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 Kentucky

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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Kentucky

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Average payment across these 44 hospitals: $1,639National $1,815 · Kentucky $1,639
Median hospital: $1,632
Lowest to highest: $1,562–$1,760
Medicare procedures: 3,946

44 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
Uofl Health - Shelbyville HospitalShelbyville, KY · CCN 180016	16	$1,562	14% below the national average	$1,230	$13,197
Frankfort Regional Medical CenterFrankfort, KY · CCN 180127	17	$1,577	13% below the national average	$1,251	$19,164
King's Daughters' Medical CenterAshland, KY · CCN 180009	204	$1,586	13% below the national average	$1,264	$10,838
Saint Joseph Mount SterlingMount Sterling, KY · CCN 180064	35	$1,591	12% below the national average	$1,277	$9,494
University Of Kentucky HospitalLexington, KY · CCN 180067	256	$1,592	12% below the national average	$1,255	$11,879
The Medical Center At RussellvilleRussellville, KY · CCN 180066	19	$1,596	12% below the national average	$1,289	$7,058
Murray-Calloway County HospitalMurray, KY · CCN 180027	25	$1,596	12% below the national average	$1,281	$7,480
Taylor Regional HospitalCampbellsville, KY · CCN 180087	21	$1,596	12% below the national average	$1,279	$8,931
Harrison Memorial HospitalCynthiana, KY · CCN 180079	24	$1,596	12% below the national average	$1,275	$4,863
Baptist Health CorbinCorbin, KY · CCN 180080	33	$1,596	12% below the national average	$1,274	$12,561
Baptist Health LouisvilleLouisville, KY · CCN 180130	176	$1,604	12% below the national average	$1,279	$16,823
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040 · +$301 outlier payments per case	278	$1,604	12% below the national average	$1,274	$16,869
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	101	$1,612	11% below the national average	$1,280	$6,854
University Of Louisville HospitalLouisville, KY · CCN 180141	105	$1,615	11% below the national average	$1,281	$22,401
Hazard ARH Regional Medical CenterHazard, KY · CCN 180029	61	$1,616	11% below the national average	$1,285	$12,720
Baptist Health HardinElizabethtown, KY · CCN 180012	232	$1,618	11% below the national average	$1,289	$13,919
Norton Hospitals, IncLouisville, KY · CCN 180088	560	$1,621	11% below the national average	$1,292	$11,972
Baptist Health LagrangeLa Grange, KY · CCN 180138	42	$1,622	11% below the national average	$1,303	$16,692
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	105	$1,624	11% below the national average	$1,298	$11,022
Clark Regional Medical CenterWinchester, KY · CCN 180092	60	$1,626	10% below the national average	$1,299	$10,261
Georgetown Community HospitalGeorgetown, KY · CCN 180101	93	$1,626	10% below the national average	$1,292	$14,641
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	87	$1,629	10% below the national average	$1,297	$23,105
St Elizabeth FlorenceFlorence, KY · CCN 180045	108	$1,635	About average	$1,304	$10,502
Baptist Health RichmondRichmond, KY · CCN 180049	67	$1,638	About average	$1,310	$14,302
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	39	$1,639	About average	$1,306	$8,731
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	65	$1,644	About average	$1,318	$6,691
Baptist Health LexingtonLexington, KY · CCN 180103	61	$1,648	About average	$1,319	$21,429
Saint Joseph HospitalLexington, KY · CCN 180010	111	$1,648	About average	$1,316	$9,740
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	16	$1,655	About average	$1,324	$12,194
Bourbon Community HospitalParis, KY · CCN 180046	18	$1,655	About average	$1,322	$11,172
Deaconess Henderson HospitalHenderson, KY · CCN 180056	64	$1,655	About average	$1,321	$9,039
Three Rivers Medical CenterLouisa, KY · CCN 180128	71	$1,660	About average	$1,316	$27,337
Crittenden Community HospitalMarion, KY · CCN 180779	28	$1,676	About average	$1,351	$8,167
Pikeville Medical CenterPikeville, KY · CCN 180044	74	$1,691	About average	$1,340	$11,101
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	75	$1,706	About average	$1,357	$17,741
T J Samson Community HospitalGlasgow, KY · CCN 180017	40	$1,708	About average	$1,356	$7,316
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	28	$1,710	About average	$1,365	$7,454
Meadowview Regional Medical CenterMaysville, KY · CCN 180019	14	$1,710	About average	$1,353	$12,175
St Claire Regional Medical CenterMorehead, KY · CCN 180018	23	$1,716	About average	$1,367	$9,875
Baptist Health PaducahPaducah, KY · CCN 180104	118	$1,741	About average	$1,395	$15,520
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	101	$1,741	About average	$1,383	$10,255
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	149	$1,751	About average	$1,395	$12,223
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	67	$1,754	About average	$1,404	$18,732
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	59	$1,760	About average	$1,407	$17,294

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.