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 651–700. 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
Cooper University HospitalCamden, NJ · CCN 310014	140	$2,762	About average	$2,255	$16,453
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	42	$2,765	About average	$2,230	$17,646
Kadlec Regional Medical CenterRichland, WA · CCN 500058	47	$2,770	About average	$2,200	$14,117
Blessing HospitalQuincy, IL · CCN 140015	22	$2,779	About average	$2,227	$18,104
Highland HospitalRochester, NY · CCN 330164	12	$2,779	About average	$2,187	$11,754
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	195	$2,783	About average	$2,217	$14,920
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	49	$2,786	About average	$2,257	$8,922
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	15	$2,789	About average	$2,230	$13,141
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	15	$2,790	About average	$2,174	$18,640
Strong Memorial HospitalRochester, NY · CCN 330285	51	$2,790	About average	$2,240	$15,910
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	22	$2,795	About average	$2,226	$26,449
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	12	$2,807	About average	$2,196	$25,731
Virginia Mason Medical CenterSeattle, WA · CCN 500005	68	$2,811	About average	$2,273	$12,483
The Miriam HospitalProvidence, RI · CCN 410012	38	$2,812	About average	$2,240	$6,567
Monmouth Medical CenterLong Branch, NJ · CCN 310075	38	$2,812	About average	$2,223	$11,415
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	17	$2,816	About average	$2,361	$10,177
Inspira Medical Center VinelandVineland, NJ · CCN 310032	19	$2,816	About average	$2,219	$12,483
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	19	$2,816	About average	$2,279	$12,275
Deaconess Medical CenterSpokane, WA · CCN 500044	23	$2,816	About average	$2,325	$12,301
Providence Holy Family HospitalSpokane, WA · CCN 500077	26	$2,816	About average	$2,321	$11,676
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 080009	20	$2,817	About average	$2,255	$23,263
Beebe Medical CenterLewes, DE · CCN 080007	36	$2,817	About average	$2,243	$13,334
University Of Washington Medical CenterSeattle, WA · CCN 500008	48	$2,818	About average	$2,263	$12,928
Logan Health Medical CenterKalispell, MT · CCN 270051	30	$2,819	About average	$2,274	$9,262
Banner Wyoming Medical CenterCasper, WY · CCN 530012	12	$2,819	About average	$2,244	$21,514
Kaleida HealthBuffalo, NY · CCN 330005	25	$2,822	About average	$2,225	$11,484
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004	69	$2,824	About average	$2,266	$21,098
Sibley Memorial HospitalWashington, DC · CCN 090005	55	$2,827	About average	$2,318	$13,907
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	19	$2,828	About average	$2,283	$30,845
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	45	$2,829	About average	$2,263	$18,887
Temple University HospitalPhiladelphia, PA · CCN 390027	43	$2,829	About average	$2,260	$42,424
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	20	$2,829	About average	$2,230	$15,003
Skagit Valley HospitalMount Vernon, WA · CCN 500003	89	$2,837	About average	$2,352	$15,506
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	24	$2,842	About average	$2,255	$21,305
Westerly HospitalWesterly, RI · CCN 410013	11	$2,847	About average	$2,373	$10,974
Saint Anne's HospitalFall River, MA · CCN 220020	71	$2,857	About average	$2,272	$6,011
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	19	$2,861	About average	$2,346	$9,545
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	24	$2,863	About average	$2,285	$23,801
St Francis Community HospitalFederal Way, WA · CCN 500141	28	$2,865	About average	$2,387	$20,118
Jefferson Stratford HospitalStratford, NJ · CCN 310086	20	$2,866	About average	$2,283	$23,279
Swedish IssaquahIssaquah, WA · CCN 500152	29	$2,867	About average	$2,329	$9,353
Providence Regional Medical Center EverettEverett, WA · CCN 500014	21	$2,867	About average	$2,325	$12,830
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	31	$2,867	About average	$2,289	$12,641
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	67	$2,868	About average	$2,289	$17,848
Greenwich Hospital Association -Greenwich, CT · CCN 070018	13	$2,871	About average	$2,287	$17,695
MedStar Washington Hospital CenterWashington, DC · CCN 090011	31	$2,872	About average	$2,321	$16,127
George Washington University HospitalWashington, DC · CCN 090001	22	$2,872	About average	$2,314	$31,146
Crouse HospitalSyracuse, NY · CCN 330203	24	$2,878	About average	$2,265	$11,279
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	25	$2,881	About average	$2,311	$23,800
OHSU Hospital And ClinicsPortland, OR · CCN 380009	71	$2,882	About average	$2,299	$14,183

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.