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 551–600. 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
McLaren Northern MichiganPetoskey, MI · CCN 230105	20	$2,636	About average	$2,115	$6,499
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	14	$2,637	About average	$2,110	$16,929
Northern Light Mercy HospitalPortland, ME · CCN 200008	14	$2,638	About average	$2,130	$14,864
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	14	$2,639	About average	$2,188	$11,369
Community HospitalMunster, IN · CCN 150125	45	$2,639	About average	$2,179	$14,046
Chelsea HospitalChelsea, MI · CCN 230259	20	$2,639	About average	$2,129	$12,584
Franciscan Health MunsterMunster, IN · CCN 150165	34	$2,640	About average	$2,149	$15,472
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	19	$2,641	About average	$2,170	$17,120
UPMC HanoverHanover, PA · CCN 390233	38	$2,641	About average	$2,185	$11,159
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	11	$2,643	About average	$2,130	$18,948
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	70	$2,646	About average	$2,142	$13,376
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	60	$2,648	About average	$2,177	$27,063
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	18	$2,649	About average	$2,148	$17,730
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	13	$2,649	About average	$2,121	$13,024
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	22	$2,650	About average	$2,106	$15,630
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	61	$2,651	About average	$2,129	$12,635
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	19	$2,653	About average	$2,065	$23,565
Reid HealthRichmond, IN · CCN 150048	91	$2,654	About average	$2,196	$6,837
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	15	$2,655	About average	$2,124	$10,867
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	81	$2,655	About average	$2,167	$13,562
St Lukes HospitalBethlehem, PA · CCN 390049	53	$2,656	About average	$2,132	$31,207
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	30	$2,658	About average	$2,121	$20,009
Banner Boswell Medical CenterSun City, AZ · CCN 030061	25	$2,658	About average	$2,105	$18,398
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	17	$2,660	About average	$2,119	$23,243
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	84	$2,660	About average	$2,113	$19,910
St Lukes HospitalDuluth, MN · CCN 240047	79	$2,662	About average	$2,210	$7,155
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	28	$2,663	About average	$2,181	$9,188
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	31	$2,663	About average	$2,161	$11,391
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	22	$2,663	About average	$2,251	$9,563
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	11	$2,663	About average	$2,245	$9,578
Elliot HospitalManchester, NH · CCN 300012	32	$2,663	About average	$2,174	$15,860
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	24	$2,663	About average	$2,133	$10,527
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	117	$2,664	About average	$2,200	$8,581
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	18	$2,664	About average	$2,198	$18,268
Swedish HospitalChicago, IL · CCN 140114	11	$2,665	About average	$2,172	$11,305
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	17	$2,665	About average	$2,168	$11,864
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	17	$2,665	About average	$2,147	$19,407
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	30	$2,665	About average	$2,142	$10,513
Palos Community HospitalPalos Heights, IL · CCN 140062	18	$2,666	About average	$2,129	$26,743
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	16	$2,666	About average	$2,129	$32,584
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	14	$2,666	About average	$2,123	$16,379
Edward HospitalNaperville, IL · CCN 140231	37	$2,666	About average	$2,105	$20,556
The University Of Chicago Medical CenterChicago, IL · CCN 140088	72	$2,670	About average	$2,139	$27,946
AdventHealth Castle RockCastle Rock, CO · CCN 060125	30	$2,671	About average	$2,241	$11,336
Community HospitalGrand Junction, CO · CCN 060054	19	$2,672	About average	$2,179	$10,710
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	12	$2,672	About average	$2,174	$16,617
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	19	$2,673	About average	$2,137	$24,900
AdventHealth AvistaLouisville, CO · CCN 060103	14	$2,673	About average	$2,130	$16,675
Medical Center Of The RockiesLoveland, CO · CCN 060119	14	$2,673	About average	$2,130	$16,834
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	15	$2,673	About average	$2,117	$7,040

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.