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

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

Sort by

Order

Year of care

914 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. 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
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	202	$2,559	About average	$2,038	$10,121
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	13	$2,559	About average	$2,038	$19,984
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	37	$2,560	About average	$2,047	$28,260
AdventHealth RedmondRome, GA · CCN 110168	13	$2,560	About average	$2,040	$42,472
Hamilton Medical CenterDalton, GA · CCN 110001	11	$2,560	About average	$2,040	$22,598
Advocate Sherman HospitalElgin, IL · CCN 140030	12	$2,560	About average	$2,037	$18,395
McLaren FlintFlint, MI · CCN 230141	17	$2,560	About average	$2,033	$8,511
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	11	$2,560	About average	$2,040	$20,030
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	54	$2,561	About average	$2,051	$29,141
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	44	$2,562	About average	$2,082	$12,683
Alamance Regional Medical CenterBurlington, NC · CCN 340070	11	$2,562	About average	$2,112	$12,590
Penn Highlands DuboisDubois, PA · CCN 390086	11	$2,564	About average	$2,035	$9,351
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	64	$2,565	About average	$2,062	$11,994
Reading HospitalWest Reading, PA · CCN 390044	30	$2,565	About average	$2,044	$15,263
Kootenai HealthCoeur D'Alene, ID · CCN 130049	24	$2,567	About average	$2,098	$10,248
Salina Regional Health CenterSalina, KS · CCN 170012	21	$2,567	About average	$2,038	$13,773
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	23	$2,569	About average	$2,058	$19,985
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	21	$2,570	About average	$2,079	$23,842
LmhLawrence, KS · CCN 170137	25	$2,571	About average	$2,168	$13,705
Northwest Specialty HospitalPost Falls, ID · CCN 130066	11	$2,572	About average	$2,073	$16,632
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	29	$2,572	About average	$2,049	$10,288
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	49	$2,574	About average	$2,143	$9,243
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	19	$2,575	About average	$2,133	$6,768
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	60	$2,576	About average	$2,069	$9,140
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	52	$2,577	About average	$2,052	$15,252
Houston Methodist HospitalHouston, TX · CCN 450358	81	$2,577	About average	$2,094	$22,934
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	36	$2,578	About average	$2,115	$22,478
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	66	$2,578	About average	$2,065	$17,424
Robert Packer HospitalSayre, PA · CCN 390079	38	$2,579	About average	$2,089	$17,499
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026	17	$2,579	About average	$2,062	$12,536
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 040007	59	$2,579	About average	$2,043	$20,459
Parkview Medical Center, IncPueblo, CO · CCN 060020	25	$2,581	About average	$2,124	$17,979
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	27	$2,581	About average	$1,943	$17,647
Concord HospitalConcord, NH · CCN 300001	14	$2,583	About average	$2,058	$13,612
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	26	$2,583	About average	$2,098	$25,442
Columbus Regional HospitalColumbus, IN · CCN 150112	14	$2,583	About average	$2,058	$13,957
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	13	$2,588	About average	$2,092	$16,018
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	19	$2,590	About average	$2,054	$16,981
Harris HealthHouston, TX · CCN 450289	14	$2,590	About average	$2,082	$8,228
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	45	$2,591	About average	$2,086	$9,163
Elkhart General HospitalElkhart, IN · CCN 150018	15	$2,591	About average	$2,152	$7,182
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	38	$2,593	About average	$2,079	$27,006
Memorial Medical CenterSpringfield, IL · CCN 140148	28	$2,594	About average	$2,097	$18,273
Central Maine Medical CenterLewiston, ME · CCN 200024	20	$2,594	About average	$2,106	$11,692
Carle Bromenn Medical CenterNormal, IL · CCN 140127	21	$2,594	About average	$2,086	$9,582
Decatur Memorial HospitalDecatur, IL · CCN 140135	22	$2,595	About average	$2,084	$16,235
Genesis Medical CenterSilvis, IL · CCN 140275	14	$2,595	About average	$2,063	$8,021
Carle Health Methodist HospitalPeoria, IL · CCN 140209	23	$2,595	About average	$2,059	$24,099
Milton S Hershey Medical CenterHershey, PA · CCN 390256	90	$2,596	About average	$2,074	$26,101
St Joseph HospitalNashua, NH · CCN 300011	15	$2,596	About average	$2,057	$13,044

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.