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 Pennsylvania

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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Year of care

Average payment across these 86 hospitals: $1,759National $1,815 · Pennsylvania $1,762
Median hospital: $1,735
Lowest to highest: $1,232–$2,006
Medicare procedures: 8,908

86 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
Gettysburg HospitalGettysburg, PA · CCN 390065	56	$1,232	32% below the national average	$987	$6,273
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	184	$1,281	29% below the national average	$1,025	$14,857
Forbes HospitalMonroeville, PA · CCN 390267	28	$1,603	12% below the national average	$1,257	$10,624
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	26	$1,615	11% below the national average	$1,273	$7,484
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	124	$1,641	About average	$1,302	$24,790
Regional Hospital Of ScrantonScranton, PA · CCN 390237	31	$1,653	About average	$1,312	$13,217
West Penn HospitalPittsburgh, PA · CCN 390090	228	$1,654	About average	$1,308	$10,512
UPMC EastMonroeville, PA · CCN 390328	26	$1,656	About average	$1,314	$11,752
Allegheny General HospitalPittsburgh, PA · CCN 390050	142	$1,659	About average	$1,313	$12,590
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	40	$1,667	About average	$1,318	$6,646
Heritage Valley BeaverBeaver, PA · CCN 390036	27	$1,668	About average	$1,322	$5,602
Canonsburg General HospitalCanonsburg, PA · CCN 390160	48	$1,671	About average	$1,319	$7,789
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	420	$1,673	About average	$1,332	$26,411
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	21	$1,677	About average	$1,336	$22,204
Geisinger Medical CenterDanville, PA · CCN 390006	251	$1,682	About average	$1,336	$25,625
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	26	$1,685	About average	$1,357	$18,133
UPMC PassavantPittsburgh, PA · CCN 390107	115	$1,688	About average	$1,344	$17,722
UPMC WilliamsportWilliamsport, PA · CCN 390045	124	$1,689	About average	$1,346	$16,920
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	173	$1,692	About average	$1,344	$20,436
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	138	$1,695	About average	$1,347	$11,231
UPMC HorizonGreenville, PA · CCN 390178	20	$1,699	About average	$1,367	$14,081
UPMC St MargaretPittsburgh, PA · CCN 390102	27	$1,699	About average	$1,367	$22,230
Allegheny Valley HospitalNatrona, PA · CCN 390032	15	$1,699	About average	$1,365	$10,027
Heritage Valley SewickleySewickley, PA · CCN 390037	23	$1,699	About average	$1,365	$5,755
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	14	$1,699	About average	$1,360	$16,912
Uniontown HospitalUniontown, PA · CCN 390041	15	$1,699	About average	$1,360	$4,396
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	21	$1,700	About average	$1,354	$6,671
UPMC MercyPittsburgh, PA · CCN 390028	58	$1,700	About average	$1,354	$20,112
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	15	$1,700	About average	$1,354	$19,688
The Washington HospitalWashington, PA · CCN 390042	34	$1,700	About average	$1,353	$6,777
UPMC JamesonNew Castle, PA · CCN 390016	11	$1,700	About average	$1,353	$8,964
Geisinger-Community Medical CenterScranton, PA · CCN 390001	87	$1,700	About average	$1,352	$23,150
St Clair HospitalPittsburgh, PA · CCN 390228	107	$1,700	About average	$1,352	$9,723
Excela Health - Frick HospitalMount Pleasant, PA · CCN 390217	13	$1,700	About average	$1,347	$5,557
Jefferson HospitalJefferson Hills, PA · CCN 390265	67	$1,700	About average	$1,343	$9,177
ACMH HospitalKittanning, PA · CCN 390163	29	$1,700	About average	$1,336	$7,680
UPMC MemorialYork, PA · CCN 390101	31	$1,713	About average	$1,353	$8,737
Robert Packer HospitalSayre, PA · CCN 390079	299	$1,715	About average	$1,361	$12,153
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	18	$1,723	About average	$1,373	$16,969
UPMC CarlisleCarlisle, PA · CCN 390058	12	$1,723	About average	$1,371	$8,905
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	113	$1,734	About average	$1,390	$15,061
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	32	$1,734	About average	$1,387	$16,969
Penn State Health St. JosephReading, PA · CCN 390096	13	$1,735	About average	$1,382	$17,576
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	16	$1,735	About average	$1,382	$9,130
Reading HospitalWest Reading, PA · CCN 390044	253	$1,738	About average	$1,385	$9,179
Lancaster General HospitalLancaster, PA · CCN 390100	270	$1,749	About average	$1,389	$11,045
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	16	$1,753	About average	$1,402	$20,406
Milton S Hershey Medical CenterHershey, PA · CCN 390256	394	$1,763	About average	$1,403	$16,523
Jefferson Abington HospitalAbington, PA · CCN 390231	162	$1,767	About average	$1,406	$11,591
UPMC HanoverHanover, PA · CCN 390233	189	$1,775	About average	$1,422	$7,461

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.