Outpatient procedure · APC 5313 · Surgery or procedure

Level 3 Lower GI Procedures

In 2024, Medicare and patients paid an average of $2,703 per procedure at 923 hospitals. Half of hospitals averaged between $2,436 and $2,862.

Also known as: Colonoscopy, lower endoscopy

National figures, 2024

Average payment per case: $2,703
Typical range (middle half of hospitals): $2,436–$2,862
Medicare’s share: $2,17680% of the payment
Average billed charge: $18,904
Hospitals reporting: 92332,745 procedures

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Year of care

914 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 3 Lower GI Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
MetroHealth SystemCleveland, OH · CCN 360059	38	$1,035	62% below the national average	$628	$10,030
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	78	$1,458	46% below the national average	$940	$12,520
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	15	$1,464	46% below the national average	$1,167	$16,579
UPMC MemorialYork, PA · CCN 390101	27	$1,498	45% below the national average	$1,201	$8,176
Parrish Medical CenterTitusville, FL · CCN 100028	14	$1,657	39% below the national average	$1,176	$18,620
Memorial Hospital At GulfportGulfport, MS · CCN 250019	21	$1,752	35% below the national average	$1,405	$19,885
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	23	$1,926	29% below the national average	$1,544	$25,171
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	76	$2,018	25% below the national average	$1,639	$10,450
St Francis HospitalMemphis, TN · CCN 440183	24	$2,057	24% below the national average	$1,575	$55,212
Tift Regional Medical CenterTifton, GA · CCN 110095	11	$2,057	24% below the national average	$1,568	$18,529
Conway Medical CenterConway, SC · CCN 420049	70	$2,090	23% below the national average	$1,680	$18,336
University Of Kentucky HospitalLexington, KY · CCN 180067	30	$2,109	22% below the national average	$1,622	$17,126
Magnolia Regional Health CenterCorinth, MS · CCN 250009	13	$2,128	21% below the national average	$1,696	$8,889
Christus St Michael Health SystemTexarkana, TX · CCN 450801	16	$2,141	21% below the national average	$1,643	$19,764
University Medical CenterLubbock, TX · CCN 450686	20	$2,144	21% below the national average	$1,720	$53,805
St Vincent's BirminghamBirmingham, AL · CCN 010056	23	$2,155	20% below the national average	$1,689	$23,307
Park Place Surgical HospitalLafayette, LA · CCN 190255	13	$2,155	20% below the national average	$1,702	$7,853
Marshall Medical CentersBoaz, AL · CCN 010005	11	$2,159	20% below the national average	$1,697	$7,857
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	22	$2,159	20% below the national average	$1,697	$7,801
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	14	$2,165	20% below the national average	$1,680	$17,648
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	55	$2,168	20% below the national average	$1,729	$11,123
Henry Ford Health HospitalDetroit, MI · CCN 230053	68	$2,168	20% below the national average	$1,722	$7,868
Hendrick Medical CenterAbilene, TX · CCN 450229	21	$2,179	19% below the national average	$1,743	$32,535
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	13	$2,191	19% below the national average	$1,717	$11,977
Highland Community HospitalPicayune, MS · CCN 250117	11	$2,192	19% below the national average	$1,734	$7,415
Wesley Medical CenterWichita, KS · CCN 170123	15	$2,203	19% below the national average	$1,727	$39,811
East Jefferson General HospitalMetairie, LA · CCN 190176	23	$2,214	18% below the national average	$1,728	$24,741
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	57	$2,219	18% below the national average	$1,781	$16,892
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	27	$2,221	18% below the national average	$1,735	$16,271
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	11	$2,222	18% below the national average	$1,750	$16,538
Vanderbilt University Medical CenterNashville, TN · CCN 440039	77	$2,223	18% below the national average	$1,788	$20,186
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	23	$2,225	18% below the national average	$1,726	$9,313
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	38	$2,225	18% below the national average	$1,740	$12,159
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	32	$2,227	18% below the national average	$1,704	$63,262
Baptist Medical CenterSan Antonio, TX · CCN 450058	36	$2,227	18% below the national average	$1,728	$48,197
Jackson-Madison County General HospitalJackson, TN · CCN 440002	14	$2,231	17% below the national average	$1,718	$15,678
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	34	$2,244	17% below the national average	$1,788	$8,598
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	32	$2,246	17% below the national average	$1,789	$13,986
University Of Alabama HospitalBirmingham, AL · CCN 010033	84	$2,248	17% below the national average	$1,787	$21,146
Huntsville HospitalHuntsville, AL · CCN 010039	63	$2,252	17% below the national average	$1,778	$15,127
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	39	$2,254	17% below the national average	$1,794	$16,942
Lake HealthConcord, OH · CCN 360098	22	$2,256	17% below the national average	$1,785	$13,571
Singing River Health SystemPascagoula, MS · CCN 250040	22	$2,258	16% below the national average	$1,807	$28,617
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	15	$2,265	16% below the national average	$1,767	$14,259
Camden Clark Medical CenterParkersburg, WV · CCN 510058	36	$2,274	16% below the national average	$1,847	$9,218
University Health System, IncKnoxville, TN · CCN 440015	90	$2,279	16% below the national average	$1,812	$10,725
Anderson HospitalMaryville, IL · CCN 140289	13	$2,279	16% below the national average	$1,782	$13,802
MUSC Medical CenterCharleston, SC · CCN 420004	173	$2,286	15% below the national average	$1,837	$20,260
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	22	$2,287	15% below the national average	$1,843	$13,771
Manhattan Surgical Hospital LLCManhattan, KS · CCN 170190	11	$2,287	15% below the national average	$1,866	$10,994

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 23,889 procedures at 763 hospitals · 2021: 28,304 procedures at 832 hospitals · 2022: 30,296 procedures at 877 hospitals · 2023: 31,010 procedures at 904 hospitals · 2024: 32,745 procedures at 923 hospitals

View data as a table

National average payment and billed charge for Level 3 Lower GI Procedures
Year of care	Average payment	Average billed charge
2020	$2,352	$16K
2021	$2,472	$16K
2022	$2,487	$17K
2023	$2,568	$18K
2024	$2,703	$19K

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 Lower GI Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	78	$1,458	$1,458–$1,458
Alabama	10	295	$2,259	$2,181–$2,330
Mississippi	12	222	$2,262	$2,239–$2,350
Louisiana	13	341	$2,316	$2,219–$2,378
Tennessee	17	594	$2,318	$2,279–$2,325
South Carolina	19	974	$2,346	$2,332–$2,423
West Virginia	8	332	$2,348	$2,314–$2,379
Ohio	38	1,142	$2,361	$2,389–$2,451
Oklahoma	11	418	$2,364	$2,335–$2,419
Kentucky	15	481	$2,374	$2,365–$2,419
Utah	5	127	$2,391	$2,515–$2,515
Kansas	12	353	$2,402	$2,320–$2,451
Iowa	9	383	$2,410	$2,406–$2,421
Nebraska	5	210	$2,441	$2,419–$2,530
New Mexico	3	124	$2,441	$2,392–$2,545
Georgia	28	817	$2,442	$2,345–$2,560
Missouri	21	723	$2,443	$2,389–$2,497
Arkansas	9	286	$2,455	$2,406–$2,479
Michigan	31	974	$2,461	$2,446–$2,530
Texas	56	1,679	$2,481	$2,417–$2,539
Wisconsin	17	533	$2,488	$2,521–$2,621
North Carolina	28	979	$2,490	$2,435–$2,528
Virginia	32	1,368	$2,501	$2,417–$2,619
Florida	66	2,357	$2,502	$2,468–$2,543
Idaho	4	102	$2,530	$2,518–$2,568
Indiana	25	727	$2,536	$2,467–$2,558
Maine	6	195	$2,586	$2,482–$2,627
Pennsylvania	49	1,702	$2,595	$2,507–$2,709
South Dakota	5	234	$2,629	$2,632–$2,632
North Dakota	4	302	$2,631	$2,598–$2,646
Illinois	42	1,446	$2,639	$2,595–$2,666
Colorado	17	358	$2,651	$2,581–$2,673
Montana	5	117	$2,662	$2,631–$2,632
Minnesota	13	675	$2,709	$2,655–$2,684
Arizona	18	521	$2,726	$2,704–$2,738
New Hampshire	7	194	$2,752	$2,630–$2,767
District of Columbia	4	187	$2,782	$2,793–$2,872
Delaware	5	193	$2,796	$2,816–$2,817
Wyoming	1	12	$2,819	$2,819–$2,819
Rhode Island	2	49	$2,820	$2,821–$2,839
Oregon	7	196	$2,857	$2,809–$2,914
Washington	24	758	$2,859	$2,815–$2,893
Alaska	1	13	$2,898	$2,898–$2,898
Massachusetts	34	1,609	$2,977	$2,955–$3,015
New Jersey	29	1,236	$2,980	$2,939–$3,010
Nevada	6	97	$2,984	$3,007–$3,007
New York	51	2,279	$3,067	$2,945–$3,171
Connecticut	15	376	$3,097	$3,035–$3,159
Hawaii	1	28	$3,137	$3,137–$3,137
California	82	3,349	$3,550	$3,451–$3,731

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.