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 401–450. 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
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	14	$2,542	About average	$2,026	$20,288
Orlando Health Rockledge HospitalRockledge, FL · CCN 100092	19	$2,542	About average	$2,073	$30,285
Naples Community HospitalNaples, FL · CCN 100018	36	$2,542	About average	$2,072	$20,321
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	12	$2,542	About average	$2,069	$55,977
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	35	$2,543	About average	$2,066	$51,179
Sarasota Memorial HospitalSarasota, FL · CCN 100087	120	$2,543	About average	$2,062	$25,252
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	28	$2,543	About average	$2,033	$24,227
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	32	$2,543	About average	$2,050	$18,425
Shands JacksonvilleJacksonville, FL · CCN 100001	11	$2,543	About average	$2,049	$29,962
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	60	$2,543	About average	$2,048	$19,750
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	106	$2,543	About average	$2,048	$19,387
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	13	$2,543	About average	$2,046	$29,558
HCA Florida South Tampa HospitalTampa, FL · CCN 100206	14	$2,543	About average	$2,045	$44,874
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	27	$2,543	About average	$2,043	$33,940
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	77	$2,543	About average	$2,043	$21,917
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	16	$2,543	About average	$2,042	$25,021
Tampa General HospitalTampa, FL · CCN 100128	49	$2,543	About average	$2,040	$42,747
AdventHealth CarrollwoodTampa, FL · CCN 100069	11	$2,543	About average	$2,038	$40,005
AdventHealth DelandDeland, FL · CCN 100045	11	$2,543	About average	$2,038	$28,495
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	33	$2,543	About average	$2,034	$21,756
Morton Plant HospitalClearwater, FL · CCN 100127	26	$2,543	About average	$2,034	$16,543
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	19	$2,543	About average	$2,033	$26,868
Baptist HospitalPensacola, FL · CCN 100093	25	$2,543	About average	$2,031	$43,049
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	38	$2,543	About average	$2,031	$47,284
Jackson Health SystemMiami, FL · CCN 100022	26	$2,543	About average	$2,031	$7,893
South Miami HospitalMiami, FL · CCN 100154	22	$2,543	About average	$2,031	$27,284
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	25	$2,543	About average	$2,026	$36,043
Palm Bay HospitalPalm Bay, FL · CCN 100316	23	$2,543	About average	$2,026	$33,428
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	17	$2,543	About average	$2,026	$21,447
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137	11	$2,543	About average	$2,026	$99,933
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	11	$2,543	About average	$2,026	$41,604
Memorial Hospital WestPembroke Pines, FL · CCN 100281	11	$2,543	About average	$2,026	$26,533
St Anthonys HospitalSaint Petersburg, FL · CCN 100067	36	$2,543	About average	$2,026	$14,936
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	11	$2,543	About average	$2,025	$28,582
HCA Florida West HospitalPensacola, FL · CCN 100231	35	$2,543	About average	$2,024	$56,015
Winter Haven HospitalWinter Haven, FL · CCN 100052	12	$2,543	About average	$2,021	$12,914
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	12	$2,543	About average	$2,020	$39,847
AdventHealth OcalaOcala, FL · CCN 100062	18	$2,544	About average	$2,015	$78,574
Sacred Heart HospitalPensacola, FL · CCN 100025	16	$2,544	About average	$2,003	$18,928
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	63	$2,544	About average	$2,103	$16,172
Aurora Medical CenterGrafton, WI · CCN 520207	16	$2,550	About average	$2,087	$19,727
Mount Sinai WestNew York, NY · CCN 330046	63	$2,550	About average	$2,031	$13,917
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	107	$2,553	About average	$2,068	$16,657
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	19	$2,555	About average	$2,027	$12,843
Rush Oak Park HospitalOak Park, IL · CCN 140063	12	$2,555	About average	$2,035	$15,292
Wellspan York HospitalYork, PA · CCN 390046	48	$2,555	About average	$2,033	$14,249
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	27	$2,558	About average	$2,035	$13,513
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	13	$2,558	About average	$2,078	$15,076
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	15	$2,558	About average	$2,038	$20,324
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	84	$2,558	About average	$2,057	$10,373

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.