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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

Hospitals in Alabama

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
Alabama
Specific hospitals up to 10
Average payment across these 43 hospitals
$1,560National $1,815 · Alabama $1,560
Median hospital
$1,542
Lowest to highest
$1,242–$1,742
Medicare procedures
4,221

43 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 2 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Athens Limestone HospitalAthens, AL · CCN 01007923$1,24232% below the national average$967$7,453
North Baldwin InfirmaryBay Minette, AL · CCN 01012912$1,38124% below the national average$1,067$4,614
Springhill Medical CenterMobile, AL · CCN 01014487$1,48418% below the national average$1,163$11,281
Citizens Baptist Medical CenterTalladega, AL · CCN 01010113$1,49218% below the national average$1,172$20,358
Jackson Hospital & Clinic IncMontgomery, AL · CCN 01002491$1,49518% below the national average$1,186$7,856
Medical Center EnterpriseEnterprise, AL · CCN 01004921$1,49917% below the national average$1,180$40,275
Mobile Infirmary Medical CenterMobile, AL · CCN 010113154$1,50017% below the national average$1,182$5,888
Walker Baptist Medical CenterJasper, AL · CCN 01008915$1,50317% below the national average$1,166$24,329
Baptist Medical Center EastMontgomery, AL · CCN 01014935$1,50817% below the national average$1,195$5,354
Troy Regional Medical CenterTroy, AL · CCN 01012614$1,51417% below the national average$1,189$9,586
Gadsden Regional Medical CenterGadsden, AL · CCN 01004096$1,51616% below the national average$1,187$38,422
Grandview Medical CenterBirmingham, AL · CCN 010104396$1,52016% below the national average$1,198$38,359
North Alabama Medical CenterFlorence, AL · CCN 010006148$1,52016% below the national average$1,213$12,120
Princeton Baptist Medical CenterBirmingham, AL · CCN 01010320$1,52516% below the national average$1,202$20,807
University Of Alabama HospitalBirmingham, AL · CCN 010033452$1,52716% below the national average$1,205$14,117
Baptist Health Brookwood HospitalBirmingham, AL · CCN 01013943$1,53016% below the national average$1,207$20,223
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 01011495$1,53615% below the national average$1,220$6,336
Baldwin HealthFoley, AL · CCN 01008385$1,53715% below the national average$1,214$27,556
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 01009088$1,53815% below the national average$1,218$4,793
Helen Keller HospitalSheffield, AL · CCN 01001967$1,54015% below the national average$1,224$6,747
USA Health University HospitalMobile, AL · CCN 010087155$1,54115% below the national average$1,223$7,631
Huntsville HospitalHuntsville, AL · CCN 010039176$1,54215% below the national average$1,218$7,270
Coosa Valley Medical CenterSylacauga, AL · CCN 01016434$1,54515% below the national average$1,224$8,357
Thomas HospitalFairhope, AL · CCN 010100151$1,54815% below the national average$1,226$6,061
Marshall Medical CentersBoaz, AL · CCN 010005101$1,54815% below the national average$1,230$5,519
Baptist Medical Center SouthMontgomery, AL · CCN 01002317$1,55514% below the national average$1,244$5,618
Russell Medical CenterAlexander City, AL · CCN 010065160$1,55814% below the national average$1,236$4,656
St Vincent's BirminghamBirmingham, AL · CCN 01005642$1,55814% below the national average$1,232$17,177
Riverview Regional Medical CenterGadsden, AL · CCN 01004681$1,56214% below the national average$1,236$11,623
Crestwood Medical CenterHuntsville, AL · CCN 010131284$1,56514% below the national average$1,238$32,260
Southeast Health Medical CenterDothan, AL · CCN 010001110$1,57413% below the national average$1,247$11,944
Flowers HospitalDothan, AL · CCN 01005581$1,58413% below the national average$1,250$66,416
St. Vincent's EastBirmingham, AL · CCN 01001122$1,58812% below the national average$1,266$16,299
St Vincent's St ClairPell City, AL · CCN 01013027$1,58912% below the national average$1,256$8,704
Andalusia HealthAndalusia, AL · CCN 01003636$1,59212% below the national average$1,263$11,143
Community Hospital IncTallassee, AL · CCN 01003418$1,59812% below the national average$1,267$2,929
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 01008518$1,60711% below the national average$1,270$10,476
Cullman Regional Medical CenterCullman, AL · CCN 01003524$1,62810% below the national average$1,286$5,570
Dch Regional Medical CenterTuscaloosa, AL · CCN 01009254$1,642About average$1,297$7,336
DeKalb Regional Medical CenterFort Payne, AL · CCN 01001262$1,648About average$1,310$15,519
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078577$1,680About average$1,327$15,186
The East Alabama Healthcare AuthorityOpelika, AL · CCN 01002922$1,683About average$1,345$4,666
Highlands Medical CenterScottsboro, AL · CCN 01006114$1,742About average$1,384$6,273

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.