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
- $1,445
- Average billed charge
- $13,589
- Hospitals reporting
- 1,991
Hospitals in Ohio
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.
- Average payment across these 87 hospitals
- $1,606
- Median hospital
- $1,619
- Lowest to highest
- $1,046–$1,829
- Medicare procedures
- 8,452
87 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| MetroHealth System | 63 | $1,046 | 42% below the national average | $720 | $8,485 |
| Marietta Memorial Hospital | 188 | $1,082 | 40% below the national average | $757 | $12,000 |
| Cleveland Clinic | 1,059 | $1,507 | 17% below the national average | $1,195 | $8,281 |
| Mercy Health Kings Mills Hospital LLC | 49 | $1,547 | 15% below the national average | $1,218 | $15,731 |
| Wood County Hospital | 13 | $1,553 | 14% below the national average | $1,223 | $7,655 |
| Mercy Regional Medical Center | 39 | $1,558 | 14% below the national average | $1,228 | $12,479 |
| Pomerene Hospital | 23 | $1,564 | 14% below the national average | $1,210 | $4,221 |
| Medina Hospital | 24 | $1,570 | 13% below the national average | $1,240 | $8,306 |
| Madison Health | 11 | $1,578 | 13% below the national average | $1,240 | $12,128 |
| Surgical Hospital At Southwoods | 63 | $1,578 | 13% below the national average | $1,250 | $10,413 |
| Parma Community General Hospital | 30 | $1,581 | 13% below the national average | $1,259 | $11,946 |
| University Of Cincinnati Medical Center, LLC | 207 | $1,583 | 13% below the national average | $1,257 | $10,282 |
| Aultman Hospital | 24 | $1,585 | 13% below the national average | $1,261 | $10,688 |
| Fisher-Titus Hospital | 57 | $1,588 | 13% below the national average | $1,260 | $7,777 |
| Summa Western Reserve Hospital | 36 | $1,597 | 12% below the national average | $1,272 | $15,306 |
| Hillcrest Hospital | 193 | $1,598 | 12% below the national average | $1,268 | $7,553 |
| UH Cleveland Medical Center | 147 | $1,598 | 12% below the national average | $1,268 | $10,904 |
| Holzer Medical Center | 63 | $1,598 | 12% below the national average | $1,286 | $9,864 |
| Upper Valley Medical Center | 243 | $1,600 | 12% below the national average | $1,275 | $9,159 |
| UH St John Medical Center | 103 | $1,601 | 12% below the national average | $1,271 | $11,700 |
| South Pointe Hospital | 56 | $1,601 | 12% below the national average | $1,274 | $7,719 |
| Adena Regional Medical Center | 68 | $1,602 | 12% below the national average | $1,271 | $15,079 |
| Mercy Health - Fairfield Hospital | 124 | $1,603 | 12% below the national average | $1,266 | $15,134 |
| Lima Memorial Health System | 85 | $1,603 | 12% below the national average | $1,267 | $13,972 |
| MH St Elizabeth Youngstown Hospital | 56 | $1,604 | 12% below the national average | $1,270 | $12,604 |
| Blanchard Valley Hospital | 69 | $1,605 | 12% below the national average | $1,274 | $5,577 |
| Cleveland Clinic Avon Hospital | 69 | $1,606 | 12% below the national average | $1,278 | $8,195 |
| Mercy Health-Anderson Hospital | 30 | $1,611 | 11% below the national average | $1,275 | $16,661 |
| Fairfield Medical Center | 50 | $1,615 | 11% below the national average | $1,272 | $6,336 |
| Southwest General Health Center | 275 | $1,615 | 11% below the national average | $1,291 | $7,869 |
| Christ Hospital | 179 | $1,616 | 11% below the national average | $1,277 | $7,605 |
| University Hospitals Ahuja Medical Center | 193 | $1,618 | 11% below the national average | $1,287 | $10,055 |
| Doctors Hospital | 23 | $1,618 | 11% below the national average | $1,288 | $15,467 |
| Fort Hamilton Hughes Memorial Hospital | 36 | $1,618 | 11% below the national average | $1,282 | $18,824 |
| Trihealth Clinton Regional Hospital | 28 | $1,619 | 11% below the national average | $1,313 | $6,710 |
| Kings Daughters Medical Center Ohio | 15 | $1,619 | 11% below the national average | $1,306 | $7,501 |
| Mercer County Joint Township Community Hospital | 32 | $1,619 | 11% below the national average | $1,303 | $6,959 |
| Salem Regional Medical Center | 22 | $1,619 | 11% below the national average | $1,299 | $5,968 |
| Trinity Medical Center East &Trinity Medical Center West | 61 | $1,619 | 11% below the national average | $1,295 | $5,490 |
| Union Hospital | 24 | $1,619 | 11% below the national average | $1,294 | $6,571 |
| HMHP St Elizabeth Boardman Health Center | 35 | $1,619 | 11% below the national average | $1,292 | $11,673 |
| Akron General Medical Center | 61 | $1,619 | 11% below the national average | $1,291 | $9,761 |
| Summa Health System | 85 | $1,619 | 11% below the national average | $1,290 | $10,449 |
| Insight Hospital And Medical Center Trumbull | 15 | $1,619 | 11% below the national average | $1,290 | $18,463 |
| MH St Joseph Warren Hospital | 38 | $1,619 | 11% below the national average | $1,290 | $10,713 |
| Firelands Regional Medical Center | 93 | $1,619 | 11% below the national average | $1,289 | $7,108 |
| University Hospitals Samaritan Medical Center | 15 | $1,619 | 11% below the national average | $1,285 | $9,110 |
| Good Samaritan Hospital | 156 | $1,620 | 11% below the national average | $1,289 | $5,740 |
| The Jewish Hospital-Mercy Health | 206 | $1,623 | 11% below the national average | $1,284 | $12,208 |
| Kettering Health Dayton | 95 | $1,624 | 11% below the national average | $1,289 | $18,459 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.