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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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 301–350. Download as CSV

Medicare payments per case for Level 2 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Nacogdoches Medical CenterNacogdoches, TX · CCN 45065638$1,61611% below the national average$1,279$20,414
St Francis-DowntownGreenville, SC · CCN 420023204$1,61711% below the national average$1,284$19,022
Chesapeake General HospitalChesapeake, VA · CCN 490120170$1,61711% below the national average$1,285$7,937
Baptist Health HardinElizabethtown, KY · CCN 180012232$1,61811% below the national average$1,289$13,919
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359193$1,61811% below the national average$1,287$10,055
Doctors HospitalColumbus, OH · CCN 36015223$1,61811% below the national average$1,288$15,467
West Boca Medical CenterBoca Raton, FL · CCN 10026813$1,61811% below the national average$1,266$33,414
HCA Florida Kendall HospitalMiami, FL · CCN 10020926$1,61811% below the national average$1,260$19,304
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 36013236$1,61811% below the national average$1,282$18,824
Baptist Health - Fort SmithFort Smith, AR · CCN 04005546$1,61811% below the national average$1,293$13,779
Trihealth Clinton Regional HospitalWilmington, OH · CCN 36017528$1,61911% below the national average$1,313$6,710
O U Medical CenterOklahoma City, OK · CCN 370093 · +$214 outlier payments per case366$1,61911% below the national average$1,285$33,945
Kings Daughters Medical Center OhioPortsmouth, OH · CCN 36036115$1,61911% below the national average$1,306$7,501
Mercer County Joint Township Community HospitalColdwater, OH · CCN 36005832$1,61911% below the national average$1,303$6,959
Salem Regional Medical CenterSalem, OH · CCN 36018522$1,61911% below the national average$1,299$5,968
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 36021161$1,61911% below the national average$1,295$5,490
Union HospitalDover, OH · CCN 36001024$1,61911% below the national average$1,294$6,571
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083151$1,61911% below the national average$1,290$18,263
HMHP St Elizabeth Boardman Health CenterBoardman, OH · CCN 36027635$1,61911% below the national average$1,292$11,673
Akron General Medical CenterAkron, OH · CCN 36002761$1,61911% below the national average$1,291$9,761
Summa Health SystemAkron, OH · CCN 36002085$1,61911% below the national average$1,290$10,449
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 36005515$1,61911% below the national average$1,290$18,463
MH St Joseph Warren HospitalWarren, OH · CCN 36016138$1,61911% below the national average$1,290$10,713
Norman RegionalNorman, OK · CCN 37000865$1,61911% below the national average$1,292$15,187
Firelands Regional Medical CenterSandusky, OH · CCN 36002593$1,61911% below the national average$1,289$7,108
Lewisgale Medical CenterSalem, VA · CCN 490048281$1,61911% below the national average$1,302$39,697
University Hospitals Samaritan Medical CenterAshland, OH · CCN 36000215$1,61911% below the national average$1,285$9,110
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078473$1,61911% below the national average$1,289$14,289
Tristar Horizon Medical CenterDickson, TN · CCN 44004671$1,62011% below the national average$1,298$21,349
Salina Surgical HospitalSalina, KS · CCN 170187144$1,62011% below the national average$1,290$2,976
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037200$1,62011% below the national average$1,288$11,403
Good Samaritan HospitalCincinnati, OH · CCN 360134156$1,62011% below the national average$1,289$5,740
Williamson Medical CenterFranklin, TN · CCN 44002944$1,62111% below the national average$1,291$8,606
Norton Hospitals, IncLouisville, KY · CCN 180088560$1,62111% below the national average$1,292$11,972
Parkridge Medical CenterChattanooga, TN · CCN 44015615$1,62211% below the national average$1,292$20,275
Covenant Medical CenterLubbock, TX · CCN 450040176$1,62211% below the national average$1,289$34,448
Baptist Health LagrangeLa Grange, KY · CCN 18013842$1,62211% below the national average$1,303$16,692
Brigham City Community HospitalBrigham City, UT · CCN 46001734$1,62211% below the national average$1,277$14,835
Prisma Health Patewood HospitalGreenville, SC · CCN 42010271$1,62211% below the national average$1,317$14,871
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082310$1,62311% below the national average$1,291$11,548
Tristar Centennial Medical CenterNashville, TN · CCN 440161322$1,62311% below the national average$1,290$16,158
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016206$1,62311% below the national average$1,284$12,208
Riverside Regional Medical CenterNewport News, VA · CCN 490052265$1,62411% below the national average$1,291$9,443
Kettering Health DaytonDayton, OH · CCN 36013395$1,62411% below the national average$1,289$18,459
St Elizabeth EdgewoodEdgewood, KY · CCN 180035105$1,62411% below the national average$1,298$11,022
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 23005955$1,62411% below the national average$1,292$5,578
Marymount HospitalGarfield Heights, OH · CCN 36014315$1,62410% below the national average$1,310$9,045
Mount Pleasant HospitalMount Pleasant, SC · CCN 42010475$1,62410% below the national average$1,293$8,851
Harris Regional HospitalSylva, NC · CCN 34001675$1,62410% below the national average$1,282$19,735
University Hospitals - Elyria Medical CenterElyria, OH · CCN 36014521$1,62410% below the national average$1,298$10,165

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6377$1,027$845–$993
Mississippi271,517$1,477$1,550–$1,595
Alabama434,221$1,560$1,518–$1,586
Louisiana322,348$1,585$1,580–$1,599
Tennessee414,358$1,593$1,566–$1,621
West Virginia171,850$1,594$1,551–$1,613
Ohio888,558$1,607$1,602–$1,657
South Carolina394,850$1,625$1,601–$1,643
Oklahoma363,876$1,632$1,608–$1,654
Arkansas231,701$1,633$1,605–$1,713
Iowa242,336$1,637$1,628–$1,735
Kentucky443,946$1,639$1,604–$1,680
Kansas293,078$1,651$1,620–$1,726
Missouri506,250$1,657$1,645–$1,713
Utah242,774$1,674$1,659–$1,704
Michigan635,044$1,680$1,658–$1,725
Texas14713,129$1,687$1,651–$1,732
North Carolina626,724$1,687$1,656–$1,708
Georgia695,427$1,689$1,616–$1,754
Virginia537,105$1,691$1,631–$1,760
Nebraska161,614$1,699$1,672–$1,723
Florida13213,872$1,708$1,706–$1,724
Indiana565,387$1,712$1,691–$1,734
New Mexico13914$1,729$1,657–$1,775
Maine111,038$1,741$1,678–$1,782
Wisconsin524,716$1,748$1,708–$1,776
Pennsylvania879,237$1,762$1,699–$1,820
Idaho121,421$1,765$1,712–$1,831
Illinois849,354$1,792$1,758–$1,822
North Dakota61,160$1,794$1,761–$1,857
South Dakota71,422$1,801$1,759–$1,900
Montana91,328$1,811$1,769–$1,874
Colorado363,352$1,819$1,803–$1,811
New Hampshire132,049$1,858$1,805–$1,894
Wyoming7210$1,859$1,892–$1,911
Arizona384,351$1,861$1,833–$1,856
Minnesota284,454$1,861$1,792–$1,826
Delaware5721$1,902$1,896–$1,909
District of Columbia51,155$1,918$1,910–$1,942
Rhode Island8696$1,919$1,918–$1,931
Washington424,083$1,935$1,897–$2,000
Alaska5323$2,004$1,964–$2,103
New Jersey494,740$2,013$1,992–$2,111
Oregon211,674$2,019$1,971–$2,011
Nevada14807$2,030$2,007–$2,038
Massachusetts498,033$2,031$2,019–$2,043
New York8710,807$2,088$2,017–$2,141
Connecticut212,140$2,108$2,093–$2,141
Hawaii7441$2,151$2,136–$2,266
California15417,365$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.