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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 201–250. Download as CSV

Medicare payments per case for Level 3 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Ascension St Vincent EvansvilleEvansville, IN · CCN 15010013$3,414About average$2,716$32,490
Uw HealthRockford, IL · CCN 14022812$3,414About average$2,720$42,262
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 24005324$3,418About average$2,674$21,612
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 23001914$3,420About average$2,725$20,536
Beaumont Hospital - DearbornDearborn, MI · CCN 23002012$3,420About average$2,725$25,295
Henry Ford Allegiance HealthJackson, MI · CCN 23009211$3,420About average$2,725$12,844
Henry Ford Health HospitalDetroit, MI · CCN 23005361$3,420About average$2,725$11,671
Henry Ford Health St John HospitalDetroit, MI · CCN 23016518$3,420About average$2,725$13,566
Mercy St Vincent Medical CenterToledo, OH · CCN 36011224$3,420About average$2,725$39,326
Geisinger-Community Medical CenterScranton, PA · CCN 39000119$3,421About average$2,725$41,758
UPMC MercyPittsburgh, PA · CCN 39002812$3,421About average$2,725$35,743
UPMC WilliamsportWilliamsport, PA · CCN 39004511$3,421About average$2,725$37,564
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 39013747$3,421About average$2,723$32,798
Allegheny General HospitalPittsburgh, PA · CCN 39005035$3,421About average$2,722$27,603
Orlando HealthOrlando, FL · CCN 10000660$3,423About average$2,715$57,035
Mount Carmel East & WestColumbus, OH · CCN 36003519$3,425About average$2,729$19,077
Riverside Methodist HospitalColumbus, OH · CCN 36000638$3,425About average$2,729$31,894
Aspirus Wausau HospitalWausau, WI · CCN 52003025$3,427About average$2,728$15,715
Intermountain Health Utah Valley HospitalProvo, UT · CCN 46000111$3,430About average$2,749$14,445
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 46000436$3,431About average$2,738$14,921
Intermountain Medical CenterMurray, UT · CCN 46001019$3,431About average$2,733$12,586
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 46000950$3,431About average$2,732$14,415
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 39006720$3,432About average$2,734$16,082
Jackson-Madison County General HospitalJackson, TN · CCN 44000217$3,434About average$2,736$20,140
North Mississippi Medical CenterTupelo, MS · CCN 25000425$3,434About average$2,736$17,521
Inova Alexandria HospitalAlexandria, VA · CCN 49004073$3,435About average$2,705$7,789
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 34009119$3,435About average$2,737$16,424
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168141$3,437About average$2,736$35,169
Kettering Health Main CampusKettering, OH · CCN 36007916$3,437About average$2,739$25,802
Saint Francis Medical CenterPeoria, IL · CCN 14006798$3,438About average$2,731$32,376
Carolinas Medical Center-NortheastConcord, NC · CCN 34000116$3,441About average$2,742$21,006
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 34005323$3,441About average$2,742$17,049
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 11008218$3,441About average$2,742$16,129
St Marys Hospital Medical CenterGreen Bay, WI · CCN 52009731$3,444About average$2,744$22,604
North Carolina Baptist HospitalWinston-Salem, NC · CCN 34004760$3,444About average$2,738$27,774
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 67008215$3,446About average$2,746$23,592
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 45089022$3,446About average$2,746$23,302
Idaho Falls Community Hospital, LLCIdaho Falls, ID · CCN 13007418$3,446About average$2,746$12,213
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013528$3,446About average$2,746$24,938
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 45046220$3,446About average$2,746$29,762
Texoma Medical CenterDenison, TX · CCN 45032417$3,446About average$2,746$25,849
Mountain View HospitalIdaho Falls, ID · CCN 13006514$3,446About average$2,746$18,107
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 45077112$3,446About average$2,746$19,772
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 45004443$3,447About average$2,743$21,725
Medical City PlanoPlano, TX · CCN 45065135$3,447About average$2,743$75,991
WakeMed, Cary HospitalCary, NC · CCN 34017312$3,448About average$2,747$21,901
Aurora BayCare Medical CenterGreen Bay, WI · CCN 52019313$3,448About average$2,747$17,349
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 26011921$3,449About average$2,756$82,613
Bryan Medical CenterLincoln, NE · CCN 28000337$3,451About average$2,747$31,582
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 52016011$3,452About average$2,745$19,974

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.