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 201–250. 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
Sentara Obici HospitalSuffolk, VA · CCN 490044	12	$2,418	11% below the national average	$1,916	$20,629
Baptist Health HardinElizabethtown, KY · CCN 180012	90	$2,418	11% below the national average	$1,995	$20,533
Norman RegionalNorman, OK · CCN 370008	36	$2,419	11% below the national average	$1,947	$20,552
Baptist Health LouisvilleLouisville, KY · CCN 180130	28	$2,419	11% below the national average	$1,931	$27,318
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	40	$2,419	11% below the national average	$1,927	$16,559
Kearney Regional Medical CenterKearney, NE · CCN 280134	19	$2,419	11% below the national average	$1,934	$21,064
University Of Louisville HospitalLouisville, KY · CCN 180141	17	$2,419	11% below the national average	$1,922	$19,596
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	13	$2,419	11% below the national average	$1,918	$10,580
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	200	$2,419	11% below the national average	$2,026	$9,093
Ascension St John Medical CenterTulsa, OK · CCN 370114	15	$2,419	11% below the national average	$1,915	$12,855
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	50	$2,420	10% below the national average	$1,964	$15,099
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	48	$2,420	10% below the national average	$1,910	$26,961
St Lukes HospitalCedar Rapids, IA · CCN 160045	13	$2,421	10% below the national average	$1,957	$12,988
St Francis-DowntownGreenville, SC · CCN 420023	11	$2,421	10% below the national average	$1,984	$25,027
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	17	$2,421	10% below the national average	$1,929	$7,071
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	29	$2,422	10% below the national average	$1,980	$16,571
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	25	$2,422	10% below the national average	$1,940	$11,342
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	45	$2,422	10% below the national average	$1,915	$28,021
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	26	$2,423	10% below the national average	$1,930	$13,741
Roper HospitalCharleston, SC · CCN 420087	29	$2,423	10% below the national average	$1,930	$13,339
Lee Memorial HospitalFort Myers, FL · CCN 100012	64	$2,424	10% below the national average	$1,955	$19,012
Fairfield Medical CenterLancaster, OH · CCN 360072	15	$2,427	10% below the national average	$1,934	$17,627
Rapides Regional Medical CenterAlexandria, LA · CCN 190026	14	$2,431	10% below the national average	$1,937	$46,915
Southern Maine Health CareBiddeford, ME · CCN 200019	11	$2,433	About average	$1,994	$11,745
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	25	$2,433	About average	$1,939	$13,069
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	58	$2,433	About average	$1,936	$17,243
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	30	$2,435	About average	$2,000	$29,040
Presbyterian HospitalAlbuquerque, NM · CCN 320021	80	$2,435	About average	$1,995	$8,986
Christ HospitalCincinnati, OH · CCN 360163	24	$2,435	About average	$1,939	$10,071
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	22	$2,436	About average	$1,940	$16,654
Bsa HospitalAmarillo, TX · CCN 450231	22	$2,436	About average	$1,947	$26,115
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	11	$2,436	About average	$1,944	$25,206
Methodist HospitalSan Antonio, TX · CCN 450388	25	$2,436	About average	$1,941	$27,332
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	19	$2,436	About average	$1,940	$25,409
Connally Memorial Medical CenterFloresville, TX · CCN 450108	14	$2,436	About average	$1,938	$11,715
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	31	$2,437	About average	$1,951	$23,066
Mercy Hospital SouthSaint Louis, MO · CCN 260077	29	$2,437	About average	$1,965	$8,796
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	11	$2,439	About average	$2,011	$6,695
Henrico Doctors' HospitalRichmond, VA · CCN 490118	32	$2,439	About average	$1,970	$73,669
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	32	$2,439	About average	$2,002	$8,885
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	11	$2,441	About average	$1,990	$17,250
West Chester HospitalWest Chester, OH · CCN 360354	13	$2,441	About average	$1,983	$12,082
Anmed HealthAnderson, SC · CCN 420027	46	$2,441	About average	$1,941	$26,420
Resolute Health HospitalNew Braunfels, TX · CCN 670098	26	$2,441	About average	$1,945	$28,132
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	17	$2,442	About average	$1,953	$26,145
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	113	$2,442	About average	$1,933	$12,761
St Josephs HospitalTampa, FL · CCN 100075	20	$2,442	About average	$1,923	$17,542
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	22	$2,443	About average	$1,963	$11,564
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	36	$2,443	About average	$1,969	$11,545
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	14	$2,443	About average	$1,964	$16,866

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.