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
- $2,176
- Average billed charge
- $18,904
- Hospitals reporting
- 923
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.
914 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| West Virginia University Hospitals, Inc | 132 | $2,293 | 15% below the national average | $1,833 | $10,191 |
| Bon Secours-St Francis Xavier Hospital | 15 | $2,294 | 15% below the national average | $1,789 | $11,841 |
| Blanchard Valley Hospital | 12 | $2,296 | 15% below the national average | $1,839 | $10,438 |
| Ascension Saint Thomas Hospital | 26 | $2,298 | 15% below the national average | $1,816 | $23,317 |
| Sentara Leigh Hospital | 23 | $2,305 | 15% below the national average | $1,820 | $16,716 |
| Prisma Health Greenville Memorial Hospital | 117 | $2,305 | 15% below the national average | $1,868 | $19,200 |
| Ascension Via Christi Hospitals Wichita, Inc. | 15 | $2,306 | 15% below the national average | $1,818 | $17,555 |
| Henry Ford Health Warren Hospital | 14 | $2,306 | 15% below the national average | $1,836 | $18,033 |
| UnityPoint Health - Des Moines Iowa Methodist Medi | 56 | $2,308 | 15% below the national average | $1,827 | $15,122 |
| Physicians Regional Medical Center | 43 | $2,311 | 15% below the national average | $1,855 | $19,145 |
| King's Daughters' Medical Center | 49 | $2,311 | 15% below the national average | $1,865 | $17,036 |
| Cleveland Clinic | 125 | $2,312 | 14% below the national average | $1,855 | $13,404 |
| Southwest General Health Center | 17 | $2,312 | 14% below the national average | $1,849 | $14,343 |
| Piedmont Columbus Regional Midtown | 32 | $2,314 | 14% below the national average | $1,854 | $20,906 |
| West Tennessee Healthcare Henry County Hospital | 25 | $2,314 | 14% below the national average | $1,933 | $6,701 |
| McLeod Regional Medical Center-Pee Dee | 55 | $2,314 | 14% below the national average | $1,844 | $16,687 |
| Methodist Medical Center Of Oak Ridge | 12 | $2,314 | 14% below the national average | $1,903 | $6,351 |
| Atrium Health Cleveland | 11 | $2,315 | 14% below the national average | $1,842 | $21,569 |
| Fort Sanders Regional Medical Center | 20 | $2,315 | 14% below the national average | $1,856 | $7,126 |
| Mercy Health St Ritas Medical Center | 14 | $2,315 | 14% below the national average | $1,849 | $25,863 |
| West Tennessee Healthcare Milan Hospital | 13 | $2,316 | 14% below the national average | $1,845 | $20,347 |
| Baptist Memorial Hospital | 37 | $2,316 | 14% below the national average | $1,834 | $15,277 |
| Washington Regional Medical Center | 25 | $2,319 | 14% below the national average | $1,837 | $21,471 |
| Charleston Area Medical Center | 32 | $2,321 | 14% below the national average | $1,835 | $25,183 |
| Anderson Regional Medical Center | 21 | $2,323 | 14% below the national average | $1,868 | $7,420 |
| Bmh-Golden Triangle | 12 | $2,323 | 14% below the national average | $1,851 | $14,292 |
| Piedmont Augusta Hospital | 36 | $2,325 | 14% below the national average | $1,847 | $16,999 |
| Kansas Medical Center LLC | 51 | $2,325 | 14% below the national average | $1,849 | $6,004 |
| Blount Memorial Hospital | 17 | $2,325 | 14% below the national average | $1,835 | $14,355 |
| University Of Missouri Health Care | 31 | $2,325 | 14% below the national average | $1,844 | $16,863 |
| O U Medical Center | 48 | $2,325 | 14% below the national average | $1,888 | $39,006 |
| USA Health University Hospital | 23 | $2,328 | 14% below the national average | $1,873 | $8,406 |
| Thomas Hospital | 13 | $2,328 | 14% below the national average | $1,873 | $8,700 |
| Fairview Hospital | 28 | $2,329 | 14% below the national average | $1,842 | $13,991 |
| Baldwin Health | 11 | $2,331 | 14% below the national average | $1,857 | $49,390 |
| Omega Hospital, LLC | 12 | $2,332 | 14% below the national average | $1,858 | $23,250 |
| Grandview Medical Center | 32 | $2,335 | 14% below the national average | $1,868 | $76,713 |
| Piedmont Hospital, Inc | 80 | $2,336 | 14% below the national average | $1,841 | $24,617 |
| Carilion Medical Center | 63 | $2,336 | 14% below the national average | $1,878 | $12,045 |
| St Elizabeth Edgewood | 50 | $2,338 | 14% below the national average | $1,872 | $15,017 |
| Spectrum Health | 113 | $2,338 | 14% below the national average | $1,855 | $11,159 |
| Houston Methodist Baytown Hospital | 17 | $2,341 | 13% below the national average | $1,859 | $24,734 |
| University Of Kansas Health System - St Francis Campus | 11 | $2,341 | 13% below the national average | $1,865 | $14,684 |
| University Health System | 21 | $2,343 | 13% below the national average | $1,869 | $12,064 |
| Savannah Health Services LLC Dba Memorial Health University Medical Center | 44 | $2,344 | 13% below the national average | $1,857 | $27,902 |
| Medical College Of Virginia Hospitals | 40 | $2,345 | 13% below the national average | $1,887 | $22,943 |
| Candler Hospital | 42 | $2,345 | 13% below the national average | $1,864 | $17,781 |
| Cabell Huntington Hospital, Inc | 42 | $2,346 | 13% below the national average | $1,896 | $16,889 |
| Saint Francis Hospital, Inc | 31 | $2,346 | 13% below the national average | $1,869 | $15,049 |
| Geisinger Wyoming Valley Medical Center | 28 | $2,346 | 13% below the national average | $1,900 | $41,742 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.