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 351–400. 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
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 170200	11	$1,624	10% below the national average	$1,302	$5,416
Fairview HospitalCleveland, OH · CCN 360077	122	$1,624	10% below the national average	$1,296	$9,167
Lake HealthConcord, OH · CCN 360098	14	$1,624	10% below the national average	$1,294	$13,405
UH Regional HospitalsChardon, OH · CCN 360075	18	$1,624	10% below the national average	$1,294	$9,654
Mercy Specialty Hospital Southeast KansasGalena, KS · CCN 170203	56	$1,624	10% below the national average	$1,295	$7,472
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 170142	67	$1,625	10% below the national average	$1,292	$4,640
Person Memorial HospitalRoxboro, NC · CCN 340159	29	$1,625	10% below the national average	$1,279	$21,120
McLaren MacombMount Clemens, MI · CCN 230227	26	$1,625	10% below the national average	$1,278	$5,299
Roosevelt General HospitalPortales, NM · CCN 320084	11	$1,625	10% below the national average	$1,303	$16,709
Henrico Doctors' HospitalRichmond, VA · CCN 490118	144	$1,625	10% below the national average	$1,294	$36,252
Rock Regional Hospital, LLCDerby, KS · CCN 170204	26	$1,625	10% below the national average	$1,274	$13,609
South Florida Baptist HospitalPlant City, FL · CCN 100132	12	$1,625	10% below the national average	$1,259	$9,430
CJW Medical CenterRichmond, VA · CCN 490112	415	$1,625	10% below the national average	$1,299	$43,062
Clark Regional Medical CenterWinchester, KY · CCN 180092	60	$1,626	10% below the national average	$1,299	$10,261
North Austin Medical CenterAustin, TX · CCN 450809	125	$1,626	10% below the national average	$1,290	$29,287
Georgetown Community HospitalGeorgetown, KY · CCN 180101	93	$1,626	10% below the national average	$1,292	$14,641
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	40	$1,626	10% below the national average	$1,194	$19,569
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	171	$1,626	10% below the national average	$1,287	$9,407
Timpanogos Regional HospitalOrem, UT · CCN 460052	36	$1,627	10% below the national average	$1,285	$16,930
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	139	$1,627	10% below the national average	$1,289	$5,883
Grand Lake Health SystemSaint Marys, OH · CCN 360032	47	$1,627	10% below the national average	$1,300	$8,042
Sartori Memorial Hospital, IncCedar Falls, IA · CCN 160040	59	$1,627	10% below the national average	$1,317	$15,770
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	58	$1,627	10% below the national average	$1,290	$11,251
Henry Ford Health HospitalDetroit, MI · CCN 230053	389	$1,627	10% below the national average	$1,297	$7,079
Wooster Community HospitalWooster, OH · CCN 360036	48	$1,628	10% below the national average	$1,302	$4,418
Spencer Municipal HospitalSpencer, IA · CCN 160112	41	$1,628	10% below the national average	$1,299	$6,097
Allen HospitalWaterloo, IA · CCN 160110	18	$1,628	10% below the national average	$1,297	$8,694
Lakes Regional HealthcareSpirit Lake, IA · CCN 160124	44	$1,628	10% below the national average	$1,293	$5,216
Cullman Regional Medical CenterCullman, AL · CCN 010035	24	$1,628	10% below the national average	$1,286	$5,570
Willis Knighton Medical CenterShreveport, LA · CCN 190111	303	$1,628	10% below the national average	$1,300	$15,321
Edward W Sparrow HospitalLansing, MI · CCN 230230	46	$1,629	10% below the national average	$1,297	$8,914
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	87	$1,629	10% below the national average	$1,297	$23,105
Billings Clinic HospitalBillings, MT · CCN 270004	133	$1,630	10% below the national average	$1,296	$3,860
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	47	$1,630	10% below the national average	$1,302	$29,779
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	39	$1,630	10% below the national average	$1,301	$26,299
McLeod Loris HospitalLoris, SC · CCN 420105	77	$1,630	10% below the national average	$1,300	$12,895
Methodist HospitalSan Antonio, TX · CCN 450388	247	$1,630	10% below the national average	$1,293	$13,207
Maria Parham Medical CenterHenderson, NC · CCN 340132	42	$1,630	10% below the national average	$1,309	$18,100
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	104	$1,630	10% below the national average	$1,304	$9,770
Hillcrest Medical CenterTulsa, OK · CCN 370001	150	$1,631	10% below the national average	$1,301	$24,497
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	174	$1,631	10% below the national average	$1,305	$10,233
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	49	$1,631	10% below the national average	$1,310	$6,949
Conway Regional Medical Center, IncConway, AR · CCN 040029	62	$1,631	10% below the national average	$1,305	$8,854
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036	38	$1,631	10% below the national average	$1,300	$10,333
Baptist Health Medical Center- ConwayConway, AR · CCN 040154	13	$1,631	10% below the national average	$1,300	$12,463
Archbold Memorial HospitalThomasville, GA · CCN 110038	75	$1,631	10% below the national average	$1,300	$7,716
Panola Medical CenterBatesville, MS · CCN 250781	66	$1,631	10% below the national average	$1,312	$11,498
Mercy Health - West HospitalCincinnati, OH · CCN 360234	113	$1,631	10% below the national average	$1,299	$17,199
Atrium Health UnionMonroe, NC · CCN 340130	98	$1,631	10% below the national average	$1,291	$12,503
Johnson City Medical CenterJohnson City, TN · CCN 440063	39	$1,632	10% below the national average	$1,300	$17,805

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.