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 401–450. 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
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	383	$1,632	10% below the national average	$1,300	$5,576
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	111	$1,632	10% below the national average	$1,299	$17,037
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	74	$1,632	10% below the national average	$1,304	$9,116
Hillcrest Hospital PryorPryor, OK · CCN 370015	17	$1,632	10% below the national average	$1,304	$15,513
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	18	$1,633	10% below the national average	$1,290	$6,430
Wellington Regional Medical CenterWellington, FL · CCN 100275	13	$1,633	10% below the national average	$1,268	$28,681
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049	168	$1,633	About average	$1,297	$6,650
Grinnell Regional Medical CenterGrinnell, IA · CCN 160147	11	$1,633	About average	$1,301	$7,904
Piedmont Macon North HospitalMacon, GA · CCN 110201	65	$1,633	About average	$1,306	$15,619
Peterson Regional Medical CenterKerrville, TX · CCN 450007	153	$1,634	About average	$1,309	$7,075
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	91	$1,634	About average	$1,297	$17,365
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	62	$1,634	About average	$1,303	$12,576
Borgess Medical CenterKalamazoo, MI · CCN 230117	50	$1,634	About average	$1,299	$7,445
Sovah Health DanvilleDanville, VA · CCN 490075	24	$1,635	About average	$1,291	$14,505
St Elizabeth FlorenceFlorence, KY · CCN 180045	108	$1,635	About average	$1,304	$10,502
KershawHealthCamden, SC · CCN 420048	13	$1,635	About average	$1,309	$21,352
Prisma Health BaptistColumbia, SC · CCN 420086	21	$1,635	About average	$1,307	$12,503
Prisma Health Richland HospitalColumbia, SC · CCN 420018	73	$1,635	About average	$1,304	$12,590
Shands JacksonvilleJacksonville, FL · CCN 100001	41	$1,636	About average	$1,292	$20,186
Blount Memorial HospitalMaryville, TN · CCN 440011	83	$1,636	About average	$1,307	$10,302
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	84	$1,636	About average	$1,299	$18,852
Dallas Regional Medical CenterMesquite, TX · CCN 450688	18	$1,637	About average	$1,283	$18,858
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	73	$1,637	About average	$1,299	$15,516
AdventHealth Fish MemorialOrange City, FL · CCN 100072	16	$1,637	About average	$1,304	$14,367
Pelham Medical CenterGreer, SC · CCN 420103	78	$1,638	About average	$1,308	$12,121
Baptist Health RichmondRichmond, KY · CCN 180049	67	$1,638	About average	$1,310	$14,302
Saint Luke's South HospitalOverland Park, KS · CCN 170185	111	$1,638	About average	$1,311	$12,882
Bsa HospitalAmarillo, TX · CCN 450231	103	$1,638	About average	$1,304	$15,906
Centra Bedford Memorial HospitalBedford, VA · CCN 490088	37	$1,638	About average	$1,312	$17,939
Bon Secours Southern Virginia Medical CenterEmporia, VA · CCN 490097	13	$1,638	About average	$1,305	$18,429
Johnston Memorial HospitalAbingdon, VA · CCN 490053	25	$1,638	About average	$1,304	$14,332
Wilson Medical CenterWilson, NC · CCN 340126	38	$1,638	About average	$1,316	$16,137
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	69	$1,638	About average	$1,307	$9,168
Mary Immaculate HospitalNewport News, VA · CCN 490041	56	$1,638	About average	$1,302	$8,017
Christus Mother Frances HospitalTyler, TX · CCN 450102	527	$1,638	About average	$1,309	$20,460
Delta Health System - The Medical CenterGreenville, MS · CCN 250082	38	$1,639	About average	$1,317	$7,644
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	236	$1,639	About average	$1,305	$9,288
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	22	$1,639	About average	$1,328	$32,623
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	36	$1,639	About average	$1,315	$16,563
Southwestern Medical CenterLawton, OK · CCN 370097	43	$1,639	About average	$1,314	$19,961
Hillcrest Hospital SouthTulsa, OK · CCN 370202	98	$1,639	About average	$1,309	$15,933
Bethesda NorthCincinnati, OH · CCN 360179	171	$1,639	About average	$1,303	$7,790
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	88	$1,639	About average	$1,306	$10,640
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	39	$1,639	About average	$1,306	$8,731
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	56	$1,639	About average	$1,306	$6,146
Ascension St John Medical CenterTulsa, OK · CCN 370114	106	$1,639	About average	$1,303	$13,010
Citizens Medical CenterVictoria, TX · CCN 450023	63	$1,640	About average	$1,299	$5,726
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	35	$1,640	About average	$1,314	$33,071
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	136	$1,641	About average	$1,301	$15,285
University Of Toledo Medical CenterToledo, OH · CCN 360048	103	$1,641	About average	$1,300	$14,708

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.