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 1,801–1,850. 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 HospitalBethpage, NY · CCN 330332	18	$2,143	18% above the national average	$1,738	$12,105
Mercy Medical CenterRockville Centre, NY · CCN 330259	14	$2,144	18% above the national average	$1,708	$15,327
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	85	$2,145	18% above the national average	$1,705	$32,883
Mount Sinai HospitalNew York, NY · CCN 330024	258	$2,145	18% above the national average	$1,706	$11,774
The Queens Medical CenterHonolulu, HI · CCN 120001	207	$2,146	18% above the national average	$1,708	$13,267
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	100	$2,148	18% above the national average	$1,711	$10,188
Samaritan Medical CenterWatertown, NY · CCN 330157	74	$2,160	19% above the national average	$1,741	$5,671
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	30	$2,160	19% above the national average	$1,739	$9,815
Auburn Community HospitalAuburn, NY · CCN 330235	21	$2,160	19% above the national average	$1,732	$7,090
Cayuga Medical Center At IthacaIthaca, NY · CCN 330307	43	$2,160	19% above the national average	$1,731	$6,393
Nyack HospitalNyack, NY · CCN 330104	66	$2,162	19% above the national average	$1,724	$13,426
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	36	$2,165	19% above the national average	$1,740	$12,677
Carepoint Health - Bayonne Medical CenterBayonne, NJ · CCN 310025	17	$2,165	19% above the national average	$1,730	$10,054
Maimonides Medical CenterBrooklyn, NY · CCN 330194	90	$2,165	19% above the national average	$1,726	$15,483
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	100	$2,165	19% above the national average	$1,726	$24,319
Holy Name Medical CenterTeaneck, NJ · CCN 310008	28	$2,165	19% above the national average	$1,725	$10,136
St Mary's General HospitalPassaic, NJ · CCN 310006	16	$2,165	19% above the national average	$1,725	$17,098
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	11	$2,165	19% above the national average	$1,725	$7,349
Jersey City Medical CenterJersey City, NJ · CCN 310074	13	$2,165	19% above the national average	$1,721	$11,575
Richmond University Medical CenterStaten Island, NY · CCN 330028	26	$2,165	19% above the national average	$1,718	$19,937
Bellevue Hospital CenterNew York, NY · CCN 330204	16	$2,165	19% above the national average	$1,713	$10,277
USC Arcadia HospitalArcadia, CA · CCN 050238	33	$2,170	20% above the national average	$1,677	$10,254
Kuakini Medical CenterHonolulu, HI · CCN 120007	28	$2,189	21% above the national average	$1,741	$8,845
Garnet Health Medical Center CatskillsHarris, NY · CCN 330386	15	$2,203	21% above the national average	$1,763	$15,207
Coast Plaza HospitalNorwalk, CA · CCN 050771	11	$2,209	22% above the national average	$1,732	$24,200
Ventura County Medical CenterVentura, CA · CCN 050159	11	$2,233	23% above the national average	$1,779	$7,403
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	39	$2,244	24% above the national average	$1,768	$20,360
Antelope Valley HospitalLancaster, CA · CCN 050056	42	$2,255	24% above the national average	$1,778	$9,780
Sharon HospitalSharon, CT · CCN 070004	11	$2,273	25% above the national average	$1,811	$4,832
Adventist Health Simi ValleySimi Valley, CA · CCN 050236	31	$2,275	25% above the national average	$1,811	$12,443
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	20	$2,281	26% above the national average	$1,808	$12,936
Kern Medical CenterBakersfield, CA · CCN 050315	29	$2,294	26% above the national average	$1,828	$8,625
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	26	$2,295	26% above the national average	$1,810	$21,683
Saint John's Health CenterSanta Monica, CA · CCN 050290	127	$2,295	26% above the national average	$1,827	$11,450
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262 · +$108 outlier payments per case	512	$2,297	27% above the national average	$1,825	$11,601
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	159	$2,299	27% above the national average	$1,829	$5,473
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	96	$2,309	27% above the national average	$1,833	$20,472
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	127	$2,310	27% above the national average	$1,843	$17,237
Northern Nevada Medical CenterSparks, NV · CCN 290032	45	$2,310	27% above the national average	$1,843	$28,268
Providence Medford Medical CenterMedford, OR · CCN 380075	16	$2,310	27% above the national average	$1,843	$7,018
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	66	$2,311	27% above the national average	$1,836	$12,291
Memorial Medical CenterModesto, CA · CCN 050557	285	$2,313	27% above the national average	$1,848	$12,969
Sharp Memorial HospitalSan Diego, CA · CCN 050100	130	$2,314	28% above the national average	$1,839	$12,222
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	47	$2,315	28% above the national average	$1,842	$10,898
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	153	$2,315	28% above the national average	$1,844	$9,923
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	768	$2,317	28% above the national average	$1,843	$38,456
Providence St Joseph HospitalEureka, CA · CCN 050006	89	$2,317	28% above the national average	$1,844	$21,614
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	118	$2,319	28% above the national average	$1,853	$12,299
Mercy HospitalBakersfield, CA · CCN 050295	94	$2,320	28% above the national average	$1,846	$19,595
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	60	$2,320	28% above the national average	$1,853	$22,477

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.