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

Hospitals in Florida

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.

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Florida

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Year of care

Average payment across these 34 hospitals: $3,425National $3,633 · Florida $3,418
Median hospital: $3,469
Lowest to highest: $3,162–$3,469
Medicare procedures: 1,248

34 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 3 Upper GI Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	18	$3,162	13% below the national average	$2,457	$65,732
Memorial Regional HospitalHollywood, FL · CCN 100038	11	$3,218	11% below the national average	$2,513	$27,656
Mayo ClinicJacksonville, FL · CCN 100151	99	$3,255	10% below the national average	$2,570	$22,199
UF Health Shands HospitalGainesville, FL · CCN 100113	36	$3,334	About average	$2,641	$19,266
AdventHealth Port CharlottePort Charlotte, FL · CCN 100077	32	$3,383	About average	$2,678	$46,330
Cleveland Clinic HospitalWeston, FL · CCN 100289	36	$3,392	About average	$2,684	$13,808
AdventHealth OrlandoOrlando, FL · CCN 100007	118	$3,399	About average	$2,695	$38,532
Orlando HealthOrlando, FL · CCN 100006	60	$3,423	About average	$2,715	$57,035
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	141	$3,437	About average	$2,736	$35,169
Sarasota Memorial HospitalSarasota, FL · CCN 100087	126	$3,469	About average	$2,764	$25,971
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	36	$3,469	About average	$2,764	$25,190
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	52	$3,469	About average	$2,764	$19,425
Baptist HospitalPensacola, FL · CCN 100093	16	$3,469	About average	$2,764	$38,555
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	14	$3,469	About average	$2,764	$20,252
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	15	$3,469	About average	$2,764	$49,396
HCA Florida Largo HospitalLargo, FL · CCN 100248	13	$3,469	About average	$2,764	$81,074
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	22	$3,469	About average	$2,764	$45,167
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	44	$3,469	About average	$2,764	$54,109
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	11	$3,469	About average	$2,764	$23,443
Manatee Memorial HospitalBradenton, FL · CCN 100035	12	$3,469	About average	$2,764	$35,758
Morton Plant HospitalClearwater, FL · CCN 100127	14	$3,469	About average	$2,764	$21,806
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	24	$3,469	About average	$2,764	$18,133
Naples Community HospitalNaples, FL · CCN 100018	18	$3,469	About average	$2,764	$24,417
St Anthonys HospitalSaint Petersburg, FL · CCN 100067	21	$3,469	About average	$2,764	$18,661
Viera HospitalMelbourne, FL · CCN 100315	14	$3,469	About average	$2,764	$29,742
Lee Memorial HospitalFort Myers, FL · CCN 100012	56	$3,469	About average	$2,764	$24,083
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	53	$3,469	About average	$2,763	$24,585
Sacred Heart HospitalPensacola, FL · CCN 100025	26	$3,469	About average	$2,762	$17,910
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	16	$3,469	About average	$2,759	$35,600
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	27	$3,469	About average	$2,757	$24,152
St Josephs HospitalTampa, FL · CCN 100075	12	$3,469	About average	$2,756	$23,980
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	27	$3,469	About average	$2,754	$22,311
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	14	$3,469	About average	$2,751	$31,253
Tampa General HospitalTampa, FL · CCN 100128	14	$3,469	About average	$2,751	$42,370

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 care	Average payment	Average 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
State	Hospitals	Cases	Average payment	Typical range
Ohio	25	1,080	$2,441	$3,187–$3,352
Vermont	1	18	$3,092	$3,092–$3,092
Alabama	8	201	$3,113	$3,086–$3,248
Tennessee	14	391	$3,195	$3,158–$3,214
Louisiana	7	214	$3,238	$3,211–$3,244
West Virginia	5	174	$3,241	$3,167–$3,247
Mississippi	4	89	$3,242	$3,186–$3,263
Arkansas	3	158	$3,262	$3,218–$3,400
South Carolina	11	440	$3,270	$3,256–$3,297
Oklahoma	6	227	$3,273	$3,276–$3,300
Kansas	6	251	$3,287	$3,261–$3,345
Missouri	18	676	$3,304	$3,219–$3,408
Kentucky	13	364	$3,305	$3,241–$3,317
Iowa	6	226	$3,319	$3,279–$3,333
Nebraska	6	167	$3,348	$3,284–$3,464
Georgia	16	354	$3,373	$3,240–$3,507
Virginia	16	578	$3,381	$3,295–$3,520
North Carolina	17	731	$3,388	$3,307–$3,441
Indiana	16	467	$3,397	$3,336–$3,471
Texas	43	1,244	$3,403	$3,323–$3,457
Michigan	13	417	$3,408	$3,373–$3,420
Florida	36	1,321	$3,418	$3,417–$3,469
Utah	4	116	$3,431	$3,431–$3,431
New Mexico	4	89	$3,469	$3,357–$3,512
Pennsylvania	27	780	$3,478	$3,421–$3,603
Idaho	5	155	$3,485	$3,446–$3,485
Minnesota	10	484	$3,496	$3,493–$3,661
Colorado	11	424	$3,530	$3,494–$3,646
Wisconsin	12	358	$3,542	$3,451–$3,596
Maine	4	85	$3,557	$3,489–$3,639
Illinois	27	1,028	$3,589	$3,539–$3,636
North Dakota	3	123	$3,599	$3,591–$3,622
Arizona	13	573	$3,616	$3,646–$3,734
South Dakota	3	162	$3,626	$3,556–$3,685
Montana	5	100	$3,662	$3,591–$3,591
New Hampshire	3	86	$3,802	$3,662–$3,792
Rhode Island	3	52	$3,827	$3,776–$3,887
Delaware	3	85	$3,845	$3,842–$3,847
Wyoming	1	14	$3,846	$3,846–$3,846
Washington	16	477	$3,895	$3,844–$3,960
District of Columbia	3	178	$3,901	$3,895–$3,919
Oregon	6	175	$3,966	$3,861–$4,040
Connecticut	5	193	$4,061	$4,043–$4,272
New Jersey	23	651	$4,080	$4,009–$4,179
Alaska	2	25	$4,088	$4,023–$4,163
Massachusetts	16	682	$4,090	$4,061–$4,113
Nevada	4	65	$4,144	$4,070–$4,239
New York	37	1,349	$4,191	$4,060–$4,314
Hawaii	3	78	$4,405	$4,405–$4,405
California	46	2,043	$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.