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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 Texas

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.

Location
Texas
Specific hospitals up to 10
Average payment across these 146 hospitals
$1,682National $1,815 · Texas $1,687
Median hospital
$1,684
Lowest to highest
$1,478–$1,834
Medicare procedures
12,160

146 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
University Medical Center Of El PasoEl Paso, TX · CCN 45002487$1,47819% below the national average$1,171$12,134
Ascension Seton Medical Center AustinAustin, TX · CCN 45005633$1,50817% below the national average$1,188$23,657
University Medical CenterLubbock, TX · CCN 450686122$1,51317% below the national average$1,205$23,300
Palo Pinto General HospitalMineral Wells, TX · CCN 45056511$1,54415% below the national average$1,201$7,823
Northwest Texas HospitalAmarillo, TX · CCN 45020913$1,55015% below the national average$1,210$19,659
De Tar Hospital NavarroVictoria, TX · CCN 45014713$1,55914% below the national average$1,200$43,329
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 45010128$1,56714% below the national average$1,219$9,815
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 45003323$1,59412% below the national average$1,254$30,554
Midland Memorial HospitalMidland, TX · CCN 45013324$1,59612% below the national average$1,264$14,597
Grace Surgical HospitalLubbock, TX · CCN 45016238$1,59912% below the national average$1,277$10,801
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083178$1,60811% below the national average$1,278$18,619
The Hospitals Of Providence Transmountain CampusEl Paso, TX · CCN 67012065$1,61211% below the national average$1,281$32,489
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076110$1,61211% below the national average$1,279$8,999
University Health SystemSan Antonio, TX · CCN 450213202$1,61511% below the national average$1,280$6,474
Nacogdoches Medical CenterNacogdoches, TX · CCN 45065638$1,61611% below the national average$1,279$20,414
Covenant Medical CenterLubbock, TX · CCN 450040176$1,62211% below the national average$1,289$34,448
North Austin Medical CenterAustin, TX · CCN 450809125$1,62610% below the national average$1,290$29,287
Methodist HospitalSan Antonio, TX · CCN 450388247$1,63010% below the national average$1,293$13,207
Peterson Regional Medical CenterKerrville, TX · CCN 450007153$1,634About average$1,309$7,075
Ascension Seton Cedar ParkCedar Park, TX · CCN 67004391$1,634About average$1,297$17,365
Dallas Regional Medical CenterMesquite, TX · CCN 45068818$1,637About average$1,283$18,858
Bsa HospitalAmarillo, TX · CCN 450231103$1,638About average$1,304$15,906
Christus Mother Frances HospitalTyler, TX · CCN 450102527$1,638About average$1,309$20,460
Citizens Medical CenterVictoria, TX · CCN 45002363$1,640About average$1,299$5,726
Methodist Richardson Medical CenterRichardson, TX · CCN 450537136$1,641About average$1,301$15,285
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 67008518$1,642About average$1,293$15,682
Baptist Medical CenterSan Antonio, TX · CCN 450058145$1,642About average$1,301$32,533
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604165$1,643About average$1,324$18,732
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 67008037$1,644About average$1,317$15,726
Baylor University Medical CenterDallas, TX · CCN 450021600$1,649About average$1,308$11,923
Hendrick Medical CenterAbilene, TX · CCN 450229271$1,649About average$1,305$19,042
South Texas Health SystemEdinburg, TX · CCN 45011915$1,650About average$1,343$32,611
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 67004711$1,651About average$1,338$25,156
Lubbock Heart Hospital LpLubbock, TX · CCN 45087643$1,651About average$1,329$9,758
Valley Regional Medical CenterBrownsville, TX · CCN 45066213$1,651About average$1,328$31,046
Guadalupe Regional Medical CenterSeguin, TX · CCN 45010423$1,651About average$1,326$10,999
Harlingen Medical CenterHarlingen, TX · CCN 45085533$1,651About average$1,323$19,994
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 45010717$1,651About average$1,320$38,524
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005536$1,651About average$1,320$18,300
Medical Center HospitalOdessa, TX · CCN 45013232$1,651About average$1,320$8,952
University Of Texas Health Science Center At TylerTyler, TX · CCN 45069026$1,651About average$1,319$12,343
Rio Grande Regional HospitalMcallen, TX · CCN 45071123$1,651About average$1,318$73,960
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 45086989$1,651About average$1,317$21,721
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023740$1,651About average$1,315$14,726
Sierra Medical CenterEl Paso, TX · CCN 45066819$1,651About average$1,315$23,469
Connally Memorial Medical CenterFloresville, TX · CCN 45010847$1,651About average$1,313$13,563
Christus St Michael Health SystemTexarkana, TX · CCN 45080150$1,651About average$1,310$18,972
Wadley Regional Medical CenterTexarkana, TX · CCN 45020011$1,651About average$1,302$14,088
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054181$1,652About average$1,302$9,114
Medical City Fort WorthFort Worth, TX · CCN 45067264$1,654About average$1,302$42,768

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6377$1,027$845–$993
Mississippi271,517$1,477$1,550–$1,595
Alabama434,221$1,560$1,518–$1,586
Louisiana322,348$1,585$1,580–$1,599
Tennessee414,358$1,593$1,566–$1,621
West Virginia171,850$1,594$1,551–$1,613
Ohio888,558$1,607$1,602–$1,657
South Carolina394,850$1,625$1,601–$1,643
Oklahoma363,876$1,632$1,608–$1,654
Arkansas231,701$1,633$1,605–$1,713
Iowa242,336$1,637$1,628–$1,735
Kentucky443,946$1,639$1,604–$1,680
Kansas293,078$1,651$1,620–$1,726
Missouri506,250$1,657$1,645–$1,713
Utah242,774$1,674$1,659–$1,704
Michigan635,044$1,680$1,658–$1,725
Texas14713,129$1,687$1,651–$1,732
North Carolina626,724$1,687$1,656–$1,708
Georgia695,427$1,689$1,616–$1,754
Virginia537,105$1,691$1,631–$1,760
Nebraska161,614$1,699$1,672–$1,723
Florida13213,872$1,708$1,706–$1,724
Indiana565,387$1,712$1,691–$1,734
New Mexico13914$1,729$1,657–$1,775
Maine111,038$1,741$1,678–$1,782
Wisconsin524,716$1,748$1,708–$1,776
Pennsylvania879,237$1,762$1,699–$1,820
Idaho121,421$1,765$1,712–$1,831
Illinois849,354$1,792$1,758–$1,822
North Dakota61,160$1,794$1,761–$1,857
South Dakota71,422$1,801$1,759–$1,900
Montana91,328$1,811$1,769–$1,874
Colorado363,352$1,819$1,803–$1,811
New Hampshire132,049$1,858$1,805–$1,894
Wyoming7210$1,859$1,892–$1,911
Arizona384,351$1,861$1,833–$1,856
Minnesota284,454$1,861$1,792–$1,826
Delaware5721$1,902$1,896–$1,909
District of Columbia51,155$1,918$1,910–$1,942
Rhode Island8696$1,919$1,918–$1,931
Washington424,083$1,935$1,897–$2,000
Alaska5323$2,004$1,964–$2,103
New Jersey494,740$2,013$1,992–$2,111
Oregon211,674$2,019$1,971–$2,011
Nevada14807$2,030$2,007–$2,038
Massachusetts498,033$2,031$2,019–$2,043
New York8710,807$2,088$2,017–$2,141
Connecticut212,140$2,108$2,093–$2,141
Hawaii7441$2,151$2,136–$2,266
California15417,365$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.