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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 401–450. Download as CSV

Medicare payments per case for Level 3 Upper GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015011$3,725About average$2,968$23,915
Banner Gateway Medical CenterGilbert, AZ · CCN 03012231$3,734About average$2,981$16,378
Banner Boswell Medical CenterSun City, AZ · CCN 03006124$3,734About average$2,975$16,319
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 03006430$3,734About average$2,975$12,858
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 03009242$3,734About average$2,975$23,146
Mercy Gilbert Medical CenterGilbert, AZ · CCN 03011918$3,735About average$2,969$26,256
Chandler Regional Medical CenterChandler, AZ · CCN 03003623$3,735About average$2,967$26,792
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 24003640$3,736About average$2,945$13,342
Providence Portland Medical CenterPortland, OR · CCN 38006115$3,751About average$2,988$16,353
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 39011147$3,760About average$2,995$31,521
Maine General Medical CenterAugusta, ME · CCN 20003912$3,760About average$2,993$13,821
Winchester Medical CenterWinchester, VA · CCN 49000517$3,766About average$3,001$6,424
Monument Health Rapid City HospitalRapid City, SD · CCN 43007747$3,780About average$2,999$20,593
Evergreenhealth Medical CenterKirkland, WA · CCN 50012424$3,781About average$2,986$18,628
Tacoma General Allenmore HospitalTacoma, WA · CCN 50012919$3,790About average$2,978$26,716
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 14018916$3,791About average$3,020$26,967
Yale-New Haven HospitalNew Haven, CT · CCN 07002275$3,793About average$3,022$10,198
St Peter's HospitalAlbany, NY · CCN 33005759$3,799About average$3,013$15,282
OHSU Hospital And ClinicsPortland, OR · CCN 38000981$3,820About average$3,048$19,882
Cooper University HospitalCamden, NJ · CCN 31001488$3,827About average$3,054$30,463
Virginia Mason Medical CenterSeattle, WA · CCN 50000586$3,835About average$3,058$25,477
Beebe Medical CenterLewes, DE · CCN 08000730$3,842About average$3,061$17,611
Christiana HospitalNewark, DE · CCN 08000135$3,842About average$3,061$10,166
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 50005472$3,844About average$3,063$13,440
Deaconess Medical CenterSpokane, WA · CCN 50004411$3,844About average$3,062$23,508
University Of Washington Medical CenterSeattle, WA · CCN 50000855$3,844About average$3,060$19,236
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057 · +$3,172 outlier payments per case28$3,845About average$3,071$28,377
Banner Wyoming Medical CenterCasper, WY · CCN 53001214$3,846About average$3,064$12,838
Bayhealth Medical Center, Kent CampusDover, DE · CCN 08000420$3,852About average$3,069$33,328
Northern Westchester HospitalMount Kisco, NY · CCN 33016218$3,856About average$2,971$19,801
Sibley Memorial HospitalWashington, DC · CCN 09000566$3,871About average$3,092$13,354
Skagit Valley HospitalMount Vernon, WA · CCN 50000327$3,872About average$3,085$23,515
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 32000220$3,878About average$3,090$32,643
Rhode Island HospitalProvidence, RI · CCN 41000724$3,887About average$3,097$16,322
The Miriam HospitalProvidence, RI · CCN 41001214$3,887About average$3,097$16,608
Boston Medical Center-BrightonBrighton, MA · CCN 22003615$3,895About average$3,046$9,847
Swedish Medical CenterSeattle, WA · CCN 50002731$3,899About average$3,053$23,509
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 06002317$3,905About average$3,111$26,323
Providence Regional Medical Center EverettEverett, WA · CCN 50001413$3,911About average$3,116$24,051
Swedish IssaquahIssaquah, WA · CCN 50015214$3,911About average$3,116$22,621
Valley Medical CenterRenton, WA · CCN 50008812$3,911About average$3,116$15,976
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 30000348$3,912About average$3,117$17,907
MedStar Georgetown University HospitalWashington, DC · CCN 09000485$3,918About average$3,122$10,407
MedStar Washington Hospital CenterWashington, DC · CCN 09001127$3,919About average$3,115$12,271
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 33024125$3,931About average$3,106$21,172
St Joseph Medical CenterTacoma, WA · CCN 50010836$3,946About average$3,144$21,378
Providence Alaska Medical CenterAnchorage, AK · CCN 02000113$3,953About average$3,149$25,552
Strong Memorial HospitalRochester, NY · CCN 330285 · +$1,035 outlier payments per case53$3,961About average$3,144$22,678
Saint Mary's Regional Medical CenterReno, NV · CCN 29000926$3,976About average$3,142$37,425
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 38010228$3,984About average$3,174$14,963

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.