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 Utah

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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Utah

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Year of care

Average payment across these 24 hospitals: $1,674National $1,815 · Utah $1,674
Median hospital: $1,681
Lowest to highest: $1,466–$1,826
Medicare procedures: 2,774

24 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
Mountain West Medical CenterTooele, UT · CCN 460014	17	$1,466	19% below the national average	$1,123	$7,859
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	600	$1,614	11% below the national average	$1,282	$7,343
Brigham City Community HospitalBrigham City, UT · CCN 460017	34	$1,622	11% below the national average	$1,277	$14,835
Timpanogos Regional HospitalOrem, UT · CCN 460052	36	$1,627	10% below the national average	$1,285	$16,930
Bear River Valley HospitalTremonton, UT · CCN 460039	22	$1,643	About average	$1,312	$6,238
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	169	$1,657	About average	$1,320	$6,288
LDS HospitalSalt Lake City, UT · CCN 460006	196	$1,660	About average	$1,314	$6,913
Lakeview HospitalBountiful, UT · CCN 460042	27	$1,661	About average	$1,317	$22,658
American Fork HospitalAmerican Fork, UT · CCN 460023	60	$1,667	About average	$1,317	$4,772
Intermountain Health Spanish Fork HospitalSpanish Fork, UT · CCN 460062	39	$1,670	About average	$1,332	$3,518
Intermountain Medical CenterMurray, UT · CCN 460010	254	$1,670	About average	$1,325	$7,441
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	286	$1,673	About average	$1,331	$6,121
St Mark's HospitalSalt Lake City, UT · CCN 460047	84	$1,688	About average	$1,343	$22,593
Intermountain Health Layton HospitalLayton, UT · CCN 460061	95	$1,690	About average	$1,349	$4,981
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	189	$1,691	About average	$1,345	$5,969
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	106	$1,691	About average	$1,361	$5,647
Holy Cross Hospital-DavisLayton, UT · CCN 460041	123	$1,694	About average	$1,348	$13,571
Park City HospitalPark City, UT · CCN 460057	41	$1,704	About average	$1,372	$5,914
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	41	$1,705	About average	$1,360	$14,312
Mountain View HospitalPayson, UT · CCN 460013	69	$1,705	About average	$1,356	$11,687
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	29	$1,776	About average	$1,399	$4,695
St. George Regional HospitalSt George, UT · CCN 460021	193	$1,795	About average	$1,426	$6,226
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	32	$1,826	About average	$1,458	$4,312
Castleview HospitalPrice, UT · CCN 460011	32	$1,826	About average	$1,455	$8,502

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.