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 251–300. 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
Carolina Pines Regional Medical CenterHartsville, SC · CCN 420010	16	$1,608	11% below the national average	$1,264	$13,518
Boone Hospital CenterColumbia, MO · CCN 260068	481	$1,608	11% below the national average	$1,274	$8,638
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	144	$1,608	11% below the national average	$1,289	$7,994
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	31	$1,608	11% below the national average	$1,290	$14,398
Evans Memorial HospitalClaxton, GA · CCN 110142	11	$1,608	11% below the national average	$1,289	$12,618
SGMC HealthValdosta, GA · CCN 110122	53	$1,608	11% below the national average	$1,283	$15,987
Lane Regional Medical CenterZachary, LA · CCN 190020	12	$1,609	11% below the national average	$1,295	$9,433
Community Hospital, LLCOklahoma City, OK · CCN 370203	122	$1,609	11% below the national average	$1,277	$9,330
Ochsner Medical Center - Baton RougeBaton Rouge, LA · CCN 190202	35	$1,609	11% below the national average	$1,286	$8,208
HCA Florida University HospitalDavie, FL · CCN 100360	12	$1,609	11% below the national average	$1,259	$24,065
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	53	$1,610	11% below the national average	$1,287	$9,271
Piedmont Augusta HospitalAugusta, GA · CCN 110028	13	$1,610	11% below the national average	$1,289	$12,887
University McDuffie County Regional Medical CenterThomson, GA · CCN 110111	21	$1,610	11% below the national average	$1,283	$9,828
Mary Greeley Medical CenterAmes, IA · CCN 160030	145	$1,610	11% below the national average	$1,277	$8,018
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	72	$1,610	11% below the national average	$1,279	$7,931
Aiken Regional Medical CenterAiken, SC · CCN 420082	35	$1,611	11% below the national average	$1,277	$13,912
Holland HospitalHolland, MI · CCN 230072	30	$1,611	11% below the national average	$1,285	$4,492
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	30	$1,611	11% below the national average	$1,275	$16,661
Kansas Medical Center LLCAndover, KS · CCN 170197	291	$1,611	11% below the national average	$1,281	$4,449
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	85	$1,611	11% below the national average	$1,286	$8,849
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	101	$1,612	11% below the national average	$1,280	$6,854
Avoyelles HospitalMarksville, LA · CCN 190099	12	$1,612	11% below the national average	$1,291	$13,183
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	90	$1,612	11% below the national average	$1,282	$17,080
The Hospitals Of Providence Transmountain CampusEl Paso, TX · CCN 670120	65	$1,612	11% below the national average	$1,281	$32,489
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	110	$1,612	11% below the national average	$1,279	$8,999
Centerpoint Medical CenterIndependence, MO · CCN 260095	54	$1,613	11% below the national average	$1,274	$21,144
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 190298	110	$1,613	11% below the national average	$1,280	$22,815
Raleigh General HospitalBeckley, WV · CCN 510070	74	$1,613	11% below the national average	$1,284	$16,898
Bellevue Medical CenterBellevue, NE · CCN 280132	27	$1,613	11% below the national average	$1,265	$7,062
Springhill Medical CenterSpringhill, LA · CCN 190088	14	$1,614	11% below the national average	$1,253	$7,750
Spectrum HealthGrand Rapids, MI · CCN 230038	657	$1,614	11% below the national average	$1,277	$7,003
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	600	$1,614	11% below the national average	$1,282	$7,343
Tift Regional Medical CenterTifton, GA · CCN 110095	80	$1,614	11% below the national average	$1,282	$6,454
CHI Health St. ElizabethLincoln, NE · CCN 280020	49	$1,615	11% below the national average	$1,267	$12,336
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	89	$1,615	11% below the national average	$1,295	$14,893
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	26	$1,615	11% below the national average	$1,273	$7,484
Duke Regional HospitalDurham, NC · CCN 340155	27	$1,615	11% below the national average	$1,273	$13,141
University Of Louisville HospitalLouisville, KY · CCN 180141	105	$1,615	11% below the national average	$1,281	$22,401
Fairfield Medical CenterLancaster, OH · CCN 360072	50	$1,615	11% below the national average	$1,272	$6,336
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	275	$1,615	11% below the national average	$1,291	$7,869
Carilion Medical CenterRoanoke, VA · CCN 490024	222	$1,615	11% below the national average	$1,285	$8,183
University Health SystemSan Antonio, TX · CCN 450213	202	$1,615	11% below the national average	$1,280	$6,474
Saint Francis Hospital Vinita, IncVinita, OK · CCN 370237	14	$1,616	11% below the national average	$1,301	$8,249
Hillcrest Hospital ClaremoreClaremore, OK · CCN 370039	22	$1,616	11% below the national average	$1,295	$31,347
Integris Health Enid HospitalEnid, OK · CCN 370016	22	$1,616	11% below the national average	$1,295	$17,048
Phoebe Sumter Medical CenterAmericus, GA · CCN 110044	19	$1,616	11% below the national average	$1,305	$11,424
Bailey Medical Center, LLCOwasso, OK · CCN 370228	42	$1,616	11% below the national average	$1,294	$18,847
Memorial HealthLawton, OK · CCN 370056	37	$1,616	11% below the national average	$1,286	$5,510
Christ HospitalCincinnati, OH · CCN 360163	179	$1,616	11% below the national average	$1,277	$7,605
Hazard ARH Regional Medical CenterHazard, KY · CCN 180029	61	$1,616	11% below the national average	$1,285	$12,720

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.