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 751–800. 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
Southcoast Hospitals GroupFall River, MA · CCN 220074	73	$2,994	11% above the national average	$2,409	$12,366
Confluence Health HospitalWenatchee, WA · CCN 500016	57	$2,997	11% above the national average	$2,446	$7,763
William W Backus HospitalNorwich, CT · CCN 070024	38	$3,001	11% above the national average	$2,363	$12,897
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	16	$3,005	11% above the national average	$2,362	$12,727
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 290053	14	$3,007	11% above the national average	$2,396	$32,424
University Medical CenterLas Vegas, NV · CCN 290007	16	$3,007	11% above the national average	$2,396	$18,268
Mountainview HospitalLas Vegas, NV · CCN 290039	15	$3,007	11% above the national average	$2,393	$43,506
Renown Regional Medical CenterReno, NV · CCN 290001	16	$3,007	11% above the national average	$2,387	$22,466
Swedish Medical CenterSeattle, WA · CCN 500027	24	$3,008	11% above the national average	$2,441	$12,553
Morristown Medical CenterMorristown, NJ · CCN 310015	93	$3,010	11% above the national average	$2,414	$18,413
Saint Mary's HospitalWaterbury, CT · CCN 070016	43	$3,011	11% above the national average	$2,477	$11,366
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	14	$3,013	11% above the national average	$2,375	$46,869
Milford Regional Medical CenterMilford, MA · CCN 220090	39	$3,013	11% above the national average	$2,514	$3,959
Newton-Wellesley HospitalNewton, MA · CCN 220101	70	$3,014	11% above the national average	$2,490	$8,615
North Shore Medical Center -Salem, MA · CCN 220035	30	$3,014	11% above the national average	$2,476	$12,983
Mount Auburn HospitalCambridge, MA · CCN 220002	41	$3,014	11% above the national average	$2,476	$8,640
Anna Jaques HospitalNewburyport, MA · CCN 220029	12	$3,014	12% above the national average	$2,453	$6,186
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	12	$3,015	12% above the national average	$2,446	$7,425
Winchester HospitalWinchester, MA · CCN 220105	24	$3,015	12% above the national average	$2,446	$7,703
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	142	$3,015	12% above the national average	$2,446	$9,337
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	17	$3,015	12% above the national average	$2,429	$9,317
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	24	$3,015	12% above the national average	$2,396	$14,449
MelroseWakefield HealthcareMelrose, MA · CCN 220070	29	$3,015	12% above the national average	$2,427	$6,760
Lowell General HospitalLowell, MA · CCN 220063	45	$3,015	12% above the national average	$2,424	$7,009
Holy Family HospitalMethuen, MA · CCN 220080	12	$3,015	12% above the national average	$2,415	$6,968
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	13	$3,015	12% above the national average	$2,414	$12,313
Cape Cod HospitalHyannis, MA · CCN 220012	18	$3,015	12% above the national average	$2,411	$8,649
Good Samaritan Medical CenterBrockton, MA · CCN 220111	16	$3,015	12% above the national average	$2,409	$8,771
Boston Medical CenterBoston, MA · CCN 220031	19	$3,015	12% above the national average	$2,408	$5,802
Baystate Medical CenterSpringfield, MA · CCN 220077	60	$3,015	12% above the national average	$2,407	$8,013
Emerson Hospital -W Concord, MA · CCN 220084	34	$3,015	12% above the national average	$2,404	$7,620
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	19	$3,015	12% above the national average	$2,403	$4,397
Olympic Medical CenterPort Angeles, WA · CCN 500072	15	$3,017	12% above the national average	$2,445	$8,536
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	21	$3,018	12% above the national average	$2,426	$12,147
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	61	$3,030	12% above the national average	$2,396	$17,756
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	40	$3,033	12% above the national average	$2,431	$17,674
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	16	$3,036	12% above the national average	$2,419	$12,478
Berkshire Medical CenterPittsfield, MA · CCN 220046	23	$3,057	13% above the national average	$2,448	$15,341
Hartford HospitalHartford, CT · CCN 070025	32	$3,059	13% above the national average	$2,422	$12,828
Staten Island University HospitalStaten Island, NY · CCN 330160	52	$3,062	13% above the national average	$2,472	$19,127
Lenox Hill HospitalNew York, NY · CCN 330119	29	$3,075	14% above the national average	$2,455	$19,190
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	38	$3,085	14% above the national average	$2,483	$15,583
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	36	$3,090	14% above the national average	$2,447	$13,096
Montefiore Medical CenterBronx, NY · CCN 330059	49	$3,111	15% above the national average	$2,475	$22,651
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	118	$3,119	15% above the national average	$2,509	$23,240
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	17	$3,120	15% above the national average	$2,606	$12,179
North Shore University HospitalManhasset, NY · CCN 330106	85	$3,124	16% above the national average	$2,489	$19,333
Garnet Health Medical CenterMiddletown, NY · CCN 330126	57	$3,128	16% above the national average	$2,511	$14,349
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	28	$3,131	16% above the national average	$2,498	$7,686
Lawrence & Memorial HospitalNew London, CT · CCN 070007	12	$3,132	16% above the national average	$2,509	$15,287

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.