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 1,651–1,700. 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
Milford Regional Medical CenterMilford, MA · CCN 220090	104	$2,015	11% above the national average	$1,610	$4,370
Mount Auburn HospitalCambridge, MA · CCN 220002	107	$2,015	11% above the national average	$1,607	$6,684
Brigham And Women's HospitalBoston, MA · CCN 220110	694	$2,015	11% above the national average	$1,607	$9,687
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	494	$2,016	11% above the national average	$1,606	$8,223
Lowell General HospitalLowell, MA · CCN 220063	154	$2,017	11% above the national average	$1,607	$4,471
Bayshore Medical CenterHolmdel, NJ · CCN 310112	31	$2,017	11% above the national average	$1,607	$13,752
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	24	$2,017	11% above the national average	$1,624	$5,841
Newark-Wayne Community HospitalNewark, NY · CCN 330030	40	$2,017	11% above the national average	$1,621	$6,720
Rome Memorial Hospital, IncRome, NY · CCN 330215	29	$2,017	11% above the national average	$1,621	$7,838
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	119	$2,017	11% above the national average	$1,617	$10,455
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	45	$2,017	11% above the national average	$1,617	$8,342
Oneida Health HospitalOneida, NY · CCN 330115	101	$2,017	11% above the national average	$1,617	$7,986
Erie County Medical CenterBuffalo, NY · CCN 330219	11	$2,017	11% above the national average	$1,617	$5,678
Arnot Ogden Medical CenterElmira, NY · CCN 330090	12	$2,017	11% above the national average	$1,616	$6,199
United Memorial Medical CenterBatavia, NY · CCN 330073	24	$2,017	11% above the national average	$1,616	$4,939
UPMC ChautauquaJamestown, NY · CCN 330239	17	$2,017	11% above the national average	$1,613	$4,426
Crouse HospitalSyracuse, NY · CCN 330203	20	$2,017	11% above the national average	$1,612	$10,086
Niagara Falls Memorial Medical CenterNiagara Falls, NY · CCN 330065	21	$2,017	11% above the national average	$1,612	$2,622
Columbia Memorial HospitalHudson, NY · CCN 330094	25	$2,017	11% above the national average	$1,607	$5,044
Ellis HospitalSchenectady, NY · CCN 330153	25	$2,017	11% above the national average	$1,607	$9,347
Highland HospitalRochester, NY · CCN 330164	28	$2,017	11% above the national average	$1,607	$8,186
Rochester General HospitalRochester, NY · CCN 330125	45	$2,017	11% above the national average	$1,605	$6,433
Oswego HospitalOswego, NY · CCN 330218	21	$2,018	11% above the national average	$1,598	$7,399
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	26	$2,019	11% above the national average	$1,615	$12,074
South Shore HospitalSouth Weymouth, MA · CCN 220100	103	$2,019	11% above the national average	$1,607	$4,215
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	141	$2,019	11% above the national average	$1,614	$16,034
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	140	$2,019	11% above the national average	$1,612	$23,768
Brown University Health Morton HospitalTaunton, MA · CCN 220073	58	$2,019	11% above the national average	$1,600	$4,141
Baystate Medical CenterSpringfield, MA · CCN 220077	271	$2,019	11% above the national average	$1,609	$8,508
Tufts Medical CenterBoston, MA · CCN 220116	181	$2,020	11% above the national average	$1,609	$10,600
Huntington HospitalHuntington, NY · CCN 330045	84	$2,020	11% above the national average	$1,590	$8,488
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	148	$2,022	11% above the national average	$1,621	$18,306
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	232	$2,022	11% above the national average	$1,615	$6,709
Yakima Valley MemorialYakima, WA · CCN 500036	70	$2,022	11% above the national average	$1,610	$6,826
Winchester HospitalWinchester, MA · CCN 220105	148	$2,022	11% above the national average	$1,611	$6,973
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	159	$2,023	11% above the national average	$1,619	$6,254
Saint Mary's Regional Medical CenterReno, NV · CCN 290009	91	$2,024	12% above the national average	$1,610	$18,448
Mercy Medical CenterSpringfield, MA · CCN 220066	180	$2,025	12% above the national average	$1,616	$3,917
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	519	$2,025	12% above the national average	$1,607	$14,589
Cape Cod HospitalHyannis, MA · CCN 220012	62	$2,027	12% above the national average	$1,616	$7,910
Northeast Hospital CorporationBeverly, MA · CCN 220033	105	$2,028	12% above the national average	$1,624	$10,322
Massachusetts General HospitalBoston, MA · CCN 220071	846	$2,028	12% above the national average	$1,619	$8,210
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	96	$2,028	12% above the national average	$1,611	$10,066
Swedish Medical CenterSeattle, WA · CCN 500027	182	$2,030	12% above the national average	$1,617	$11,446
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	127	$2,030	12% above the national average	$1,631	$8,548
North Shore Medical Center -Salem, MA · CCN 220035	141	$2,032	12% above the national average	$1,625	$6,913
Emerson Hospital -W Concord, MA · CCN 220084	153	$2,033	12% above the national average	$1,615	$6,016
Olympic Medical CenterPort Angeles, WA · CCN 500072	140	$2,034	12% above the national average	$1,619	$4,150
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	945	$2,035	12% above the national average	$1,622	$7,318
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 290053	22	$2,038	12% above the national average	$1,628	$29,102

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.