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 251–300. 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
John Randolph Medical CenterHopewell, VA · CCN 490020	12	$2,443	About average	$1,947	$73,386
Sentara Careplex HospitalHampton, VA · CCN 490093	14	$2,443	About average	$1,947	$16,500
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	25	$2,443	About average	$1,930	$17,121
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	35	$2,443	About average	$1,945	$20,040
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	18	$2,445	About average	$1,954	$29,585
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	20	$2,445	About average	$1,947	$19,771
AdventHealth WatermanTavares, FL · CCN 100057	13	$2,446	About average	$1,948	$26,568
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033	51	$2,446	About average	$1,978	$12,215
Edward W Sparrow HospitalLansing, MI · CCN 230230	19	$2,446	About average	$1,949	$15,794
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	11	$2,446	About average	$1,960	$11,387
Northwest Health - PorterValparaiso, IN · CCN 150035	23	$2,449	About average	$1,990	$34,801
Citizens Medical CenterVictoria, TX · CCN 450023	14	$2,449	About average	$1,987	$11,050
Saint Luke's South HospitalOverland Park, KS · CCN 170185	40	$2,450	About average	$2,039	$16,972
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	25	$2,450	About average	$1,957	$16,216
Saint Lukes North HospitalKansas City, MO · CCN 260062	20	$2,451	About average	$2,021	$23,750
Good Samaritan HospitalVincennes, IN · CCN 150042	39	$2,451	About average	$1,975	$13,255
Stormont Vail HospitalTopeka, KS · CCN 170086	17	$2,451	About average	$2,004	$11,459
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	15	$2,451	About average	$1,994	$25,845
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	46	$2,451	About average	$1,959	$14,520
Menorah Medical CenterOverland Park, KS · CCN 170182	31	$2,451	About average	$1,985	$31,860
University Of Toledo Medical CenterToledo, OH · CCN 360048	26	$2,455	About average	$1,977	$17,157
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	42	$2,455	About average	$1,947	$18,417
Adena Regional Medical CenterChillicothe, OH · CCN 360159	29	$2,456	About average	$2,025	$19,034
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	14	$2,457	About average	$1,956	$33,635
Memorial HealthcareOwosso, MI · CCN 230121	19	$2,457	About average	$2,023	$17,035
Miami Valley HospitalDayton, OH · CCN 360051	45	$2,458	About average	$1,964	$15,237
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	11	$2,459	About average	$1,942	$8,422
UF Health Leesburg HospitalLeesburg, FL · CCN 100084	16	$2,460	About average	$1,944	$18,264
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	62	$2,461	About average	$1,966	$37,674
Caromont Regional Medical CenterGastonia, NC · CCN 340032	33	$2,461	About average	$1,982	$16,245
Marion Communtiy HospitalOcala, FL · CCN 100212	25	$2,462	About average	$1,945	$67,958
Heartland Regional Medical CenterMarion, IL · CCN 140184	16	$2,465	About average	$1,954	$40,561
Indiana University Health North HospitalCarmel, IN · CCN 150161	29	$2,467	About average	$1,948	$19,033
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	31	$2,467	About average	$1,966	$14,823
National Park Medical CenterHot Springs, AR · CCN 040078	14	$2,467	About average	$1,943	$44,502
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	32	$2,467	About average	$1,992	$17,257
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	22	$2,470	About average	$1,955	$14,823
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	11	$2,470	About average	$1,968	$17,033
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	42	$2,470	About average	$1,995	$11,793
North Austin Medical CenterAustin, TX · CCN 450809	19	$2,470	About average	$2,021	$48,848
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	13	$2,472	About average	$2,037	$12,251
University Of Michigan Health - WestWyoming, MI · CCN 230236	14	$2,472	About average	$1,987	$8,637
Deaconess Henderson HospitalHenderson, KY · CCN 180056	11	$2,472	About average	$2,038	$11,573
Carle Foundation HospitalUrbana, IL · CCN 140091	52	$2,476	About average	$1,963	$17,224
Geisinger Medical CenterDanville, PA · CCN 390006	39	$2,477	About average	$1,982	$34,521
AdventHealth TampaTampa, FL · CCN 100173	31	$2,477	About average	$1,994	$40,250
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	38	$2,477	About average	$1,994	$16,128
ProMedica Toledo HospitalToledo, OH · CCN 360068	71	$2,478	About average	$2,024	$16,065
Baxter HealthMountain Home, AR · CCN 040027	36	$2,479	About average	$2,030	$11,255
Genesis HospitalZanesville, OH · CCN 360039	22	$2,482	About average	$2,006	$11,488

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.