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 351–400. 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
Intermountain Medical CenterMurray, UT · CCN 460010	17	$2,515	About average	$2,026	$11,200
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	16	$2,515	About average	$2,010	$10,247
St Mark's HospitalSalt Lake City, UT · CCN 460047	20	$2,515	About average	$2,001	$18,688
Orlando HealthOrlando, FL · CCN 100006	121	$2,516	About average	$2,024	$44,396
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	49	$2,517	About average	$2,012	$21,497
North Mississippi Medical CenterTupelo, MS · CCN 250004	26	$2,518	About average	$2,006	$14,793
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	35	$2,518	About average	$2,054	$17,387
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	51	$2,519	About average	$1,999	$10,235
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	63	$2,520	About average	$2,071	$29,772
Kettering Health Main CampusKettering, OH · CCN 360079	27	$2,520	About average	$2,008	$28,056
UF Health Shands HospitalGainesville, FL · CCN 100113	90	$2,520	About average	$2,027	$18,025
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	52	$2,521	About average	$1,989	$22,637
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	46	$2,523	About average	$2,030	$11,869
Atrium Health PinevilleCharlotte, NC · CCN 340098	18	$2,523	About average	$2,016	$14,862
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	30	$2,523	About average	$2,016	$14,755
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	15	$2,524	About average	$2,054	$15,257
Methodist Charlton Medical CenterDallas, TX · CCN 450723	15	$2,525	About average	$2,105	$17,046
Johnston HealthSmithfield, NC · CCN 340090	25	$2,525	About average	$2,045	$13,362
Texoma Medical CenterDenison, TX · CCN 450324	23	$2,525	About average	$2,077	$18,914
Hunt Regional Medical CenterGreenville, TX · CCN 450352	24	$2,526	About average	$2,068	$7,092
Franciscan Health Crown PointCrown Point, IN · CCN 150126	26	$2,526	About average	$2,051	$23,826
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	26	$2,526	About average	$2,033	$13,697
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	15	$2,526	About average	$2,030	$10,586
Lancaster General HospitalLancaster, PA · CCN 390100	49	$2,527	About average	$2,004	$15,598
St Luke's Regional Medical CenterBoise, ID · CCN 130006	36	$2,527	About average	$2,017	$9,792
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	53	$2,527	About average	$2,079	$18,953
The Monroe ClinicMonroe, WI · CCN 520028	14	$2,527	About average	$2,022	$18,502
WakeMed, Cary HospitalCary, NC · CCN 340173	16	$2,528	About average	$2,028	$23,766
Benefis Hospitals IncGreat Falls, MT · CCN 270012	20	$2,528	About average	$1,990	$17,042
Rex HospitalRaleigh, NC · CCN 340114	45	$2,528	About average	$2,026	$13,295
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	53	$2,528	About average	$2,052	$23,730
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	17	$2,528	About average	$2,016	$14,546
Bryan Medical CenterLincoln, NE · CCN 280003	18	$2,530	About average	$2,030	$18,052
CHI Health ImmanuelOmaha, NE · CCN 280081	21	$2,530	About average	$2,012	$28,401
Poudre Valley HospitalFort Collins, CO · CCN 060010	15	$2,531	About average	$2,005	$15,490
Duke University HospitalDurham, NC · CCN 340030	143	$2,532	About average	$2,042	$15,030
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	37	$2,532	About average	$2,056	$23,097
St Mary Medical Center IncHobart, IN · CCN 150034	40	$2,534	About average	$2,073	$12,249
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	12	$2,534	About average	$2,041	$20,264
Hancock Regional HospitalGreenfield, IN · CCN 150037	14	$2,534	About average	$2,102	$10,413
Union Hospital IncTerre Haute, IN · CCN 150023	17	$2,535	About average	$2,080	$13,036
Saint Francis Medical CenterPeoria, IL · CCN 140067	76	$2,536	About average	$2,074	$18,778
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	11	$2,536	About average	$2,021	$19,542
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	25	$2,537	About average	$2,108	$21,540
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	32	$2,538	About average	$2,026	$14,886
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	31	$2,539	About average	$2,013	$25,566
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	13	$2,541	About average	$2,124	$16,861
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291	16	$2,542	About average	$2,098	$26,021
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	46	$2,542	About average	$2,083	$19,423
Baptist Medical Center - NassauFernandina Beach, FL · CCN 100140	18	$2,542	About average	$2,083	$19,662

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.