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 1,951–1,981. 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
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	225	$2,531	39% above the national average	$2,023	$12,920
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	93	$2,611	44% above the national average	$2,080	$25,251
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	61	$2,642	46% above the national average	$2,114	$12,899
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	28	$2,642	46% above the national average	$2,110	$13,003
Eden Medical CenterCastro Valley, CA · CCN 050488	21	$2,642	46% above the national average	$2,105	$14,272
Highland HospitalOakland, CA · CCN 050320	21	$2,643	46% above the national average	$2,094	$13,441
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	225	$2,648	46% above the national average	$2,108	$13,330
Sutter Delta Medical CenterAntioch, CA · CCN 050523	39	$2,649	46% above the national average	$2,136	$18,354
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	12	$2,649	46% above the national average	$2,122	$28,622
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	243	$2,649	46% above the national average	$2,118	$38,562
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	71	$2,649	46% above the national average	$2,115	$36,747
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	112	$2,657	46% above the national average	$2,159	$45,095
Novato Community HospitalNovato, CA · CCN 050131	25	$2,657	46% above the national average	$2,133	$13,676
Sequoia HospitalRedwood City, CA · CCN 050197	99	$2,658	46% above the national average	$2,113	$18,370
NorthBay Medical CenterFairfield, CA · CCN 050367	29	$2,662	47% above the national average	$2,116	$48,169
AHMC Seton Medical CenterDaly City, CA · CCN 050289	26	$2,664	47% above the national average	$2,117	$28,342
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	142	$2,664	47% above the national average	$2,128	$29,580
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	334	$2,665	47% above the national average	$2,135	$26,841
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 050009	14	$2,665	47% above the national average	$2,133	$19,361
El Camino HealthMountain View, CA · CCN 050308	233	$2,670	47% above the national average	$2,134	$21,023
Stanford Health CareStanford, CA · CCN 050441 · +$67 outlier payments per case	883	$2,672	47% above the national average	$2,130	$34,290
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$93 outlier payments per case	485	$2,672	47% above the national average	$2,128	$20,460
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	152	$2,679	48% above the national average	$2,142	$17,000
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	78	$2,679	48% above the national average	$2,141	$19,461
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	45	$2,679	48% above the national average	$2,138	$21,180
Good Samaritan HospitalSan Jose, CA · CCN 050380	50	$2,679	48% above the national average	$2,138	$54,052
Washington HospitalFremont, CA · CCN 050195	52	$2,679	48% above the national average	$2,134	$24,186
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	387	$2,693	48% above the national average	$2,139	$13,941
Peninsula Medical CenterBurlingame, CA · CCN 050007	92	$2,720	50% above the national average	$2,170	$11,778
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	67	$2,720	50% above the national average	$2,163	$25,014
Sutter Solano Medical CenterVallejo, CA · CCN 050101	23	$2,738	51% above the national average	$2,181	$11,704

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.