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 1,601–1,650. 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
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	218	$1,989	About average	$1,582	$9,276
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	30	$1,989	About average	$1,579	$7,866
Glens Falls HospitalGlens Falls, NY · CCN 330191	72	$1,990	About average	$1,587	$5,428
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	62	$1,991	About average	$1,585	$3,254
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	35	$1,992	About average	$1,604	$14,199
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	101	$1,992	About average	$1,595	$16,980
Newton Medical CenterNewton, NJ · CCN 310028	29	$1,992	About average	$1,591	$11,564
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	50	$1,992	About average	$1,590	$14,930
Hunterdon Medical CenterFlemington, NJ · CCN 310005	41	$1,992	About average	$1,589	$9,296
West Jersey HospitalVoorhees, NJ · CCN 310022	90	$1,992	About average	$1,588	$27,900
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	51	$1,992	About average	$1,588	$11,439
Ahs Hospital CorpHackettstown, NJ · CCN 310115	19	$1,992	About average	$1,587	$9,203
Community Medical CenterToms River, NJ · CCN 310041	30	$1,992	About average	$1,587	$11,151
Shore Medical CenterSomers Point, NJ · CCN 310047	16	$1,992	About average	$1,587	$14,113
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	32	$1,992	About average	$1,583	$17,178
Trinitas Regional Medical CenterElizabeth, NJ · CCN 310027	27	$1,992	About average	$1,583	$10,429
Robert Wood Johnson University Hospital At RahwayRahway, NJ · CCN 310024	20	$1,992	About average	$1,578	$13,252
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	127	$1,994	About average	$1,572	$12,204
St Vincent HospitalWorcester, MA · CCN 220176	30	$1,995	About average	$1,573	$18,541
Saint Mary's HospitalWaterbury, CT · CCN 070016	91	$1,995	About average	$1,585	$10,319
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	16	$1,996	10% above the national average	$1,609	$6,595
Hillsboro Medical CenterHillsboro, OR · CCN 380021	26	$1,996	10% above the national average	$1,602	$9,682
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	16	$1,996	10% above the national average	$1,597	$7,905
Providence Newberg Medical CenterNewberg, OR · CCN 380037	57	$1,997	10% above the national average	$1,593	$9,482
Providence St Vincent Medical CenterPortland, OR · CCN 380004	113	$1,997	10% above the national average	$1,592	$11,354
Providence Portland Medical CenterPortland, OR · CCN 380061	193	$1,997	10% above the national average	$1,590	$9,274
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	23	$1,997	10% above the national average	$1,584	$12,103
Unity HospitalRochester, NY · CCN 330226	88	$1,998	10% above the national average	$1,592	$4,306
Salem HospitalSalem, OR · CCN 380051	87	$1,999	10% above the national average	$1,569	$9,686
Palomar Medical Center PowayPoway, CA · CCN 050636	11	$2,000	10% above the national average	$1,529	$14,142
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	99	$2,001	10% above the national average	$1,591	$13,371
Providence Centralia HospitalCentralia, WA · CCN 500019	17	$2,001	10% above the national average	$1,571	$10,464
Cambridge Health AllianceCambridge, MA · CCN 220011	25	$2,003	10% above the national average	$1,604	$6,130
Strong Memorial HospitalRochester, NY · CCN 330285	245	$2,003	10% above the national average	$1,595	$12,465
CentraState Medical CenterFreehold, NJ · CCN 310111	71	$2,003	10% above the national average	$1,596	$9,977
MelroseWakefield HealthcareMelrose, MA · CCN 220070	78	$2,005	10% above the national average	$1,596	$4,471
JFK University Medical CenterEdison, NJ · CCN 310108	109	$2,005	10% above the national average	$1,593	$12,791
University Medical CenterLas Vegas, NV · CCN 290007	49	$2,005	10% above the national average	$1,582	$11,935
UPMC HamotErie, PA · CCN 390063	54	$2,005	11% above the national average	$1,599	$13,199
Saint Vincent HospitalErie, PA · CCN 390009	50	$2,006	11% above the national average	$1,594	$9,251
Wynn HospitalUtica, NY · CCN 330044	263	$2,006	11% above the national average	$1,596	$10,965
Kaleida HealthBuffalo, NY · CCN 330005	142	$2,006	11% above the national average	$1,598	$4,523
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	42	$2,006	11% above the national average	$1,593	$10,410
St Charles Medical Center - BendBend, OR · CCN 380047	108	$2,011	11% above the national average	$1,603	$14,168
Mountainview HospitalLas Vegas, NV · CCN 290039	62	$2,012	11% above the national average	$1,598	$26,206
Good Samaritan Medical CenterBrockton, MA · CCN 220111	52	$2,012	11% above the national average	$1,603	$4,875
Holyoke Medical CenterHolyoke, MA · CCN 220024	85	$2,012	11% above the national average	$1,601	$9,610
Henderson HospitalHenderson, NV · CCN 290057	57	$2,012	11% above the national average	$1,603	$34,810
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	234	$2,013	11% above the national average	$1,604	$13,001
St Peter's HospitalAlbany, NY · CCN 330057	270	$2,014	11% above the national average	$1,600	$11,556

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.