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 701–750. 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
Mercy Medical CenterRoseburg, OR · CCN 380027	27	$2,882	About average	$2,311	$12,920
New England Baptist HospitalBoston, MA · CCN 220088	14	$2,886	About average	$2,300	$5,233
Capital Medical CenterOlympia, WA · CCN 500139	15	$2,893	About average	$2,305	$26,140
St Joseph Medical CenterTacoma, WA · CCN 500108	22	$2,893	About average	$2,305	$29,654
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	38	$2,893	About average	$2,304	$19,954
Alaska Regional HospitalAnchorage, AK · CCN 020017	13	$2,898	About average	$2,320	$38,056
Boston Medical Center-BrightonBrighton, MA · CCN 220036	22	$2,898	About average	$2,339	$5,789
Albany Medical Center HospitalAlbany, NY · CCN 330013	33	$2,905	About average	$2,313	$8,879
West Jersey HospitalVoorhees, NJ · CCN 310022	43	$2,906	About average	$2,299	$32,204
Southside HospitalBay Shore, NY · CCN 330043	15	$2,907	About average	$2,331	$17,689
Huntington HospitalHuntington, NY · CCN 330045	46	$2,915	About average	$2,291	$16,011
St Peter's HospitalAlbany, NY · CCN 330057	76	$2,915	About average	$2,317	$11,635
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	24	$2,918	About average	$2,381	$6,057
Brigham And Women's HospitalBoston, MA · CCN 220110	76	$2,920	About average	$2,339	$15,246
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	16	$2,922	About average	$2,325	$16,849
South Shore HospitalSouth Weymouth, MA · CCN 220100	26	$2,923	About average	$2,310	$4,259
Tufts Medical CenterBoston, MA · CCN 220116	60	$2,924	About average	$2,365	$11,556
Yuma Regional Medical CenterYuma, AZ · CCN 030013	37	$2,931	About average	$2,403	$18,105
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	14	$2,932	About average	$2,368	$14,470
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	17	$2,939	About average	$2,368	$14,479
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	19	$2,939	About average	$2,362	$10,347
Ocean Medical CenterBrick, NJ · CCN 310052	43	$2,939	About average	$2,356	$15,326
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 310029	24	$2,939	About average	$2,348	$30,261
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	31	$2,939	About average	$2,346	$63,793
Community Medical CenterToms River, NJ · CCN 310041	13	$2,939	About average	$2,342	$13,059
Hunterdon Medical CenterFlemington, NJ · CCN 310005	13	$2,939	About average	$2,342	$20,161
Shore Medical CenterSomers Point, NJ · CCN 310047	15	$2,939	About average	$2,342	$21,152
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	16	$2,939	About average	$2,342	$34,767
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	21	$2,943	About average	$2,381	$4,923
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	54	$2,946	About average	$2,416	$20,451
Providence Portland Medical CenterPortland, OR · CCN 380061	16	$2,946	About average	$2,366	$12,496
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	138	$2,950	About average	$2,374	$8,989
Saint Vincent HospitalErie, PA · CCN 390009	17	$2,959	About average	$2,366	$17,850
UPMC HamotErie, PA · CCN 390063	12	$2,959	About average	$2,358	$30,993
St Charles Medical Center - BendBend, OR · CCN 380047	21	$2,967	About average	$2,366	$16,574
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	50	$2,967	About average	$2,379	$9,793
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	110	$2,967	About average	$2,464	$22,779
Massachusetts General HospitalBoston, MA · CCN 220071	148	$2,973	About average	$2,387	$13,338
Northeast Hospital CorporationBeverly, MA · CCN 220033	102	$2,975	10% above the national average	$2,471	$13,391
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	41	$2,975	10% above the national average	$2,454	$10,086
Corning HospitalCorning, NY · CCN 330277	13	$2,975	10% above the national average	$2,452	$11,897
Glens Falls HospitalGlens Falls, NY · CCN 330191	21	$2,976	10% above the national average	$2,426	$6,481
Rochester General HospitalRochester, NY · CCN 330125	12	$2,976	10% above the national average	$2,421	$8,849
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	66	$2,976	10% above the national average	$2,384	$16,989
CentraState Medical CenterFreehold, NJ · CCN 310111	32	$2,976	10% above the national average	$2,371	$11,278
Wynn HospitalUtica, NY · CCN 330044	23	$2,977	10% above the national average	$2,371	$18,575
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	36	$2,978	10% above the national average	$2,414	$31,242
JFK University Medical CenterEdison, NJ · CCN 310108	42	$2,979	10% above the national average	$2,368	$17,264
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	109	$2,979	10% above the national average	$2,399	$19,195
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	159	$2,991	11% above the national average	$2,424	$16,799

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.