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 Indiana

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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Indiana

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Average payment across these 56 hospitals: $1,712National $1,815 · Indiana $1,712
Median hospital: $1,708
Lowest to highest: $1,650–$1,841
Medicare procedures: 5,387

56 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
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	62	$1,650	About average	$1,307	$11,167
Northwest Health - PorterValparaiso, IN · CCN 150035	116	$1,651	About average	$1,304	$18,873
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	153	$1,652	About average	$1,314	$11,283
Kosciusko Community HospitalWarsaw, IN · CCN 150133	29	$1,654	About average	$1,313	$13,775
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	157	$1,655	About average	$1,306	$15,071
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	70	$1,658	About average	$1,308	$10,937
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	88	$1,659	About average	$1,320	$6,736
Hendricks Regional HealthDanville, IN · CCN 150005	106	$1,666	About average	$1,336	$9,443
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	59	$1,673	About average	$1,330	$7,764
Indiana University Health North HospitalCarmel, IN · CCN 150161	33	$1,675	About average	$1,326	$18,479
Baptist Health FloydNew Albany, IN · CCN 150044	142	$1,677	About average	$1,335	$18,380
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	65	$1,682	About average	$1,335	$8,682
Community Hospital NorthIndianapolis, IN · CCN 150169	242	$1,685	About average	$1,334	$12,376
Deaconess Hospital IncEvansville, IN · CCN 150082	492	$1,688	About average	$1,349	$9,074
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	29	$1,692	About average	$1,338	$6,716
Methodist Hospitals IncGary, IN · CCN 150002	15	$1,694	About average	$1,331	$15,540
Parkview Dekalb HospitalAuburn, IN · CCN 150045	13	$1,696	About average	$1,364	$11,793
Franciscan Health LafayetteLafayette, IN · CCN 150109	17	$1,696	About average	$1,356	$14,396
Terre Haute Regional HospitalTerre Haute, IN · CCN 150046	18	$1,696	About average	$1,356	$31,578
Good Samaritan HospitalVincennes, IN · CCN 150042	73	$1,696	About average	$1,355	$6,752
Norton Clark HospitalJeffersonville, IN · CCN 150009	86	$1,696	About average	$1,354	$18,370
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	125	$1,696	About average	$1,352	$13,749
Northwest Health-La PorteLa Porte, IN · CCN 150006	26	$1,696	About average	$1,349	$19,620
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	167	$1,699	About average	$1,352	$19,976
Bluffton Regional Medical CenterBluffton, IN · CCN 150075	17	$1,700	About average	$1,365	$13,459
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	198	$1,702	About average	$1,356	$14,039
Ascension St Vincent CarmelCarmel, IN · CCN 150157	78	$1,704	About average	$1,349	$15,036
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	196	$1,705	About average	$1,360	$20,933
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	181	$1,711	About average	$1,361	$14,090
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	111	$1,713	About average	$1,367	$18,436
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	34	$1,717	About average	$1,375	$11,251
Riverview HealthNoblesville, IN · CCN 150059	16	$1,718	About average	$1,385	$12,802
Major HospitalShelbyville, IN · CCN 150097	11	$1,719	About average	$1,377	$16,838
Johnson Memorial HospitalFranklin, IN · CCN 150001	14	$1,719	About average	$1,375	$11,324
Union Hospital IncTerre Haute, IN · CCN 150023	154	$1,719	About average	$1,374	$7,185
IU Health West HospitalAvon, IN · CCN 150158	39	$1,719	About average	$1,372	$17,647
Hancock Regional HospitalGreenfield, IN · CCN 150037	48	$1,719	About average	$1,370	$9,870
Ascension St Vincent AndersonAnderson, IN · CCN 150088	14	$1,719	About average	$1,369	$22,413
Eskenazi HealthIndianapolis, IN · CCN 150024	11	$1,719	About average	$1,368	$10,987
Dupont Hospital LLCFort Wayne, IN · CCN 150150	34	$1,728	About average	$1,376	$11,627
Columbus Regional HospitalColumbus, IN · CCN 150112	130	$1,729	About average	$1,381	$9,416
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	52	$1,734	About average	$1,385	$13,572
Schneck Medical CenterSeymour, IN · CCN 150065	26	$1,734	About average	$1,385	$9,374
Indiana University HealthIndianapolis, IN · CCN 150056	250	$1,734	About average	$1,381	$21,596
Goshen HospitalGoshen, IN · CCN 150026	120	$1,739	About average	$1,387	$11,929
St Mary Medical Center IncHobart, IN · CCN 150034	83	$1,742	About average	$1,379	$10,907
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	246	$1,746	About average	$1,391	$15,048
Elkhart General HospitalElkhart, IN · CCN 150018	27	$1,757	About average	$1,406	$10,169
Franciscan Health MunsterMunster, IN · CCN 150165	172	$1,768	About average	$1,414	$10,895
Community HospitalMunster, IN · CCN 150125	362	$1,774	About average	$1,416	$11,736

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.