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 New York

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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New York

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Year of care

Average payment across these 85 hospitals: $2,084National $1,815 · New York $2,088
Median hospital: $2,087
Lowest to highest: $807–$2,203
Medicare procedures: 9,597

85 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
Mount St. Mary's Hospital & Health CenterLewiston, NY · CCN 330188	11	$807	56% below the national average	$658	$3,826
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	40	$1,626	10% below the national average	$1,194	$19,569
Geneva General HospitalGeneva, NY · CCN 330058	34	$1,832	About average	$1,430	$3,417
Nathan Littauer HospitalGloversville, NY · CCN 330276	11	$1,871	About average	$1,470	$9,036
Southside HospitalBay Shore, NY · CCN 330043	115	$1,876	About average	$1,445	$11,908
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	31	$1,917	About average	$1,502	$10,425
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	21	$1,941	About average	$1,527	$5,995
Northern Westchester HospitalMount Kisco, NY · CCN 330162	173	$1,962	About average	$1,527	$14,511
Corning HospitalCorning, NY · CCN 330277	68	$1,970	About average	$1,568	$6,727
Albany Medical Center HospitalAlbany, NY · CCN 330013	148	$1,985	About average	$1,578	$8,902
Saratoga HospitalSaratoga Springs, NY · CCN 330222	108	$1,988	About average	$1,575	$9,399
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	218	$1,989	About average	$1,582	$9,276
Glens Falls HospitalGlens Falls, NY · CCN 330191	72	$1,990	About average	$1,587	$5,428
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	62	$1,991	About average	$1,585	$3,254
Unity HospitalRochester, NY · CCN 330226	88	$1,998	10% above the national average	$1,592	$4,306
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	99	$2,001	10% above the national average	$1,591	$13,371
Strong Memorial HospitalRochester, NY · CCN 330285	245	$2,003	10% above the national average	$1,595	$12,465
Wynn HospitalUtica, NY · CCN 330044	263	$2,006	11% above the national average	$1,596	$10,965
Kaleida HealthBuffalo, NY · CCN 330005	142	$2,006	11% above the national average	$1,598	$4,523
St Peter's HospitalAlbany, NY · CCN 330057	270	$2,014	11% above the national average	$1,600	$11,556
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	24	$2,017	11% above the national average	$1,624	$5,841
Newark-Wayne Community HospitalNewark, NY · CCN 330030	40	$2,017	11% above the national average	$1,621	$6,720
Rome Memorial Hospital, IncRome, NY · CCN 330215	29	$2,017	11% above the national average	$1,621	$7,838
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	119	$2,017	11% above the national average	$1,617	$10,455
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	45	$2,017	11% above the national average	$1,617	$8,342
Oneida Health HospitalOneida, NY · CCN 330115	101	$2,017	11% above the national average	$1,617	$7,986
Erie County Medical CenterBuffalo, NY · CCN 330219	11	$2,017	11% above the national average	$1,617	$5,678
Arnot Ogden Medical CenterElmira, NY · CCN 330090	12	$2,017	11% above the national average	$1,616	$6,199
United Memorial Medical CenterBatavia, NY · CCN 330073	24	$2,017	11% above the national average	$1,616	$4,939
UPMC ChautauquaJamestown, NY · CCN 330239	17	$2,017	11% above the national average	$1,613	$4,426
Crouse HospitalSyracuse, NY · CCN 330203	20	$2,017	11% above the national average	$1,612	$10,086
Niagara Falls Memorial Medical CenterNiagara Falls, NY · CCN 330065	21	$2,017	11% above the national average	$1,612	$2,622
Columbia Memorial HospitalHudson, NY · CCN 330094	25	$2,017	11% above the national average	$1,607	$5,044
Ellis HospitalSchenectady, NY · CCN 330153	25	$2,017	11% above the national average	$1,607	$9,347
Highland HospitalRochester, NY · CCN 330164	28	$2,017	11% above the national average	$1,607	$8,186
Rochester General HospitalRochester, NY · CCN 330125	45	$2,017	11% above the national average	$1,605	$6,433
Oswego HospitalOswego, NY · CCN 330218	21	$2,018	11% above the national average	$1,598	$7,399
Huntington HospitalHuntington, NY · CCN 330045	84	$2,020	11% above the national average	$1,590	$8,488
Olean General HospitalOlean, NY · CCN 330103	31	$2,047	13% above the national average	$1,604	$3,223
Putnam Hospital CenterCarmel, NY · CCN 330273	15	$2,070	14% above the national average	$1,645	$5,420
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	27	$2,086	15% above the national average	$1,670	$10,106
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	27	$2,086	15% above the national average	$1,666	$10,425
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	97	$2,087	15% above the national average	$1,657	$10,609
North Shore University HospitalManhasset, NY · CCN 330106	273	$2,091	15% above the national average	$1,656	$14,082
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	113	$2,093	15% above the national average	$1,657	$6,219
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393 · +$238 outlier payments per case	376	$2,096	15% above the national average	$1,666	$17,099
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	246	$2,099	16% above the national average	$1,666	$14,070
Garnet Health Medical CenterMiddletown, NY · CCN 330126	204	$2,102	16% above the national average	$1,667	$9,500
Guthrie Cortland Regional Medical CenterCortland, NY · CCN 330175	31	$2,105	16% above the national average	$1,667	$5,223
Bon Secours Community HospitalPort Jervis, NY · CCN 330135	35	$2,110	16% above the national average	$1,672	$37,685

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.