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 Michigan

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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Michigan

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Year of care

Average payment across these 31 hospitals: $2,461National $2,703 · Michigan $2,461
Median hospital: $2,502
Lowest to highest: $2,168–$2,639
Medicare procedures: 974

31 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
Henry Ford Health HospitalDetroit, MI · CCN 230053	68	$2,168	20% below the national average	$1,722	$7,868
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	14	$2,306	15% below the national average	$1,836	$18,033
Spectrum HealthGrand Rapids, MI · CCN 230038	113	$2,338	14% below the national average	$1,855	$11,159
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	57	$2,369	12% below the national average	$1,887	$9,268
McLaren Greater LansingLansing, MI · CCN 230167	16	$2,382	12% below the national average	$1,888	$9,686
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	24	$2,395	11% below the national average	$1,859	$10,206
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	58	$2,433	About average	$1,936	$17,243
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
Memorial HealthcareOwosso, MI · CCN 230121	19	$2,457	About average	$2,023	$17,035
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	11	$2,459	About average	$1,942	$8,422
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	32	$2,467	About average	$1,992	$17,257
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	11	$2,470	About average	$1,968	$17,033
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
Covenant Medical CenterSaginaw, MI · CCN 230070	15	$2,502	About average	$2,012	$13,238
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
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
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
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	107	$2,553	About average	$2,068	$16,657
McLaren FlintFlint, MI · CCN 230141	17	$2,560	About average	$2,033	$8,511
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	64	$2,565	About average	$2,062	$11,994
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	43	$2,605	About average	$2,135	$12,839
Munson Medical CenterTraverse City, MI · CCN 230097	19	$2,620	About average	$2,077	$10,234
McLaren Northern MichiganPetoskey, MI · CCN 230105	20	$2,636	About average	$2,115	$6,499
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	14	$2,637	About average	$2,110	$16,929
Chelsea HospitalChelsea, MI · CCN 230259	20	$2,639	About average	$2,129	$12,584

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.