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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

914 hospitals reported at least 11 Medicare procedures for this in 2024; showing 851–900. 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
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	219	$3,450	28% above the national average	$2,828	$18,709
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	14	$3,451	28% above the national average	$2,812	$13,086
Oroville HospitalOroville, CA · CCN 050030	42	$3,451	28% above the national average	$2,808	$11,737
Grossmont HospitalLa Mesa, CA · CCN 050026	16	$3,451	28% above the national average	$2,803	$23,099
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	45	$3,451	28% above the national average	$2,801	$15,919
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	17	$3,451	28% above the national average	$2,800	$60,981
Adventist Health HanfordHanford, CA · CCN 050121	15	$3,451	28% above the national average	$2,796	$15,908
Scripps Green HospitalLa Jolla, CA · CCN 050424	54	$3,451	28% above the national average	$2,795	$24,775
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	47	$3,451	28% above the national average	$2,794	$22,964
Saint John's Health CenterSanta Monica, CA · CCN 050290	20	$3,451	28% above the national average	$2,793	$12,010
St Johns Regional Medical CenterOxnard, CA · CCN 050082	17	$3,451	28% above the national average	$2,781	$19,651
Huntington HospitalPasadena, CA · CCN 050438	20	$3,451	28% above the national average	$2,776	$31,173
Providence St Joseph HospitalEureka, CA · CCN 050006	29	$3,452	28% above the national average	$2,768	$28,880
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	11	$3,452	28% above the national average	$2,765	$24,668
Saint Agnes Medical CenterFresno, CA · CCN 050093	27	$3,452	28% above the national average	$2,759	$16,823
Community Regional Medical CenterFresno, CA · CCN 050060	41	$3,452	28% above the national average	$2,758	$22,262
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	28	$3,452	28% above the national average	$2,757	$30,259
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	33	$3,452	28% above the national average	$2,755	$24,446
Sharp Memorial HospitalSan Diego, CA · CCN 050100	32	$3,452	28% above the national average	$2,751	$24,640
Fresno Surgical HospitalFresno, CA · CCN 050708	17	$3,452	28% above the national average	$2,750	$15,899
Mad River Community HospitalArcata, CA · CCN 050028	12	$3,452	28% above the national average	$2,750	$22,218
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	17	$3,452	28% above the national average	$2,750	$24,646
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	12	$3,452	28% above the national average	$2,750	$29,006
Casa Colina HospitalPomona, CA · CCN 050782	11	$3,452	28% above the national average	$2,750	$16,839
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	11	$3,452	28% above the national average	$2,750	$24,410
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	11	$3,452	28% above the national average	$2,750	$39,149
Ventura County Medical CenterVentura, CA · CCN 050159	11	$3,452	28% above the national average	$2,750	$10,645
Mercy Medical Center ReddingRedding, CA · CCN 050280	31	$3,452	28% above the national average	$2,750	$32,741
Kaweah Health Medical CenterVisalia, CA · CCN 050057	14	$3,452	28% above the national average	$2,747	$10,277
USC Arcadia HospitalArcadia, CA · CCN 050238	19	$3,452	28% above the national average	$2,745	$13,798
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	30	$3,452	28% above the national average	$2,744	$28,707
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	26	$3,452	28% above the national average	$2,742	$26,193
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	21	$3,452	28% above the national average	$2,741	$18,886
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	14	$3,452	28% above the national average	$2,737	$14,800
Sutter Surgical Hospital - North ValleyYuba City, CA · CCN 050766	22	$3,473	28% above the national average	$2,762	$18,099
University Of California Davis Medical CenterSacramento, CA · CCN 050599	93	$3,499	29% above the national average	$2,815	$24,700
Marshall Medical CenterPlacerville, CA · CCN 050254	32	$3,528	31% above the national average	$2,896	$15,693
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	51	$3,533	31% above the national average	$2,818	$17,709
Sutter Davis HospitalDavis, CA · CCN 050537	34	$3,583	33% above the national average	$3,009	$15,587
Mercy General HospitalSacramento, CA · CCN 050017	17	$3,586	33% above the national average	$2,879	$18,690
Adventist Health SonoraSonora, CA · CCN 050335	50	$3,695	37% above the national average	$3,057	$17,991
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	33	$3,695	37% above the national average	$3,036	$15,650
Sutter Coast HospitalCrescent City, CA · CCN 050417	14	$3,697	37% above the national average	$2,932	$18,542
Good Samaritan HospitalSan Jose, CA · CCN 050380	15	$3,743	38% above the national average	$2,997	$100,283
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	27	$3,746	39% above the national average	$3,055	$15,975
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	29	$3,750	39% above the national average	$3,066	$16,093
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	17	$3,771	40% above the national average	$3,016	$60,708
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	27	$3,836	42% above the national average	$3,107	$38,044
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	18	$3,844	42% above the national average	$3,063	$37,267
Stanford Health CareStanford, CA · CCN 050441	164	$3,857	43% above the national average	$3,104	$46,114

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.