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 1,701–1,750. 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
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	106	$2,038	12% above the national average	$1,625	$24,136
Renown Regional Medical CenterReno, NV · CCN 290001	32	$2,038	12% above the national average	$1,624	$27,113
Renown South Meadows Medical CenterReno, NV · CCN 290049	50	$2,038	12% above the national average	$1,619	$23,122
Summerlin Hospital Medical CenterLas Vegas, NV · CCN 290041	17	$2,038	12% above the national average	$1,613	$23,362
Confluence Health HospitalWenatchee, WA · CCN 500016	222	$2,038	12% above the national average	$1,623	$5,273
Southcoast Hospitals GroupFall River, MA · CCN 220074	220	$2,039	12% above the national average	$1,625	$10,440
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	146	$2,040	12% above the national average	$1,628	$15,925
Baystate Noble HospitalWestfield, MA · CCN 220065	22	$2,043	13% above the national average	$1,651	$6,975
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	49	$2,043	13% above the national average	$1,626	$13,209
Marlborough HospitalMarlborough, MA · CCN 220049	24	$2,043	13% above the national average	$1,641	$14,879
Saint Anne's HospitalFall River, MA · CCN 220020	118	$2,043	13% above the national average	$1,640	$5,680
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	39	$2,043	13% above the national average	$1,639	$4,584
Baystate Wing HospitalPalmer, MA · CCN 220030	28	$2,043	13% above the national average	$1,635	$9,179
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	63	$2,043	13% above the national average	$1,635	$4,262
Falmouth HospitalFalmouth, MA · CCN 220135	66	$2,043	13% above the national average	$1,634	$9,258
Anna Jaques HospitalNewburyport, MA · CCN 220029	60	$2,043	13% above the national average	$1,634	$5,911
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	202	$2,043	13% above the national average	$1,634	$5,563
Newton-Wellesley HospitalNewton, MA · CCN 220101	221	$2,043	13% above the national average	$1,634	$7,139
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	46	$2,043	13% above the national average	$1,633	$6,216
Boston Medical CenterBoston, MA · CCN 220031	49	$2,043	13% above the national average	$1,632	$6,896
Holy Family HospitalMethuen, MA · CCN 220080	54	$2,043	13% above the national average	$1,632	$7,639
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	52	$2,043	13% above the national average	$1,631	$5,514
Heywood Hospital -Gardner, MA · CCN 220095	66	$2,044	13% above the national average	$1,630	$4,953
Nashoba Valley Medical CenterAyer, MA · CCN 220098	48	$2,044	13% above the national average	$1,626	$4,084
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	46	$2,044	13% above the national average	$1,626	$8,932
MetroWest Medical CenterFramingham, MA · CCN 220175	122	$2,044	13% above the national average	$1,624	$17,602
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	25	$2,044	13% above the national average	$1,621	$12,425
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	13	$2,044	13% above the national average	$1,628	$17,457
Samaritan HospitalMoses Lake, WA · CCN 500033	13	$2,045	13% above the national average	$1,630	$6,769
Olean General HospitalOlean, NY · CCN 330103	31	$2,047	13% above the national average	$1,604	$3,223
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	36	$2,049	13% above the national average	$1,631	$5,023
Manchester Memorial HospitalManchester, CT · CCN 070027	44	$2,050	13% above the national average	$1,625	$16,928
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	14	$2,051	13% above the national average	$1,649	$21,901
St Michael Medical CenterSilverdale, WA · CCN 500039	74	$2,052	13% above the national average	$1,634	$17,844
MidState Medical CenterMeriden, CT · CCN 070017	83	$2,061	14% above the national average	$1,632	$12,429
Putnam Hospital CenterCarmel, NY · CCN 330273	15	$2,070	14% above the national average	$1,645	$5,420
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	102	$2,073	14% above the national average	$1,641	$12,137
Hartford HospitalHartford, CT · CCN 070025	249	$2,075	14% above the national average	$1,644	$11,124
Mercy Medical CenterRoseburg, OR · CCN 380027	27	$2,079	15% above the national average	$1,667	$9,606
Bay Area HospitalCoos Bay, OR · CCN 380090	16	$2,079	15% above the national average	$1,656	$9,831
William W Backus HospitalNorwich, CT · CCN 070024	78	$2,082	15% above the national average	$1,651	$11,683
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	27	$2,086	15% above the national average	$1,670	$10,106
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	27	$2,086	15% above the national average	$1,666	$10,425
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	97	$2,087	15% above the national average	$1,657	$10,609
North Shore University HospitalManhasset, NY · CCN 330106	273	$2,091	15% above the national average	$1,656	$14,082
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	113	$2,093	15% above the national average	$1,657	$6,219
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	54	$2,093	15% above the national average	$1,662	$12,153
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393 · +$238 outlier payments per case	376	$2,096	15% above the national average	$1,666	$17,099
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	246	$2,099	16% above the national average	$1,666	$14,070
Garnet Health Medical CenterMiddletown, NY · CCN 330126	204	$2,102	16% above the national average	$1,667	$9,500

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.