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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 301–350. Download as CSV

Medicare payments per case for Level 3 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
UNC HospitalsChapel Hill, NC · CCN 340061107$3,497About average$2,785$11,230
Reading HospitalWest Reading, PA · CCN 39004417$3,499About average$2,772$15,514
Salina Regional Health CenterSalina, KS · CCN 17001231$3,502About average$2,790$18,367
Mercy Health - Lourdes HospitalPaducah, KY · CCN 18010220$3,504About average$2,787$13,218
Good Samaritan Medical Center LLCLafayette, CO · CCN 06011621$3,507About average$2,766$60,209
Anmed HealthAnderson, SC · CCN 42002716$3,513About average$2,799$37,021
Houston Methodist HospitalHouston, TX · CCN 45035880$3,516About average$2,798$25,034
Bon Secours St Marys HospitalRichmond, VA · CCN 49005928$3,516About average$2,802$19,474
Baylor St Lukes Medical CenterHouston, TX · CCN 45019383$3,517About average$2,794$31,141
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 04000728$3,518About average$2,803$16,534
Robert Packer HospitalSayre, PA · CCN 39007912$3,518About average$2,803$18,650
Sanford USDMedical CenterSioux Falls, SD · CCN 43002746$3,521About average$2,803$17,606
Jefferson Health- NortheastPhiladelphia, PA · CCN 39011515$3,521About average$2,765$18,764
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 34014163$3,527About average$2,799$17,578
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 14020834$3,529About average$2,822$10,462
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002111$3,531About average$2,813$31,862
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 52013857$3,533About average$2,810$24,255
Faith HealthNorfolk, NE · CCN 28012518$3,534About average$2,825$18,340
Parkview Regional Medical CenterFort Wayne, IN · CCN 15002124$3,537About average$2,818$23,409
Milton S Hershey Medical CenterHershey, PA · CCN 390256 · +$1,129 outlier payments per case55$3,539About average$2,823$38,238
St Johns HospitalSpringfield, IL · CCN 14005318$3,539About average$2,820$21,016
Memorial Medical CenterSpringfield, IL · CCN 14014830$3,539About average$2,816$18,442
Central Maine Medical CenterLewiston, ME · CCN 20002413$3,540About average$2,820$14,633
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 14021392$3,542About average$2,801$7,710
Owensboro Health Regional HospitalOwensboro, KY · CCN 18003831$3,543About average$2,823$36,130
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 45082011$3,551About average$2,829$32,894
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 67012218$3,551About average$2,829$40,520
Memorial Hermann Katy HospitalKaty, TX · CCN 45084716$3,551About average$2,829$28,593
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 45001812$3,551About average$2,829$38,144
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 24008036$3,551About average$2,825$21,605
Emory University HospitalAtlanta, GA · CCN 11001017$3,554About average$2,832$17,264
Northside HospitalAtlanta, GA · CCN 11016134$3,554About average$2,832$28,941
Northside Hospital GwinnettLawrenceville, GA · CCN 11008719$3,554About average$2,822$28,730
Lancaster General HospitalLancaster, PA · CCN 39010019$3,562About average$2,838$17,966
Northwest Medical CenterTucson, AZ · CCN 03008518$3,569About average$2,810$39,482
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 14024228$3,571About average$2,832$28,913
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 52008340$3,575About average$2,848$17,999
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 52009874$3,575About average$2,848$21,855
Edward HospitalNaperville, IL · CCN 14023146$3,577About average$2,834$24,652
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 14001064$3,581About average$2,853$20,731
St Joseph's Hospital Health CenterSyracuse, NY · CCN 33014017$3,583About average$2,855$15,272
AdventHealth PorterDenver, CO · CCN 06006458$3,583About average$2,854$16,023
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 06003149$3,587About average$2,840$19,897
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 43001669$3,591About average$2,861$17,498
Benefis Hospitals IncGreat Falls, MT · CCN 27001212$3,591About average$2,861$13,260
Billings Clinic HospitalBillings, MT · CCN 27000418$3,591About average$2,861$11,257
Essentia HealthFargo, ND · CCN 35007014$3,591About average$2,861$11,247
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 27004912$3,591About average$2,861$18,278
St. Patrick HospitalMissoula, MT · CCN 27001430$3,591About average$2,861$15,104
Sanford Medical Center FargoFargo, ND · CCN 35001193$3,591About average$2,860$17,248

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.