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Outpatient procedure · APC 5303 · Surgery or procedure

Level 3 Upper GI Procedures

In 2024, Medicare and patients paid an average of $3,633 per procedure at 589 hospitals. Half of hospitals averaged between $3,323 and $3,899.

Also known as: Upper endoscopy, EGD

National figures, 2024

Average payment per case
$3,633
Typical range (middle half of hospitals)
$3,323–$3,899
Medicare’s share
$2,88879% of the payment
Average billed charge
$24,296
Hospitals reporting
58920,418 procedures

Compare hospitals

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
Specific hospitals up to 10

581 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–150. Download as CSV

Medicare payments per case for Level 3 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 16008324$3,276About average$2,602$25,783
Conway Medical CenterConway, SC · CCN 42004913$3,280About average$2,613$20,651
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 42005174$3,280About average$2,613$16,686
Christus Mother Frances HospitalTyler, TX · CCN 45010262$3,280About average$2,610$40,934
Atrium Health Navicent The Medical CenterMacon, GA · CCN 11010719$3,280About average$2,584$14,895
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 04011454$3,283About average$2,615$18,523
MUSC Medical CenterCharleston, SC · CCN 420004 · +$601 outlier payments per case123$3,283About average$2,609$30,344
Archbold Memorial HospitalThomasville, GA · CCN 11003818$3,283About average$2,616$18,720
Norton Hospitals, IncLouisville, KY · CCN 18008880$3,284About average$2,623$24,065
Baylor University Medical CenterDallas, TX · CCN 45002181$3,286About average$2,596$17,171
Barnes Jewish HospitalSaint Louis, MO · CCN 260032108$3,289About average$2,612$14,850
Flowers HospitalDothan, AL · CCN 01005515$3,289About average$2,608$80,103
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 16008244$3,289About average$2,620$27,338
Inova Fairfax HospitalFalls Church, VA · CCN 49006370$3,289About average$2,596$6,278
Lexington Medical CenterWest Columbia, SC · CCN 42007332$3,291About average$2,622$19,548
Prisma Health Richland HospitalColumbia, SC · CCN 42001827$3,291About average$2,622$25,511
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 18004832$3,296About average$2,626$11,664
Lewisgale Medical CenterSalem, VA · CCN 49004852$3,297About average$2,630$83,404
CJW Medical CenterRichmond, VA · CCN 49011228$3,297About average$2,627$100,776
Riverside Regional Medical CenterNewport News, VA · CCN 49005219$3,297About average$2,627$14,447
Ascension St John Medical CenterTulsa, OK · CCN 37011412$3,300About average$2,629$24,001
Hillcrest Medical CenterTulsa, OK · CCN 37000116$3,300About average$2,629$47,726
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 37001338$3,300About average$2,629$9,655
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 37003712$3,300About average$2,629$24,100
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 18004052$3,300About average$2,629$21,008
Ascension Saint Thomas HospitalNashville, TN · CCN 44008221$3,300About average$2,628$33,603
Baptist Health HardinElizabethtown, KY · CCN 18001211$3,300About average$2,622$24,507
Genesis Medical Center-DavenportDavenport, IA · CCN 16003313$3,303About average$2,630$10,360
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 42006520$3,304About average$2,631$21,691
Iredell Memorial Hospital IncStatesville, NC · CCN 34003920$3,304About average$2,605$16,352
Mount Pleasant HospitalMount Pleasant, SC · CCN 42010411$3,304About average$2,633$16,688
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 26013868$3,305About average$2,626$12,641
Norton Clark HospitalJeffersonville, IN · CCN 15000916$3,307About average$2,635$27,331
Cape Fear Valley Medical CenterFayetteville, NC · CCN 34002868$3,307About average$2,619$36,262
Baptist Health LexingtonLexington, KY · CCN 18010314$3,317About average$2,642$26,035
Willis Knighton Medical CenterShreveport, LA · CCN 19011196$3,319About average$2,645$24,370
CHI Health Bergan MercyOmaha, NE · CCN 28006021$3,320About average$2,627$24,980
The Hospitals Of Providence Transmountain CampusEl Paso, TX · CCN 67012016$3,323About average$2,658$40,452
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 45008339$3,323About average$2,652$42,698
Covenant Medical CenterLubbock, TX · CCN 45004033$3,323About average$2,648$49,014
University Health SystemSan Antonio, TX · CCN 45021333$3,323About average$2,648$12,778
Baptist Medical CenterSan Antonio, TX · CCN 45005819$3,323About average$2,648$45,040
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005519$3,323About average$2,648$23,799
University Medical Center Of El PasoEl Paso, TX · CCN 45002413$3,323About average$2,648$15,204
Methodist HospitalSan Antonio, TX · CCN 45038855$3,323About average$2,644$24,783
University Medical CenterLubbock, TX · CCN 45068626$3,323About average$2,642$58,758
Christ HospitalCincinnati, OH · CCN 36016330$3,323About average$2,644$12,197
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108133$3,328About average$2,643$10,684
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 01007817$3,328About average$2,618$18,358
ProMedica Toledo HospitalToledo, OH · CCN 36006830$3,329About average$2,634$20,771

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 21,076 procedures at 631 hospitals · 2021: 21,670 procedures at 661 hospitals · 2022: 21,021 procedures at 623 hospitals · 2023: 21,863 procedures at 611 hospitals · 2024: 20,418 procedures at 589 hospitals
View data as a table
National average payment and billed charge for Level 3 Upper GI Procedures
Year of careAverage paymentAverage billed charge
2020$2,985$19K
2021$3,085$19K
2022$3,116$21K
2023$3,066$21K
2024$3,633$24K

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 3 Upper GI Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Ohio251,080$2,441$3,187–$3,352
Vermont118$3,092$3,092–$3,092
Alabama8201$3,113$3,086–$3,248
Tennessee14391$3,195$3,158–$3,214
Louisiana7214$3,238$3,211–$3,244
West Virginia5174$3,241$3,167–$3,247
Mississippi489$3,242$3,186–$3,263
Arkansas3158$3,262$3,218–$3,400
South Carolina11440$3,270$3,256–$3,297
Oklahoma6227$3,273$3,276–$3,300
Kansas6251$3,287$3,261–$3,345
Missouri18676$3,304$3,219–$3,408
Kentucky13364$3,305$3,241–$3,317
Iowa6226$3,319$3,279–$3,333
Nebraska6167$3,348$3,284–$3,464
Georgia16354$3,373$3,240–$3,507
Virginia16578$3,381$3,295–$3,520
North Carolina17731$3,388$3,307–$3,441
Indiana16467$3,397$3,336–$3,471
Texas431,244$3,403$3,323–$3,457
Michigan13417$3,408$3,373–$3,420
Florida361,321$3,418$3,417–$3,469
Utah4116$3,431$3,431–$3,431
New Mexico489$3,469$3,357–$3,512
Pennsylvania27780$3,478$3,421–$3,603
Idaho5155$3,485$3,446–$3,485
Minnesota10484$3,496$3,493–$3,661
Colorado11424$3,530$3,494–$3,646
Wisconsin12358$3,542$3,451–$3,596
Maine485$3,557$3,489–$3,639
Illinois271,028$3,589$3,539–$3,636
North Dakota3123$3,599$3,591–$3,622
Arizona13573$3,616$3,646–$3,734
South Dakota3162$3,626$3,556–$3,685
Montana5100$3,662$3,591–$3,591
New Hampshire386$3,802$3,662–$3,792
Rhode Island352$3,827$3,776–$3,887
Delaware385$3,845$3,842–$3,847
Wyoming114$3,846$3,846–$3,846
Washington16477$3,895$3,844–$3,960
District of Columbia3178$3,901$3,895–$3,919
Oregon6175$3,966$3,861–$4,040
Connecticut5193$4,061$4,043–$4,272
New Jersey23651$4,080$4,009–$4,179
Alaska225$4,088$4,023–$4,163
Massachusetts16682$4,090$4,061–$4,113
Nevada465$4,144$4,070–$4,239
New York371,349$4,191$4,060–$4,314
Hawaii378$4,405$4,405–$4,405
California462,043$4,794$4,708–$5,311

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.