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 Illinois

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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Illinois

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Year of care

Average payment across these 84 hospitals: $1,792National $1,815 · Illinois $1,792
Median hospital: $1,789
Lowest to highest: $1,646–$1,883
Medicare procedures: 9,354

84 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
FHN Memorial HospitalFreeport, IL · CCN 140160	27	$1,646	About average	$1,307	$15,015
Carle Foundation HospitalUrbana, IL · CCN 140091	291	$1,688	About average	$1,346	$10,147
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 140180	32	$1,717	About average	$1,346	$15,698
Advocate Trinity HospitalChicago, IL · CCN 140048	49	$1,718	About average	$1,374	$14,878
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	49	$1,730	About average	$1,378	$14,139
St Johns HospitalSpringfield, IL · CCN 140053	122	$1,737	About average	$1,381	$13,805
Graham Hospital AssociationCanton, IL · CCN 140001	39	$1,738	About average	$1,390	$9,581
Memorial HospitalBelleville, IL · CCN 140185	72	$1,739	About average	$1,392	$11,638
Decatur Memorial HospitalDecatur, IL · CCN 140135	72	$1,739	About average	$1,384	$10,197
Saint Francis Medical CenterPeoria, IL · CCN 140067	307	$1,740	About average	$1,386	$12,390
Javon Bea HospitalRockford, IL · CCN 140239	84	$1,741	About average	$1,391	$13,024
Jersey Community HospitalJerseyville, IL · CCN 140059	92	$1,745	About average	$1,387	$4,805
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	72	$1,749	About average	$1,401	$12,139
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	59	$1,758	About average	$1,414	$14,866
Alton Memorial HospitalAlton, IL · CCN 140002	41	$1,758	About average	$1,412	$6,625
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	16	$1,758	About average	$1,412	$10,747
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 140113	11	$1,758	About average	$1,409	$20,293
St Marys HospitalDecatur, IL · CCN 140166	68	$1,758	About average	$1,408	$11,870
Carle Bromenn Medical CenterNormal, IL · CCN 140127	13	$1,758	About average	$1,408	$6,307
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	15	$1,758	About average	$1,407	$11,299
Heartland Regional Medical CenterMarion, IL · CCN 140184	28	$1,758	About average	$1,404	$26,424
Trinity Rock IslandRock Island, IL · CCN 140280	30	$1,758	About average	$1,404	$8,994
Herrin HospitalHerrin, IL · CCN 140011	33	$1,758	About average	$1,404	$17,954
Anderson HospitalMaryville, IL · CCN 140289	59	$1,759	About average	$1,402	$8,320
Memorial Medical CenterSpringfield, IL · CCN 140148	170	$1,759	About average	$1,401	$12,196
CGH Medical CenterSterling, IL · CCN 140043	21	$1,759	About average	$1,401	$14,760
Genesis Medical CenterSilvis, IL · CCN 140275	16	$1,759	About average	$1,401	$5,087
Carle Health Methodist HospitalPeoria, IL · CCN 140209	56	$1,759	About average	$1,398	$27,660
Riverside Medical CenterKankakee, IL · CCN 140186	51	$1,762	About average	$1,400	$15,617
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	116	$1,762	About average	$1,404	$19,589
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	455	$1,771	About average	$1,417	$11,471
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	37	$1,772	About average	$1,420	$12,753
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	47	$1,776	About average	$1,422	$12,920
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	78	$1,777	About average	$1,421	$10,494
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	196	$1,778	About average	$1,422	$13,224
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	110	$1,780	About average	$1,421	$7,576
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	94	$1,780	About average	$1,414	$9,834
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	508	$1,781	About average	$1,420	$5,605
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	217	$1,782	About average	$1,435	$22,724
Saint Joseph Medical CenterJoliet, IL · CCN 140007	61	$1,783	About average	$1,420	$10,214
Edward HospitalNaperville, IL · CCN 140231	364	$1,784	About average	$1,415	$14,906
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	294	$1,788	About average	$1,425	$10,586
Presence St Marys HospitalKankakee, IL · CCN 140155	33	$1,789	About average	$1,431	$15,013
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	262	$1,791	About average	$1,422	$8,824
Palos Community HospitalPalos Heights, IL · CCN 140062	103	$1,792	About average	$1,431	$13,605
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	23	$1,794	About average	$1,417	$18,271
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	400	$1,796	About average	$1,438	$18,932
Midwestern Region Medical Center, IncZion, IL · CCN 140100	59	$1,796	About average	$1,431	$17,291
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	359	$1,796	About average	$1,424	$8,337
The University Of Chicago Medical CenterChicago, IL · CCN 140088	341	$1,799	About average	$1,425	$21,416

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.