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 1,901–1,950. 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
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	28	$2,339	29% above the national average	$1,864	$57,895
Uci Health-LakewoodLakewood, CA · CCN 050581	13	$2,339	29% above the national average	$1,863	$21,199
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	115	$2,339	29% above the national average	$1,863	$19,204
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	65	$2,339	29% above the national average	$1,862	$26,014
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	142	$2,339	29% above the national average	$1,861	$19,935
Sierra View Medical CenterPorterville, CA · CCN 050261	20	$2,339	29% above the national average	$1,861	$12,715
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	19	$2,339	29% above the national average	$1,861	$6,785
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	16	$2,340	29% above the national average	$1,859	$23,203
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	17	$2,340	29% above the national average	$1,859	$9,380
San Antonio Regional HospitalUpland, CA · CCN 050099	37	$2,340	29% above the national average	$1,859	$15,594
Alhambra Hospital Medical CenterAlhambra, CA · CCN 050281	25	$2,340	29% above the national average	$1,858	$15,799
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	87	$2,340	29% above the national average	$1,858	$14,359
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	32	$2,340	29% above the national average	$1,858	$10,613
Mercy Medical Center ReddingRedding, CA · CCN 050280	88	$2,340	29% above the national average	$1,858	$6,532
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	70	$2,340	29% above the national average	$1,857	$13,929
Uci Health - Placentia LindaPlacentia, CA · CCN 050589	19	$2,340	29% above the national average	$1,855	$21,576
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	25	$2,340	29% above the national average	$1,854	$8,484
Monterey Park HospitalMonterey Park, CA · CCN 050736	25	$2,340	29% above the national average	$1,853	$21,008
Redlands Community HospitalRedlands, CA · CCN 050272	13	$2,340	29% above the national average	$1,849	$12,361
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	13	$2,340	29% above the national average	$1,849	$11,798
Mercy Medical CenterMerced, CA · CCN 050444	12	$2,340	29% above the national average	$1,847	$18,689
Providence Little Co Of Mary Medical Center San PedroSan Pedro, CA · CCN 050078	11	$2,340	29% above the national average	$1,847	$9,786
Adventist Health White MemorialLos Angeles, CA · CCN 050103	17	$2,340	29% above the national average	$1,816	$18,721
Kona Community HospitalKealakekua, HI · CCN 120019	16	$2,344	29% above the national average	$1,867	$8,603
Hilo Benioff Medical CenterHilo, HI · CCN 120005	11	$2,344	29% above the national average	$1,860	$10,938
Doctors Hospital Of MantecaManteca, CA · CCN 050118	46	$2,348	29% above the national average	$1,872	$30,118
University Of California Davis Medical CenterSacramento, CA · CCN 050599	342	$2,361	30% above the national average	$1,880	$18,866
Sutter Tracy Community HospitalTracy, CA · CCN 050313	82	$2,389	32% above the national average	$1,918	$14,169
Adventist Health Lodi MemorialLodi, CA · CCN 050336	107	$2,389	32% above the national average	$1,912	$27,808
Dameron HospitalStockton, CA · CCN 050122	14	$2,390	32% above the national average	$1,895	$30,268
Petaluma Valley HospitalPetaluma, CA · CCN 050136	14	$2,395	32% above the national average	$1,897	$14,478
Sutter Auburn Faith HospitalAuburn, CA · CCN 050498	108	$2,395	32% above the national average	$1,938	$11,959
Sutter Davis HospitalDavis, CA · CCN 050537	71	$2,403	32% above the national average	$1,922	$12,340
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	139	$2,404	32% above the national average	$1,912	$12,809
Mercy Hospital Of FolsomFolsom, CA · CCN 050414	12	$2,430	34% above the national average	$1,946	$30,935
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	25	$2,430	34% above the national average	$1,945	$24,709
Woodland Memorial HospitalWoodland, CA · CCN 050127	23	$2,430	34% above the national average	$1,944	$11,980
Marshall Medical CenterPlacerville, CA · CCN 050254	112	$2,430	34% above the national average	$1,944	$16,622
Mercy General HospitalSacramento, CA · CCN 050017	55	$2,430	34% above the national average	$1,943	$14,127
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	15	$2,430	34% above the national average	$1,939	$17,604
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	57	$2,430	34% above the national average	$1,938	$17,240
Adventist Health St HelenaSaint Helena, CA · CCN 050013	82	$2,442	35% above the national average	$1,943	$21,325
Adventist Health And RideoutMarysville, CA · CCN 050133	32	$2,466	36% above the national average	$1,973	$17,991
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	54	$2,469	36% above the national average	$1,958	$7,830
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	12	$2,474	36% above the national average	$1,971	$4,894
Dominican HospitalSanta Cruz, CA · CCN 050242	94	$2,493	37% above the national average	$1,991	$17,592
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	174	$2,494	37% above the national average	$1,984	$15,862
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	99	$2,501	38% above the national average	$1,999	$12,282
Sutter Coast HospitalCrescent City, CA · CCN 050417	20	$2,505	38% above the national average	$2,021	$13,721
Adventist Health SonoraSonora, CA · CCN 050335	82	$2,505	38% above the national average	$2,012	$19,142

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.