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 1,851–1,900. 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
Scripps Mercy HospitalSan Diego, CA · CCN 050077	61	$2,320	28% above the national average	$1,845	$15,859
Kaweah Health Medical CenterVisalia, CA · CCN 050057	102	$2,321	28% above the national average	$1,848	$10,297
St Johns Regional Medical CenterOxnard, CA · CCN 050082	79	$2,324	28% above the national average	$1,862	$8,770
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	262	$2,325	28% above the national average	$1,855	$15,762
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	129	$2,325	28% above the national average	$1,842	$20,700
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	139	$2,326	28% above the national average	$1,853	$38,324
Keck Hospital Of USCLos Angeles, CA · CCN 050696	465	$2,327	28% above the national average	$1,852	$18,896
Providence Mission HospitalMission Viejo, CA · CCN 050567	431	$2,328	28% above the national average	$1,879	$6,815
Uci Health-OrangeOrange, CA · CCN 050348	661	$2,329	28% above the national average	$1,860	$13,241
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	212	$2,331	28% above the national average	$1,858	$12,714
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	660	$2,332	29% above the national average	$1,855	$9,801
Enloe HealthChico, CA · CCN 050039	343	$2,333	29% above the national average	$1,864	$17,254
Community Regional Medical CenterFresno, CA · CCN 050060	578	$2,334	29% above the national average	$1,861	$15,587
Scripps Green HospitalLa Jolla, CA · CCN 050424	383	$2,334	29% above the national average	$1,871	$16,575
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	674	$2,336	29% above the national average	$1,868	$13,791
Emanuel Medical CenterTurlock, CA · CCN 050179	35	$2,336	29% above the national average	$1,850	$29,865
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	12	$2,339	29% above the national average	$1,883	$14,171
PIH Health Downey HospitalDowney, CA · CCN 050393	17	$2,339	29% above the national average	$1,877	$15,572
Oroville HospitalOroville, CA · CCN 050030	128	$2,339	29% above the national average	$1,877	$12,737
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	34	$2,339	29% above the national average	$1,877	$13,126
Adventist Health Twin CitiesTempleton, CA · CCN 050633	44	$2,339	29% above the national average	$1,875	$19,952
Corona Regional Medical CenterCorona, CA · CCN 050329	37	$2,339	29% above the national average	$1,873	$17,223
Temecula Valley HospitalTemecula, CA · CCN 050775	13	$2,339	29% above the national average	$1,873	$21,038
Huntington HospitalPasadena, CA · CCN 050438	66	$2,339	29% above the national average	$1,873	$20,901
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	121	$2,339	29% above the national average	$1,873	$10,945
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	68	$2,339	29% above the national average	$1,872	$13,776
College Medical CenterLong Beach, CA · CCN 050776	18	$2,339	29% above the national average	$1,870	$12,452
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	60	$2,339	29% above the national average	$1,870	$17,439
Clovis Community Medical CenterClovis, CA · CCN 050492	197	$2,339	29% above the national average	$1,870	$17,864
Grossmont HospitalLa Mesa, CA · CCN 050026	143	$2,339	29% above the national average	$1,868	$12,250
Adventist Health BakersfieldBakersfield, CA · CCN 050455	67	$2,339	29% above the national average	$1,868	$12,124
Providence St. Joseph HospitalOrange, CA · CCN 050069	60	$2,339	29% above the national average	$1,868	$12,567
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	64	$2,339	29% above the national average	$1,868	$27,298
Palmdale Regional Medical CenterPalmdale, CA · CCN 050204	26	$2,339	29% above the national average	$1,866	$28,184
Riverside Community HospitalRiverside, CA · CCN 050022	43	$2,339	29% above the national average	$1,866	$20,993
Adventist Health HanfordHanford, CA · CCN 050121	95	$2,339	29% above the national average	$1,866	$15,812
John F Kennedy Memorial HospitalIndio, CA · CCN 050534	18	$2,339	29% above the national average	$1,866	$17,422
Doctors Medical CenterModesto, CA · CCN 050464	36	$2,339	29% above the national average	$1,866	$30,591
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	28	$2,339	29% above the national average	$1,865	$20,344
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	44	$2,339	29% above the national average	$1,865	$12,541
Saint Agnes Medical CenterFresno, CA · CCN 050093	136	$2,339	29% above the national average	$1,865	$11,868
Adventist Health DelanoDelano, CA · CCN 050608	12	$2,339	29% above the national average	$1,864	$5,150
Casa Colina HospitalPomona, CA · CCN 050782	11	$2,339	29% above the national average	$1,864	$12,370
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	16	$2,339	29% above the national average	$1,864	$22,386
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	44	$2,339	29% above the national average	$1,864	$29,627
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	16	$2,339	29% above the national average	$1,864	$22,122
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	13	$2,339	29% above the national average	$1,864	$22,419
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	11	$2,339	29% above the national average	$1,864	$7,970
San Gabriel Valley Medical CenterSan Gabriel, CA · CCN 050132	18	$2,339	29% above the national average	$1,864	$8,337
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	13	$2,339	29% above the national average	$1,864	$10,940

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.