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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

Hospitals in Massachusetts

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
Massachusetts
Specific hospitals up to 10
Average payment across these 16 hospitals
$4,090National $3,633 · Massachusetts $4,090
Median hospital
$4,113
Lowest to highest
$3,895–$4,320
Medicare procedures
682

16 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Boston Medical Center-BrightonBrighton, MA · CCN 22003615$3,895About average$3,046$9,847
Cape Cod HospitalHyannis, MA · CCN 22001218$3,99910% above the national average$3,186$23,333
Tufts Medical CenterBoston, MA · CCN 22011629$4,03511% above the national average$3,194$16,831
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163 · +$696 outlier payments per case96$4,05712% above the national average$3,224$32,496
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 22017165$4,06312% above the national average$3,226$18,700
Massachusetts General HospitalBoston, MA · CCN 22007189$4,07612% above the national average$3,243$18,103
Brigham And Women's HospitalBoston, MA · CCN 220110113$4,11313% above the national average$3,279$15,547
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 22006013$4,11313% above the national average$3,277$13,641
Beth Israel Deaconess Medical CenterBoston, MA · CCN 22008698$4,11313% above the national average$3,277$13,257
MelroseWakefield HealthcareMelrose, MA · CCN 22007012$4,11313% above the national average$3,277$10,794
MetroWest Medical CenterFramingham, MA · CCN 22017514$4,11313% above the national average$3,277$21,027
Newton-Wellesley HospitalNewton, MA · CCN 22010120$4,11313% above the national average$3,277$15,022
Southcoast Hospitals GroupFall River, MA · CCN 22007420$4,11313% above the national average$3,277$18,467
Baystate Medical CenterSpringfield, MA · CCN 22007748$4,11313% above the national average$3,276$13,436
Lowell General HospitalLowell, MA · CCN 22006312$4,11313% above the national average$3,270$8,076
Berkshire Medical CenterPittsfield, MA · CCN 22004620$4,32019% above the national average$3,442$23,019

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.