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 151–200. 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
Cox Medical CentersSpringfield, MO · CCN 260040	271	$1,586	13% below the national average	$1,258	$10,154
University Of Mississippi Medical CenterJackson, MS · CCN 250001	141	$1,587	13% below the national average	$1,265	$9,923
Susan B Allen Memorial HospitalEl Dorado, KS · CCN 170017	28	$1,587	13% below the national average	$1,257	$5,310
Mercy Hospital JoplinJoplin, MO · CCN 260001	269	$1,588	13% below the national average	$1,271	$6,518
Fisher-Titus HospitalNorwalk, OH · CCN 360065	57	$1,588	13% below the national average	$1,260	$7,777
Slidell Memorial HospitalSlidell, LA · CCN 190040	142	$1,588	12% below the national average	$1,256	$9,885
Davis Medical CenterElkins, WV · CCN 510030	14	$1,588	12% below the national average	$1,238	$3,034
Ochsner Medical Center-KennerKenner, LA · CCN 190274	163	$1,588	12% below the national average	$1,255	$6,129
St. Vincent's EastBirmingham, AL · CCN 010011	22	$1,588	12% below the national average	$1,266	$16,299
St Vincent's St ClairPell City, AL · CCN 010130	27	$1,589	12% below the national average	$1,256	$8,704
Integris Canadian Valley HospitalYukon, OK · CCN 370211	26	$1,589	12% below the national average	$1,262	$17,213
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	52	$1,589	12% below the national average	$1,261	$24,227
University Of Missouri Health CareColumbia, MO · CCN 260141	204	$1,589	12% below the national average	$1,262	$9,540
St Tammany Parish HospitalCovington, LA · CCN 190045	117	$1,590	12% below the national average	$1,259	$13,456
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	282	$1,590	12% below the national average	$1,255	$13,257
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	155	$1,590	12% below the national average	$1,266	$10,332
Roper HospitalCharleston, SC · CCN 420087	16	$1,590	12% below the national average	$1,267	$8,801
Saint Joseph Mount SterlingMount Sterling, KY · CCN 180064	35	$1,591	12% below the national average	$1,277	$9,494
Manhattan Surgical Hospital LLCManhattan, KS · CCN 170190	52	$1,591	12% below the national average	$1,259	$8,640
Saint Francis Hospital, IncTulsa, OK · CCN 370091	171	$1,592	12% below the national average	$1,270	$8,362
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	293	$1,592	12% below the national average	$1,267	$6,214
Mon Health Medical CenterMorgantown, WV · CCN 510024	64	$1,592	12% below the national average	$1,265	$14,166
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	85	$1,592	12% below the national average	$1,267	$6,367
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	56	$1,592	12% below the national average	$1,259	$9,540
Wheeling Hospital, IncWheeling, WV · CCN 510050	95	$1,592	12% below the national average	$1,269	$8,823
University Of Kentucky HospitalLexington, KY · CCN 180067	256	$1,592	12% below the national average	$1,255	$11,879
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	102	$1,592	12% below the national average	$1,267	$11,167
Andalusia HealthAndalusia, AL · CCN 010036	36	$1,592	12% below the national average	$1,263	$11,143
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	49	$1,593	12% below the national average	$1,277	$9,838
Clinch Valley Medical CenterRichlands, VA · CCN 490060	29	$1,593	12% below the national average	$1,271	$23,114
Baptist Memorial HospitalMemphis, TN · CCN 440048	206	$1,593	12% below the national average	$1,270	$9,298
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	28	$1,593	12% below the national average	$1,275	$8,633
Cabell Huntington Hospital, IncHuntington, WV · CCN 510055	226	$1,593	12% below the national average	$1,260	$13,565
Navicent Health BaldwinMilledgeville, GA · CCN 110150	14	$1,593	12% below the national average	$1,275	$6,013
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	57	$1,593	12% below the national average	$1,256	$4,631
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 450033	23	$1,594	12% below the national average	$1,254	$30,554
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	177	$1,594	12% below the national average	$1,262	$15,700
Southwell Medical, A Campus Of The Regional Medical CenterAdel, GA · CCN 110101	94	$1,595	12% below the national average	$1,275	$7,544
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	74	$1,595	12% below the national average	$1,262	$11,138
Doctors HospitalAugusta, GA · CCN 110177	248	$1,595	12% below the national average	$1,266	$27,094
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	541	$1,595	12% below the national average	$1,266	$13,872
The Medical Center At RussellvilleRussellville, KY · CCN 180066	19	$1,596	12% below the national average	$1,289	$7,058
Murray-Calloway County HospitalMurray, KY · CCN 180027	25	$1,596	12% below the national average	$1,281	$7,480
Midland Memorial HospitalMidland, TX · CCN 450133	24	$1,596	12% below the national average	$1,264	$14,597
Taylor Regional HospitalCampbellsville, KY · CCN 180087	21	$1,596	12% below the national average	$1,279	$8,931
Harrison Memorial HospitalCynthiana, KY · CCN 180079	24	$1,596	12% below the national average	$1,275	$4,863
Baptist Health CorbinCorbin, KY · CCN 180080	33	$1,596	12% below the national average	$1,274	$12,561
Lexington Medical CenterWest Columbia, SC · CCN 420073	202	$1,596	12% below the national average	$1,264	$8,348
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114	284	$1,596	12% below the national average	$1,266	$9,841
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	20	$1,596	12% below the national average	$1,262	$14,773

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.