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 601–650. 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 Illinois Hospital And ClinicsChicago, IL · CCN 140150	38	$2,673	About average	$2,124	$17,400
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	20	$2,683	About average	$2,171	$18,434
Ridgeview Medical CenterWaconia, MN · CCN 240056	12	$2,683	About average	$2,194	$9,497
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	59	$2,683	About average	$2,167	$11,254
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	13	$2,684	About average	$2,128	$12,738
Oneida Health HospitalOneida, NY · CCN 330115	24	$2,684	About average	$2,075	$9,416
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	26	$2,685	About average	$2,128	$8,378
Winchester Medical CenterWinchester, VA · CCN 490005	29	$2,685	About average	$2,127	$8,762
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	12	$2,685	About average	$2,161	$11,035
MedStar Georgetown University HospitalWashington, DC · CCN 090004	79	$2,690	About average	$2,156	$14,421
Rush University Medical CenterChicago, IL · CCN 140119	87	$2,690	About average	$2,152	$21,400
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	39	$2,690	About average	$2,176	$27,583
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	41	$2,690	About average	$2,140	$17,560
Cheshire Medical CenterKeene, NH · CCN 300019	14	$2,691	About average	$2,183	$13,186
Altru HospitalGrand Forks, ND · CCN 350019	35	$2,691	About average	$2,106	$9,237
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	77	$2,693	About average	$2,153	$23,599
St. George Regional HospitalSt George, UT · CCN 460021	19	$2,694	About average	$2,137	$11,169
Doylestown HospitalDoylestown, PA · CCN 390203	84	$2,709	About average	$2,160	$16,409
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	24	$2,709	About average	$2,158	$18,137
Paoli HospitalPaoli, PA · CCN 390153	15	$2,709	About average	$2,158	$14,632
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	13	$2,709	About average	$2,158	$13,166
Main Line Hospital LankenauWynnewood, PA · CCN 390195	32	$2,709	About average	$2,152	$17,638
Northwestern Memorial HospitalChicago, IL · CCN 140281	103	$2,709	About average	$2,181	$18,827
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	23	$2,710	About average	$2,064	$15,706
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	151	$2,711	About average	$2,198	$23,318
Augusta HealthFishersville, VA · CCN 490018	13	$2,714	About average	$2,173	$18,940
Valley Medical CenterRenton, WA · CCN 500088	15	$2,715	About average	$2,146	$10,408
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	11	$2,715	About average	$2,176	$12,646
Christiana HospitalNewark, DE · CCN 080001	49	$2,725	About average	$2,152	$10,837
Crozer Chester Medical CenterUpland, PA · CCN 390180	14	$2,727	About average	$2,191	$19,193
Maine General Medical CenterAugusta, ME · CCN 200039	54	$2,729	About average	$2,270	$10,865
Saint Anthony Medical CenterRockford, IL · CCN 140233	27	$2,731	About average	$2,191	$14,351
Loyola University Medical CenterMaywood, IL · CCN 140276	34	$2,731	About average	$2,182	$15,216
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	21	$2,737	About average	$2,246	$21,425
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	13	$2,737	About average	$2,234	$21,984
City Of Hope Cancer Center PhoenixGoodyear, AZ · CCN 030138	20	$2,737	About average	$2,229	$24,071
Banner Desert Medical CenterMesa, AZ · CCN 030065	11	$2,737	About average	$2,219	$21,142
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	18	$2,737	About average	$2,208	$17,361
Chandler Regional Medical CenterChandler, AZ · CCN 030036	12	$2,737	About average	$2,204	$32,506
Northwest Medical CenterTucson, AZ · CCN 030085	27	$2,738	About average	$2,199	$32,008
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	20	$2,738	About average	$2,195	$23,667
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	30	$2,738	About average	$2,190	$16,774
Tucson Medical CenterTucson, AZ · CCN 030006	28	$2,738	About average	$2,181	$15,742
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	27	$2,738	About average	$2,174	$41,562
Lehigh Valley HospitalAllentown, PA · CCN 390133	135	$2,738	About average	$2,194	$22,934
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	18	$2,738	About average	$2,189	$23,063
Catholic Medical CenterManchester, NH · CCN 300034	30	$2,740	About average	$2,271	$16,852
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	57	$2,757	About average	$2,184	$8,503
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	14	$2,760	About average	$2,249	$11,603
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	52	$2,762	About average	$2,227	$11,101

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.