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Hospital Compare
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

914 hospitals reported at least 11 Medicare procedures for this in 2024; showing 901–914. Download as CSV

HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 05004726$3,88144% above$3,136$14,991
Sequoia HospitalRedwood City, CA · CCN 05019746$3,88544% above$3,090$25,790
Highland HospitalOakland, CA · CCN 05032012$3,89944% above$3,101$22,066
Alta Bates Summit Medical CenterOakland, CA · CCN 05004314$3,89944% above$3,101$22,066
MarinHealth Medical CenterGreenbrae, CA · CCN 05036018$3,92145% above$3,122$48,179
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 05017468$3,93045% above$3,271$27,680
Sutter Medical Center, SacramentoSacramento, CA · CCN 05010851$3,93145% above$3,183$18,481
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 05014527$3,95246% above$3,223$19,693
Santa Clara Valley Medical CenterSan Jose, CA · CCN 05003826$3,95346% above$3,171$23,108
El Camino HealthMountain View, CA · CCN 05030828$3,95446% above$3,158$30,092
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 05028314$3,95446% above$3,151$26,681
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$668 outlier payments per case201$3,95446% above$3,147$27,043
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 05022820$4,01348% above$3,222$21,713
Peninsula Medical CenterBurlingame, CA · CCN 05000733$4,01348% above$3,204$19,553

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
Year of careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont178$1,458$1,458–$1,458
Alabama10295$2,259$2,181–$2,330
Mississippi12222$2,262$2,239–$2,350
Louisiana13341$2,316$2,219–$2,378
Tennessee17594$2,318$2,279–$2,325
South Carolina19974$2,346$2,332–$2,423
West Virginia8332$2,348$2,314–$2,379
Ohio381,142$2,361$2,389–$2,451
Oklahoma11418$2,364$2,335–$2,419
Kentucky15481$2,374$2,365–$2,419
Utah5127$2,391$2,515–$2,515
Kansas12353$2,402$2,320–$2,451
Iowa9383$2,410$2,406–$2,421
Nebraska5210$2,441$2,419–$2,530
New Mexico3124$2,441$2,392–$2,545
Georgia28817$2,442$2,345–$2,560
Missouri21723$2,443$2,389–$2,497
Arkansas9286$2,455$2,406–$2,479
Michigan31974$2,461$2,446–$2,530
Texas561,679$2,481$2,417–$2,539
Wisconsin17533$2,488$2,521–$2,621
North Carolina28979$2,490$2,435–$2,528
Virginia321,368$2,501$2,417–$2,619
Florida662,357$2,502$2,468–$2,543
Idaho4102$2,530$2,518–$2,568
Indiana25727$2,536$2,467–$2,558
Maine6195$2,586$2,482–$2,627
Pennsylvania491,702$2,595$2,507–$2,709
South Dakota5234$2,629$2,632–$2,632
North Dakota4302$2,631$2,598–$2,646
Illinois421,446$2,639$2,595–$2,666
Colorado17358$2,651$2,581–$2,673
Montana5117$2,662$2,631–$2,632
Minnesota13675$2,709$2,655–$2,684
Arizona18521$2,726$2,704–$2,738
New Hampshire7194$2,752$2,630–$2,767
District of Columbia4187$2,782$2,793–$2,872
Delaware5193$2,796$2,816–$2,817
Wyoming112$2,819$2,819–$2,819
Rhode Island249$2,820$2,821–$2,839
Oregon7196$2,857$2,809–$2,914
Washington24758$2,859$2,815–$2,893
Alaska113$2,898$2,898–$2,898
Massachusetts341,609$2,977$2,955–$3,015
New Jersey291,236$2,980$2,939–$3,010
Nevada697$2,984$3,007–$3,007
New York512,279$3,067$2,945–$3,171
Connecticut15376$3,097$3,035–$3,159
Hawaii128$3,137$3,137–$3,137
California823,349$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.