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 201–250. 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
Terrebonne General Medical Center - ParishHouma, LA · CCN 190008	12	$1,596	12% below the national average	$1,272	$7,794
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041	25	$1,597	12% below the national average	$1,261	$16,205
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	36	$1,597	12% below the national average	$1,272	$15,306
Erlanger Medical CenterChattanooga, TN · CCN 440104	182	$1,597	12% below the national average	$1,271	$10,066
Hillcrest HospitalMayfield Heights, OH · CCN 360230	193	$1,598	12% below the national average	$1,268	$7,553
Community Hospital IncTallassee, AL · CCN 010034	18	$1,598	12% below the national average	$1,267	$2,929
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	38	$1,598	12% below the national average	$1,278	$12,100
King's Daughters Medical Center-BrookhavenBrookhaven, MS · CCN 250057	25	$1,598	12% below the national average	$1,267	$4,795
Highland Community HospitalPicayune, MS · CCN 250117	17	$1,598	12% below the national average	$1,283	$8,900
UH Cleveland Medical CenterCleveland, OH · CCN 360137	147	$1,598	12% below the national average	$1,268	$10,904
Thibodaux Regional Medical CenterThibodaux, LA · CCN 190004	16	$1,598	12% below the national average	$1,273	$10,111
Christus Ochsner St Patrick HospitalLake Charles, LA · CCN 190027	32	$1,598	12% below the national average	$1,268	$18,258
Holzer Medical CenterGallipolis, OH · CCN 360054	63	$1,598	12% below the national average	$1,286	$9,864
West Calcasieu Cameron HospitalSulphur, LA · CCN 190013	15	$1,598	12% below the national average	$1,274	$4,273
Grace Surgical HospitalLubbock, TX · CCN 450162	38	$1,599	12% below the national average	$1,277	$10,801
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	141	$1,599	12% below the national average	$1,269	$6,442
Upper Valley Medical CenterTroy, OH · CCN 360174	243	$1,600	12% below the national average	$1,275	$9,159
Prisma Health Baptist Easley HospitalEasley, SC · CCN 420015	32	$1,600	12% below the national average	$1,277	$10,509
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	235	$1,600	12% below the national average	$1,265	$9,672
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	195	$1,601	12% below the national average	$1,288	$11,460
UH St John Medical CenterWestlake, OH · CCN 360123	103	$1,601	12% below the national average	$1,271	$11,700
South Pointe HospitalWarrensville Heights, OH · CCN 360144	56	$1,601	12% below the national average	$1,274	$7,719
St Mary's Regional Medical CenterEnid, OK · CCN 370026	183	$1,602	12% below the national average	$1,278	$23,038
Adena Regional Medical CenterChillicothe, OH · CCN 360159	68	$1,602	12% below the national average	$1,271	$15,079
Christus St Frances Cabrini HospitalAlexandria, LA · CCN 190019	29	$1,602	12% below the national average	$1,270	$17,254
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	106	$1,602	12% below the national average	$1,268	$12,386
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	124	$1,603	12% below the national average	$1,266	$15,134
Forbes HospitalMonroeville, PA · CCN 390267	28	$1,603	12% below the national average	$1,257	$10,624
MUSC Medical CenterCharleston, SC · CCN 420004 · +$182 outlier payments per case	670	$1,603	12% below the national average	$1,274	$16,260
Lima Memorial Health SystemLima, OH · CCN 360009	85	$1,603	12% below the national average	$1,267	$13,972
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 360064	56	$1,604	12% below the national average	$1,270	$12,604
Baptist Health LouisvilleLouisville, KY · CCN 180130	176	$1,604	12% below the national average	$1,279	$16,823
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040 · +$301 outlier payments per case	278	$1,604	12% below the national average	$1,274	$16,869
Trident Medical CenterCharleston, SC · CCN 420079	70	$1,604	12% below the national average	$1,270	$22,715
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	115	$1,605	12% below the national average	$1,277	$5,736
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	35	$1,605	12% below the national average	$1,283	$14,318
St Bernards Medical CenterJonesboro, AR · CCN 040020	106	$1,605	12% below the national average	$1,282	$6,803
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010	52	$1,605	12% below the national average	$1,280	$5,682
Johnson Regional Medical CenterClarksville, AR · CCN 040002	17	$1,605	12% below the national average	$1,279	$3,101
Arkansas Methodist Medical CenterParagould, AR · CCN 040039	12	$1,605	12% below the national average	$1,279	$9,097
Blanchard Valley HospitalFindlay, OH · CCN 360095	69	$1,605	12% below the national average	$1,274	$5,577
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	160	$1,606	12% below the national average	$1,273	$9,582
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	69	$1,606	12% below the national average	$1,278	$8,195
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	336	$1,606	12% below the national average	$1,279	$11,331
Saint Luke's East HospitalLees Summit, MO · CCN 260216	24	$1,607	11% below the national average	$1,269	$16,332
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	333	$1,607	11% below the national average	$1,278	$5,050
St Joseph HospitalBangor, ME · CCN 200001	100	$1,607	11% below the national average	$1,278	$10,572
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	641	$1,607	11% below the national average	$1,278	$16,324
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	18	$1,607	11% below the national average	$1,270	$10,476
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	178	$1,608	11% below the national average	$1,278	$18,619

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.