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

Hospitals in Georgia

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Georgia

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Year of care

Average payment across these 28 hospitals: $2,442National $2,703 · Georgia $2,442
Median hospital: $2,504
Lowest to highest: $1,926–$2,643
Medicare procedures: 817

28 hospitals reported at least 11 Medicare procedures for this in 2024. 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
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	23	$1,926	29% below the national average	$1,544	$25,171
Tift Regional Medical CenterTifton, GA · CCN 110095	11	$2,057	24% below the national average	$1,568	$18,529
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	22	$2,287	15% below the national average	$1,843	$13,771
Piedmont Columbus Regional MidtownColumbus, GA · CCN 110064	32	$2,314	14% below the national average	$1,854	$20,906
Piedmont Augusta HospitalAugusta, GA · CCN 110028	36	$2,325	14% below the national average	$1,847	$16,999
Piedmont Hospital, IncAtlanta, GA · CCN 110083	80	$2,336	14% below the national average	$1,841	$24,617
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	44	$2,344	13% below the national average	$1,857	$27,902
Candler HospitalSavannah, GA · CCN 110024	42	$2,345	13% below the national average	$1,864	$17,781
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	14	$2,373	12% below the national average	$1,910	$24,808
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	39	$2,376	12% below the national average	$1,865	$23,267
St Mary's HospitalAthens, GA · CCN 110006	12	$2,390	12% below the national average	$1,870	$21,317
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	25	$2,422	10% below the national average	$1,940	$11,342
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	14	$2,457	About average	$1,956	$33,635
Northside Hospital CherokeeCanton, GA · CCN 110008	29	$2,498	About average	$1,987	$22,890
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	54	$2,510	About average	$2,026	$12,190
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	36	$2,514	About average	$1,985	$22,745
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	31	$2,539	About average	$2,013	$25,566
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	27	$2,558	About average	$2,035	$13,513
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	37	$2,560	About average	$2,047	$28,260
AdventHealth RedmondRome, GA · CCN 110168	13	$2,560	About average	$2,040	$42,472
Hamilton Medical CenterDalton, GA · CCN 110001	11	$2,560	About average	$2,040	$22,598
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	54	$2,561	About average	$2,051	$29,141
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	19	$2,575	About average	$2,133	$6,768
Emory Decatur HospitalDecatur, GA · CCN 110076	21	$2,606	About average	$2,082	$15,682
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	13	$2,606	About average	$2,076	$10,740
Northside HospitalAtlanta, GA · CCN 110161	43	$2,606	About average	$2,076	$21,871
Northside Hospital ForsythCumming, GA · CCN 110005	24	$2,606	About average	$2,068	$17,960
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	11	$2,643	About average	$2,130	$18,948

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.