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 1,751–1,800. 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
Central Peninsula General HospitalSoldotna, AK · CCN 020024	15	$2,103	16% above the national average	$1,690	$8,997
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	79	$2,103	16% above the national average	$1,680	$20,931
Guthrie Cortland Regional Medical CenterCortland, NY · CCN 330175	31	$2,105	16% above the national average	$1,667	$5,223
Bon Secours Community HospitalPort Jervis, NY · CCN 330135	35	$2,110	16% above the national average	$1,672	$37,685
Bassett HealthcareCooperstown, NY · CCN 330136	98	$2,110	16% above the national average	$1,684	$4,449
Straub Clinic And HospitalHonolulu, HI · CCN 120022	89	$2,110	16% above the national average	$1,669	$8,005
Chilton Medical CenterPompton Plains, NJ · CCN 310017	48	$2,111	16% above the national average	$1,678	$14,598
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	37	$2,114	16% above the national average	$1,698	$4,950
Overlook Medical CenterSummit, NJ · CCN 310051	381	$2,114	16% above the national average	$1,686	$15,969
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	61	$2,115	17% above the national average	$1,683	$9,815
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	45	$2,116	17% above the national average	$1,691	$10,347
Yale-New Haven HospitalNew Haven, CT · CCN 070022	557	$2,117	17% above the national average	$1,684	$9,467
Middlesex HospitalMiddletown, CT · CCN 070020	66	$2,117	17% above the national average	$1,679	$10,042
Morristown Medical CenterMorristown, NJ · CCN 310015	331	$2,120	17% above the national average	$1,688	$12,373
St Vincent's Medical CenterBridgeport, CT · CCN 070028	74	$2,120	17% above the national average	$1,685	$10,116
Staten Island University HospitalStaten Island, NY · CCN 330160	158	$2,121	17% above the national average	$1,687	$14,338
Mount Sinai South NassauOceanside, NY · CCN 330198	178	$2,122	17% above the national average	$1,690	$26,593
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	27	$2,122	17% above the national average	$1,691	$13,932
Lawrence & Memorial HospitalNew London, CT · CCN 070007	27	$2,122	17% above the national average	$1,703	$11,029
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	59	$2,122	17% above the national average	$1,701	$13,808
Danbury HospitalDanbury, CT · CCN 070033	255	$2,122	17% above the national average	$1,696	$9,888
Bristol HospitalBristol, CT · CCN 070029	51	$2,123	17% above the national average	$1,698	$8,816
Charlotte Hungerford HospitalTorrington, CT · CCN 070011	36	$2,123	17% above the national average	$1,694	$9,246
Long Island Community HospitalPatchogue, NY · CCN 330141	37	$2,125	17% above the national average	$1,702	$31,786
Mount Sinai WestNew York, NY · CCN 330046	113	$2,128	17% above the national average	$1,696	$12,889
Westchester Medical CenterValhalla, NY · CCN 330234	164	$2,129	17% above the national average	$1,691	$20,431
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	119	$2,129	17% above the national average	$1,713	$9,536
Berkshire Medical CenterPittsfield, MA · CCN 220046	314	$2,130	17% above the national average	$1,703	$12,021
Hackensack University Medical CenterHackensack, NJ · CCN 310001	195	$2,130	17% above the national average	$1,691	$15,402
Phelps HospitalSleepy Hollow, NY · CCN 330261	109	$2,132	18% above the national average	$1,704	$24,937
Pali Momi Medical CenterAiea, HI · CCN 120026	62	$2,132	18% above the national average	$1,678	$12,398
Nyu Langone HospitalsNew York, NY · CCN 330214	1,238	$2,134	18% above the national average	$1,708	$32,122
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	366	$2,135	18% above the national average	$1,698	$11,757
Plainview HospitalPlainview, NY · CCN 330331	44	$2,136	18% above the national average	$1,705	$10,330
Valley HospitalParamus, NJ · CCN 310012	122	$2,137	18% above the national average	$1,700	$9,339
Maui Memorial Medical CenterWailuku, HI · CCN 120002	28	$2,139	18% above the national average	$1,674	$11,541
White Plains Hospital CenterWhite Plains, NY · CCN 330304	396	$2,141	18% above the national average	$1,703	$19,313
Norwalk HospitalNorwalk, CT · CCN 070034	105	$2,141	18% above the national average	$1,716	$8,744
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	15	$2,141	18% above the national average	$1,706	$11,772
St Anthony Community HospitalWarwick, NY · CCN 330205	26	$2,141	18% above the national average	$1,705	$35,108
The University HospitalNewark, NJ · CCN 310119	39	$2,142	18% above the national average	$1,686	$12,677
Montefiore Medical CenterBronx, NY · CCN 330059	128	$2,142	18% above the national average	$1,709	$16,274
Bridgeport HospitalBridgeport, CT · CCN 070010	91	$2,143	18% above the national average	$1,714	$9,567
New York-Presbyterian HospitalNew York, NY · CCN 330101	973	$2,143	18% above the national average	$1,707	$16,537
New York-Presbyterian/QueensFlushing, NY · CCN 330055	78	$2,143	18% above the national average	$1,707	$12,082
Griffin HospitalDerby, CT · CCN 070031	12	$2,143	18% above the national average	$1,717	$12,852
Greenwich Hospital Association -Greenwich, CT · CCN 070018	54	$2,143	18% above the national average	$1,713	$10,136
Stamford HospitalStamford, CT · CCN 070006	82	$2,143	18% above the national average	$1,712	$19,407
Lenox Hill HospitalNew York, NY · CCN 330119	87	$2,143	18% above the national average	$1,710	$13,047
Mount Sinai Beth IsraelNew York, NY · CCN 330169	33	$2,143	18% above the national average	$1,705	$12,528

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.