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 Iowa

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.

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Year of care

Average payment across these 24 hospitals: $1,637National $1,815 · Iowa $1,637
Median hospital: $1,641
Lowest to highest: $1,559–$1,844
Medicare procedures: 2,336

24 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	520	$1,559	14% below the national average	$1,233	$10,642
Mary Greeley Medical CenterAmes, IA · CCN 160030	145	$1,610	11% below the national average	$1,277	$8,018
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	89	$1,615	11% below the national average	$1,295	$14,893
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	151	$1,619	11% below the national average	$1,290	$18,263
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	310	$1,623	11% below the national average	$1,291	$11,548
Sartori Memorial Hospital, IncCedar Falls, IA · CCN 160040	59	$1,627	10% below the national average	$1,317	$15,770
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
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	18	$1,633	10% below the national average	$1,290	$6,430
Grinnell Regional Medical CenterGrinnell, IA · CCN 160147	11	$1,633	About average	$1,301	$7,904
St Lukes HospitalCedar Rapids, IA · CCN 160045	183	$1,641	About average	$1,320	$9,461
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	199	$1,641	About average	$1,318	$8,356
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	60	$1,641	About average	$1,307	$6,133
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	22	$1,652	About average	$1,308	$6,282
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	22	$1,698	About average	$1,359	$14,655
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	32	$1,715	About average	$1,364	$7,705
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	51	$1,735	About average	$1,382	$10,091
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	208	$1,737	About average	$1,385	$8,716
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	35	$1,743	About average	$1,399	$5,335
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	19	$1,743	About average	$1,384	$9,802
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	11	$1,749	About average	$1,404	$7,756
Ottumwa Regional Health CenterOttumwa, IA · CCN 160089	26	$1,757	About average	$1,400	$18,175
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	62	$1,844	About average	$1,469	$15,049

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.