,940	About average	$1,544	$14,116
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	21	$1,941	About average	$1,527	$5,995
Sibley Memorial HospitalWashington, DC · CCN 090005	309	$1,942	About average	$1,546	$8,390
Ocean Medical CenterBrick, NJ · CCN 310052	85	$1,943	About average	$1,540	$12,655
Highline Medical CenterBurien, WA · CCN 500011	34	$1,943	About average	$1,558	$16,477
Providence Regional Medical Center EverettEverett, WA · CCN 500014	73	$1,943	About average	$1,544	$9,209
Concord Hospital- LaconiaLaconia, NH · CCN 300005	29	$1,944	About average	$1,563	$10,366
United Medical CenterWashington, DC · CCN 090008	12	$1,947	About average	$1,551	$10,314
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	24	$1,951	About average	$1,556	$31,619
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	50	$1,956	About average	$1,551	$8,623
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	100	$1,960	About average	$1,557	$7,244
St Anthony HospitalGig Harbor, WA · CCN 500151	38	$1,960	About average	$1,564	$14,543
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	58	$1,960	About average	$1,564	$9,303
Capital Medical CenterOlympia, WA · CCN 500139	17	$1,960	About average	$1,562	$17,807
Northern Westchester HospitalMount Kisco, NY · CCN 330162	173	$1,962	About average	$1,527	$14,511
Alaska Regional HospitalAnchorage, AK · CCN 020017	90	$1,964	About average	$1,568	$25,988
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 310029	186	$1,968	About average	$1,562	$23,253
Inspira Medical Center VinelandVineland, NJ · CCN 310032	59	$1,968	About average	$1,562	$10,396
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	47	$1,969	About average	$1,550	$27,501
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	70	$1,969	About average	$1,565	$18,887
Corning HospitalCorning, NY · CCN 330277	68	$1,970	About average	$1,568	$6,727
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	196	$1,971	About average	$1,572	$7,242
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	225	$1,971	About average	$1,571	$49,264
Yuma Regional Medical CenterYuma, AZ · CCN 030013	156	$1,977	About average	$1,576	$16,402
Boston Medical Center-BrightonBrighton, MA · CCN 220036	65	$1,978	About average	$1,564	$6,550
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	203	$1,979	About average	$1,586	$9,995
Riverview Medical CenterRed Bank, NJ · CCN 310034	132	$1,980	About average	$1,571	$11,683
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	46	$1,981	About average	$1,558	$29,215
Jefferson Stratford HospitalStratford, NJ · CCN 310086	88	$1,981	About average	$1,581	$18,124
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	122	$1,983	About average	$1,580	$8,484
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	134	$1,984	About average	$1,568	$26,525
Albany Medical Center HospitalAlbany, NY · CCN 330013	148	$1,985	About average	$1,578	$8,902
OHSU Hospital And ClinicsPortland, OR · CCN 380009	302	$1,986	About average	$1,580	$10,216
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	31	$1,987	About average	$1,596	$7,550
Banner Casa Grande Medical CenterCasa Grande, AZ · CCN 030016	36	$1,987	About average	$1,592	$10,061
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	26	$1,987	About average	$1,587	$8,900
Saratoga HospitalSaratoga Springs, NY · CCN 330222	108	$1,988	About average	$1,575	$9,399

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.