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 Massachusetts

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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Massachusetts

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Average payment across these 49 hospitals: $2,031National $1,815 · Massachusetts $2,031
Median hospital: $2,030
Lowest to highest: $1,978–$2,130
Medicare procedures: 8,033

49 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
Boston Medical Center-BrightonBrighton, MA · CCN 220036	65	$1,978	About average	$1,564	$6,550
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	30	$1,989	About average	$1,579	$7,866
St Vincent HospitalWorcester, MA · CCN 220176	30	$1,995	About average	$1,573	$18,541
Cambridge Health AllianceCambridge, MA · CCN 220011	25	$2,003	10% above the national average	$1,604	$6,130
MelroseWakefield HealthcareMelrose, MA · CCN 220070	78	$2,005	10% above the national average	$1,596	$4,471
Good Samaritan Medical CenterBrockton, MA · CCN 220111	52	$2,012	11% above the national average	$1,603	$4,875
Holyoke Medical CenterHolyoke, MA · CCN 220024	85	$2,012	11% above the national average	$1,601	$9,610
Milford Regional Medical CenterMilford, MA · CCN 220090	104	$2,015	11% above the national average	$1,610	$4,370
Mount Auburn HospitalCambridge, MA · CCN 220002	107	$2,015	11% above the national average	$1,607	$6,684
Brigham And Women's HospitalBoston, MA · CCN 220110	694	$2,015	11% above the national average	$1,607	$9,687
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	494	$2,016	11% above the national average	$1,606	$8,223
Lowell General HospitalLowell, MA · CCN 220063	154	$2,017	11% above the national average	$1,607	$4,471
South Shore HospitalSouth Weymouth, MA · CCN 220100	103	$2,019	11% above the national average	$1,607	$4,215
Brown University Health Morton HospitalTaunton, MA · CCN 220073	58	$2,019	11% above the national average	$1,600	$4,141
Baystate Medical CenterSpringfield, MA · CCN 220077	271	$2,019	11% above the national average	$1,609	$8,508
Tufts Medical CenterBoston, MA · CCN 220116	181	$2,020	11% above the national average	$1,609	$10,600
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	232	$2,022	11% above the national average	$1,615	$6,709
Winchester HospitalWinchester, MA · CCN 220105	148	$2,022	11% above the national average	$1,611	$6,973
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	159	$2,023	11% above the national average	$1,619	$6,254
Mercy Medical CenterSpringfield, MA · CCN 220066	180	$2,025	12% above the national average	$1,616	$3,917
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	519	$2,025	12% above the national average	$1,607	$14,589
Cape Cod HospitalHyannis, MA · CCN 220012	62	$2,027	12% above the national average	$1,616	$7,910
Northeast Hospital CorporationBeverly, MA · CCN 220033	105	$2,028	12% above the national average	$1,624	$10,322
Massachusetts General HospitalBoston, MA · CCN 220071	846	$2,028	12% above the national average	$1,619	$8,210
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	127	$2,030	12% above the national average	$1,631	$8,548
North Shore Medical Center -Salem, MA · CCN 220035	141	$2,032	12% above the national average	$1,625	$6,913
Emerson Hospital -W Concord, MA · CCN 220084	153	$2,033	12% above the national average	$1,615	$6,016
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	945	$2,035	12% above the national average	$1,622	$7,318
Southcoast Hospitals GroupFall River, MA · CCN 220074	220	$2,039	12% above the national average	$1,625	$10,440
Baystate Noble HospitalWestfield, MA · CCN 220065	22	$2,043	13% above the national average	$1,651	$6,975
Marlborough HospitalMarlborough, MA · CCN 220049	24	$2,043	13% above the national average	$1,641	$14,879
Saint Anne's HospitalFall River, MA · CCN 220020	118	$2,043	13% above the national average	$1,640	$5,680
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	39	$2,043	13% above the national average	$1,639	$4,584
Baystate Wing HospitalPalmer, MA · CCN 220030	28	$2,043	13% above the national average	$1,635	$9,179
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	63	$2,043	13% above the national average	$1,635	$4,262
Falmouth HospitalFalmouth, MA · CCN 220135	66	$2,043	13% above the national average	$1,634	$9,258
Anna Jaques HospitalNewburyport, MA · CCN 220029	60	$2,043	13% above the national average	$1,634	$5,911
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	202	$2,043	13% above the national average	$1,634	$5,563
Newton-Wellesley HospitalNewton, MA · CCN 220101	221	$2,043	13% above the national average	$1,634	$7,139
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	46	$2,043	13% above the national average	$1,633	$6,216
Boston Medical CenterBoston, MA · CCN 220031	49	$2,043	13% above the national average	$1,632	$6,896
Holy Family HospitalMethuen, MA · CCN 220080	54	$2,043	13% above the national average	$1,632	$7,639
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	52	$2,043	13% above the national average	$1,631	$5,514
Heywood Hospital -Gardner, MA · CCN 220095	66	$2,044	13% above the national average	$1,630	$4,953
Nashoba Valley Medical CenterAyer, MA · CCN 220098	48	$2,044	13% above the national average	$1,626	$4,084
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	46	$2,044	13% above the national average	$1,626	$8,932
MetroWest Medical CenterFramingham, MA · CCN 220175	122	$2,044	13% above the national average	$1,624	$17,602
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	25	$2,044	13% above the national average	$1,621	$12,425
Berkshire Medical CenterPittsfield, MA · CCN 220046	314	$2,130	17% above the national average	$1,703	$12,021

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.