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 Illinois

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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Year of care

Average payment across these 27 hospitals: $3,589National $3,633 · Illinois $3,589
Median hospital: $3,614
Lowest to highest: $3,218–$3,791
Medicare procedures: 1,028

27 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
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	11	$3,218	11% below the national average	$2,546	$22,762
Uw HealthRockford, IL · CCN 140228	12	$3,414	About average	$2,720	$42,262
Saint Francis Medical CenterPeoria, IL · CCN 140067	98	$3,438	About average	$2,731	$32,376
Saint Anthony Medical CenterRockford, IL · CCN 140233	25	$3,487	About average	$2,725	$22,616
Carle Foundation HospitalUrbana, IL · CCN 140091	58	$3,491	About average	$2,771	$13,000
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	34	$3,529	About average	$2,822	$10,462
St Johns HospitalSpringfield, IL · CCN 140053	18	$3,539	About average	$2,820	$21,016
Memorial Medical CenterSpringfield, IL · CCN 140148	30	$3,539	About average	$2,816	$18,442
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	92	$3,542	About average	$2,801	$7,710
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	28	$3,571	About average	$2,832	$28,913
Edward HospitalNaperville, IL · CCN 140231	46	$3,577	About average	$2,834	$24,652
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	64	$3,581	About average	$2,853	$20,731
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	56	$3,614	About average	$2,892	$38,930
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	12	$3,614	About average	$2,879	$11,679
Loyola University Medical CenterMaywood, IL · CCN 140276	27	$3,615	About average	$2,858	$20,059
Advocate Sherman HospitalElgin, IL · CCN 140030	26	$3,627	About average	$2,866	$23,173
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	29	$3,636	About average	$2,897	$17,354
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	14	$3,636	About average	$2,897	$34,150
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	15	$3,636	About average	$2,897	$16,609
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	40	$3,636	About average	$2,897	$12,605
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	58	$3,636	About average	$2,887	$11,107
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	12	$3,636	About average	$2,881	$32,372
Northwestern Memorial HospitalChicago, IL · CCN 140281	107	$3,697	About average	$2,940	$27,896
Rush University Medical CenterChicago, IL · CCN 140119	50	$3,725	About average	$2,969	$28,795
The University Of Chicago Medical CenterChicago, IL · CCN 140088	39	$3,725	About average	$2,968	$42,813
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	11	$3,725	About average	$2,968	$23,915
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	16	$3,791	About average	$3,020	$26,967

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.