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 Tennessee

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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Tennessee

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Year of care

Average payment across these 41 hospitals: $1,593National $1,815 · Tennessee $1,593
Median hospital: $1,582
Lowest to highest: $1,295–$1,739
Medicare procedures: 4,358

41 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
Roane Medical CenterHarriman, TN · CCN 440031	12	$1,295	29% below the national average	$990	$5,067
Starr Regional Medical Center AthensAthens, TN · CCN 440068	21	$1,513	17% below the national average	$1,196	$14,178
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	11	$1,520	16% below the national average	$1,202	$20,606
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	52	$1,533	16% below the national average	$1,224	$4,693
University Health System, IncKnoxville, TN · CCN 440015	180	$1,545	15% below the national average	$1,225	$8,132
Vanderbilt University Medical CenterNashville, TN · CCN 440039	704	$1,548	15% below the national average	$1,232	$12,917
West Tennessee Healthcare Milan HospitalMilan, TN · CCN 440060	84	$1,554	14% below the national average	$1,242	$7,401
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	91	$1,555	14% below the national average	$1,246	$5,859
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	63	$1,561	14% below the national average	$1,240	$16,302
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	15	$1,562	14% below the national average	$1,250	$12,331
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	345	$1,566	14% below the national average	$1,244	$5,245
Fort Loudoun Medical CenterLenoir City, TN · CCN 440110	20	$1,569	14% below the national average	$1,262	$4,770
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	42	$1,569	14% below the national average	$1,258	$5,027
Parkwest Medical CenterKnoxville, TN · CCN 440173	53	$1,569	14% below the national average	$1,255	$4,304
Physicians Regional Medical CenterPowell, TN · CCN 440120	140	$1,569	14% below the national average	$1,252	$16,848
Sweetwater Hospital AssociationSweetwater, TN · CCN 440084	17	$1,569	14% below the national average	$1,250	$3,617
Leconte Medical CenterSevierville, TN · CCN 440081	26	$1,569	14% below the national average	$1,247	$5,287
Greeneville Community HospitalGreeneville, TN · CCN 440050	26	$1,570	13% below the national average	$1,257	$10,679
Sycamore Shoals HospitalElizabethton, TN · CCN 440018	12	$1,574	13% below the national average	$1,274	$14,948
Maury Regional HospitalColumbia, TN · CCN 440073	207	$1,581	13% below the national average	$1,248	$7,027
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	104	$1,582	13% below the national average	$1,255	$11,512
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	34	$1,584	13% below the national average	$1,256	$27,762
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	52	$1,589	12% below the national average	$1,261	$24,227
Baptist Memorial HospitalMemphis, TN · CCN 440048	206	$1,593	12% below the national average	$1,270	$9,298
Erlanger Medical CenterChattanooga, TN · CCN 440104	182	$1,597	12% below the national average	$1,271	$10,066
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	38	$1,598	12% below the national average	$1,278	$12,100
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	106	$1,602	12% below the national average	$1,268	$12,386
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	336	$1,606	12% below the national average	$1,279	$11,331
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	90	$1,612	11% below the national average	$1,282	$17,080
Tristar Horizon Medical CenterDickson, TN · CCN 440046	71	$1,620	11% below the national average	$1,298	$21,349
Williamson Medical CenterFranklin, TN · CCN 440029	44	$1,621	11% below the national average	$1,291	$8,606
Parkridge Medical CenterChattanooga, TN · CCN 440156	15	$1,622	11% below the national average	$1,292	$20,275
Tristar Centennial Medical CenterNashville, TN · CCN 440161	322	$1,623	11% below the national average	$1,290	$16,158
Johnson City Medical CenterJohnson City, TN · CCN 440063	39	$1,632	10% below the national average	$1,300	$17,805
Blount Memorial HospitalMaryville, TN · CCN 440011	83	$1,636	About average	$1,307	$10,302
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	22	$1,639	About average	$1,328	$32,623
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	88	$1,639	About average	$1,306	$10,640
Cumberland Medical CenterCrossville, TN · CCN 440009	46	$1,652	About average	$1,311	$4,937
Jackson-Madison County General HospitalJackson, TN · CCN 440002	71	$1,668	About average	$1,323	$9,975
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	48	$1,687	About average	$1,340	$22,312
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	240	$1,739	About average	$1,395	$7,602

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.