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 101–150. 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
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	11	$2,347	13% below the national average	$1,842	$61,323
UNM HospitalAlbuquerque, NM · CCN 320001	29	$2,349	13% below the national average	$1,843	$8,381
Wheeling Hospital, IncWheeling, WV · CCN 510050	11	$2,349	13% below the national average	$1,882	$19,078
University Of Mississippi Medical CenterJackson, MS · CCN 250001	17	$2,349	13% below the national average	$1,931	$12,944
Merit Health River OaksFlowood, MS · CCN 250138	14	$2,350	13% below the national average	$1,915	$41,404
McLeod Loris HospitalLoris, SC · CCN 420105	22	$2,350	13% below the national average	$1,873	$24,409
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 250048	11	$2,350	13% below the national average	$1,883	$11,625
Merit Health MadisonCanton, MS · CCN 250038	15	$2,351	13% below the national average	$1,868	$45,660
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	28	$2,355	13% below the national average	$1,847	$24,843
Murray-Calloway County HospitalMurray, KY · CCN 180027	35	$2,355	13% below the national average	$1,926	$10,882
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	12	$2,355	13% below the national average	$1,871	$16,577
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	12	$2,355	13% below the national average	$1,853	$19,215
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	12	$2,357	13% below the national average	$1,876	$22,104
Research Medical CenterKansas City, MO · CCN 260027	22	$2,357	13% below the national average	$1,892	$40,965
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	11	$2,358	13% below the national average	$1,879	$10,373
Manatee Memorial HospitalBradenton, FL · CCN 100035	11	$2,359	13% below the national average	$1,842	$57,074
North Okaloosa Medical CenterCrestview, FL · CCN 100122	11	$2,359	13% below the national average	$1,842	$51,651
Cox Medical CentersSpringfield, MO · CCN 260040	60	$2,360	13% below the national average	$1,928	$15,541
The Nebraska Medical CenterOmaha, NE · CCN 280013	39	$2,362	13% below the national average	$1,864	$11,165
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	13	$2,365	13% below the national average	$1,910	$12,715
Trident Medical CenterCharleston, SC · CCN 420079	35	$2,367	12% below the national average	$1,885	$27,489
Crestwood Medical CenterHuntsville, AL · CCN 010131	13	$2,368	12% below the national average	$1,905	$49,678
St Bernards Medical CenterJonesboro, AR · CCN 040020	16	$2,368	12% below the national average	$1,887	$7,167
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	57	$2,369	12% below the national average	$1,887	$9,268
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	190	$2,370	12% below the national average	$1,975	$16,779
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	95	$2,371	12% below the national average	$1,910	$8,787
University Medical Center New OrleansNew Orleans, LA · CCN 190005	12	$2,371	12% below the national average	$1,879	$16,911
Methodist Dallas Medical CenterDallas, TX · CCN 450051	13	$2,372	12% below the national average	$1,868	$17,551
Maury Regional HospitalColumbia, TN · CCN 440073	11	$2,372	12% below the national average	$1,890	$18,356
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	14	$2,373	12% below the national average	$1,910	$24,808
Ohio State University State Health SystemColumbus, OH · CCN 360085	90	$2,374	12% below the national average	$1,909	$13,304
St Elizabeth FlorenceFlorence, KY · CCN 180045	32	$2,375	12% below the national average	$1,980	$16,430
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	92	$2,375	12% below the national average	$1,890	$22,779
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	39	$2,376	12% below the national average	$1,865	$23,267
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	29	$2,376	12% below the national average	$1,883	$14,625
Slidell Memorial HospitalSlidell, LA · CCN 190040	19	$2,378	12% below the national average	$1,932	$14,741
University Of Kansas HospitalKansas City, KS · CCN 170040	101	$2,378	12% below the national average	$1,904	$20,558
St Tammany Parish HospitalCovington, LA · CCN 190045	12	$2,378	12% below the national average	$1,905	$12,447
Mon Health Medical CenterMorgantown, WV · CCN 510024	20	$2,378	12% below the national average	$1,896	$23,373
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	37	$2,379	12% below the national average	$1,847	$53,041
Piedmont Medical CenterRock Hill, SC · CCN 420002	14	$2,379	12% below the national average	$1,862	$28,461
Camc Charleston Surgical HospitalCharleston, WV · CCN 510091	24	$2,380	12% below the national average	$1,909	$3,822
Community Hospital NorthIndianapolis, IN · CCN 150169	13	$2,381	12% below the national average	$1,869	$10,515
McLaren Greater LansingLansing, MI · CCN 230167	16	$2,382	12% below the national average	$1,888	$9,686
Memorial HealthLawton, OK · CCN 370056	21	$2,384	12% below the national average	$1,915	$14,607
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	57	$2,385	12% below the national average	$1,911	$13,420
Good Samaritan HospitalCincinnati, OH · CCN 360134	45	$2,387	12% below the national average	$1,948	$8,647
Duke Regional HospitalDurham, NC · CCN 340155	14	$2,387	12% below the national average	$1,937	$16,241
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	15	$2,389	12% below the national average	$1,927	$21,698
Firelands Regional Medical CenterSandusky, OH · CCN 360025	12	$2,389	12% below the national average	$1,914	$8,430

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.