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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 151–200. Download as CSV

Medicare payments per case for Level 3 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 49007726$3,330About average$2,653$13,535
Georgetown Community HospitalGeorgetown, KY · CCN 18010115$3,331About average$2,654$29,593
Good Samaritan HospitalCincinnati, OH · CCN 36013416$3,331About average$2,654$14,278
Chesapeake General HospitalChesapeake, VA · CCN 49012011$3,332About average$2,655$23,787
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 34000222$3,333About average$2,655$28,565
Community Hospital NorthIndianapolis, IN · CCN 15016922$3,334About average$2,631$19,148
UF Health Shands HospitalGainesville, FL · CCN 10011336$3,334About average$2,641$19,266
Ascension St Vincent HospitalIndianapolis, IN · CCN 15008427$3,336About average$2,643$27,982
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 20003318$3,336About average$2,668$13,118
Mayo Clinic HospitalPhoenix, AZ · CCN 030103135$3,336About average$2,643$27,028
Methodist Dallas Medical CenterDallas, TX · CCN 45005125$3,338About average$2,629$28,076
Spectrum HealthGrand Rapids, MI · CCN 23003865$3,341About average$2,662$17,323
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058110$3,344About average$2,648$21,076
Ascentist Hospital LLCLeawood, KS · CCN 17019422$3,345About average$2,665$26,041
Stormont Vail HospitalTopeka, KS · CCN 17008612$3,345About average$2,665$16,623
SSM St Joseph Health CenterSaint Charles, MO · CCN 26000518$3,348About average$2,667$8,374
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 39016476$3,349About average$2,651$47,872
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 23013038$3,351About average$2,637$19,964
OhioHealth Mansfield HospitalMansfield, OH · CCN 36011821$3,352About average$2,675$23,118
Miami Valley HospitalDayton, OH · CCN 36005146$3,352About average$2,670$17,046
Rex HospitalRaleigh, NC · CCN 34011431$3,359About average$2,659$20,044
Northeast Georgia Medical Center, IncGainesville, GA · CCN 11002922$3,365About average$2,656$38,183
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 67003412$3,371About average$2,700$22,640
North Austin Medical CenterAustin, TX · CCN 45080915$3,371About average$2,697$48,643
Ascension Seton Cedar ParkCedar Park, TX · CCN 67004313$3,371About average$2,686$34,964
St David's Medical CenterAustin, TX · CCN 45043124$3,371About average$2,679$40,290
St David's South Austin Medical CenterAustin, TX · CCN 45071312$3,371About average$2,670$66,834
Geisinger Medical CenterDanville, PA · CCN 39000635$3,372About average$2,686$54,943
Henry Ford Macomb HospitalClinton Township, MI · CCN 23004716$3,373About average$2,687$9,235
St Luke's Regional Medical CenterBoise, ID · CCN 13000650$3,378About average$2,691$17,244
Methodist Richardson Medical CenterRichardson, TX · CCN 45053716$3,380About average$2,693$24,993
AdventHealth Port CharlottePort Charlotte, FL · CCN 10007732$3,383About average$2,678$46,330
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113102$3,387About average$2,691$18,239
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 34011513$3,389About average$2,700$26,428
Presbyterian HospitalAlbuquerque, NM · CCN 32002125$3,390About average$2,701$11,063
UNM HospitalAlbuquerque, NM · CCN 32000123$3,390About average$2,701$11,314
Ohio State University State Health SystemColumbus, OH · CCN 36008594$3,390About average$2,692$17,709
Cleveland Clinic HospitalWeston, FL · CCN 10028936$3,392About average$2,684$13,808
Houston Methodist Willowbrook HospitalHouston, TX · CCN 45084418$3,394About average$2,662$30,618
AdventHealth OrlandoOrlando, FL · CCN 100007118$3,399About average$2,695$38,532
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010253$3,400About average$2,696$16,596
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 34001431$3,401About average$2,692$16,429
Piedmont Hospital, IncAtlanta, GA · CCN 11008338$3,405About average$2,683$26,059
Mercy Hospital SouthSaint Louis, MO · CCN 26007732$3,408About average$2,716$7,818
Mercy Hospital St LouisSaint Louis, MO · CCN 26002023$3,408About average$2,716$12,309
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020014$3,408About average$2,707$9,751
St Lukes HospitalChesterfield, MO · CCN 26017923$3,409About average$2,706$8,558
Beaumont Hospital, TroyTroy, MI · CCN 23026922$3,413About average$2,720$15,998
Baptist Health FloydNew Albany, IN · CCN 15004420$3,414About average$2,720$38,111
Deaconess Hospital IncEvansville, IN · CCN 15008257$3,414About average$2,717$11,945

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.