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 301–350. 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
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	50	$2,482	About average	$1,993	$19,143
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	58	$2,483	About average	$2,001	$11,102
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	21	$2,487	About average	$1,978	$13,155
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	53	$2,488	About average	$2,023	$11,233
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	31	$2,490	About average	$1,955	$14,491
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	21	$2,491	About average	$1,964	$21,397
UNC HospitalsChapel Hill, NC · CCN 340061	86	$2,492	About average	$1,986	$12,046
Cleveland Clinic HospitalWeston, FL · CCN 100289	85	$2,495	About average	$2,018	$14,474
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	14	$2,497	About average	$2,080	$10,236
St Lukes HospitalChesterfield, MO · CCN 260179	26	$2,497	About average	$2,077	$20,692
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	12	$2,497	About average	$2,064	$10,135
Mercy Hospital WashingtonWashington, MO · CCN 260052	19	$2,498	About average	$2,033	$10,967
Northside Hospital CherokeeCanton, GA · CCN 110008	29	$2,498	About average	$1,987	$22,890
Springfield Regional Medical CenterSpringfield, OH · CCN 360086	15	$2,498	About average	$2,058	$14,494
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	84	$2,498	About average	$2,009	$10,568
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	78	$2,498	About average	$2,007	$11,170
Essentia HealthFargo, ND · CCN 350070	16	$2,501	About average	$1,966	$13,081
Deaconess Hospital IncEvansville, IN · CCN 150082	59	$2,501	About average	$2,060	$11,157
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	33	$2,502	About average	$2,055	$19,278
Covenant Medical CenterSaginaw, MI · CCN 230070	15	$2,502	About average	$2,012	$13,238
Norton Clark HospitalJeffersonville, IN · CCN 150009	13	$2,502	About average	$2,023	$23,457
Beaumont Hospital, TroyTroy, MI · CCN 230269	30	$2,502	About average	$1,994	$13,977
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	13	$2,502	About average	$1,994	$17,237
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	21	$2,503	About average	$2,000	$16,145
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	33	$2,504	About average	$2,015	$16,121
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	56	$2,505	About average	$2,012	$20,174
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	48	$2,506	About average	$2,039	$7,220
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	24	$2,506	About average	$2,039	$9,126
UPMC St MargaretPittsburgh, PA · CCN 390102	20	$2,506	About average	$2,063	$26,802
UPMC EastMonroeville, PA · CCN 390328	16	$2,507	About average	$2,061	$23,084
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	53	$2,507	About average	$2,014	$28,876
Henry Ford Allegiance HealthJackson, MI · CCN 230092	21	$2,507	About average	$2,004	$12,640
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	23	$2,507	About average	$2,003	$19,703
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	16	$2,507	About average	$1,998	$20,608
UPMC PassavantPittsburgh, PA · CCN 390107	37	$2,507	About average	$2,021	$21,987
Allegheny General HospitalPittsburgh, PA · CCN 390050	25	$2,507	About average	$2,021	$12,397
Jefferson HospitalJefferson Hills, PA · CCN 390265	14	$2,507	About average	$2,014	$11,990
Geisinger-Community Medical CenterScranton, PA · CCN 390001	26	$2,508	About average	$2,008	$45,243
West Penn HospitalPittsburgh, PA · CCN 390090	30	$2,508	About average	$2,002	$11,353
St Clair HospitalPittsburgh, PA · CCN 390228	44	$2,508	About average	$2,001	$13,232
Regional Hospital Of ScrantonScranton, PA · CCN 390237	16	$2,508	About average	$1,998	$26,670
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	54	$2,510	About average	$2,026	$12,190
Riverside Methodist HospitalColumbus, OH · CCN 360006	26	$2,510	About average	$2,020	$24,884
Mount Carmel East & WestColumbus, OH · CCN 360035	15	$2,510	About average	$2,017	$16,513
AdventHealth ParkerParker, CO · CCN 060114	16	$2,511	About average	$1,982	$16,310
Mayo ClinicJacksonville, FL · CCN 100151	129	$2,512	About average	$2,003	$17,520
AdventHealth OrlandoOrlando, FL · CCN 100007	173	$2,512	About average	$2,012	$29,949
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	25	$2,514	About average	$2,052	$25,931
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	36	$2,514	About average	$1,985	$22,745
Shannon Medical CenterSan Angelo, TX · CCN 450571	22	$2,515	About average	$1,984	$16,406

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.