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 Missouri

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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Missouri

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Year of care

Average payment across these 21 hospitals: $2,443National $2,703 · Missouri $2,443
Median hospital: $2,443
Lowest to highest: $2,222–$2,569
Medicare procedures: 723

21 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
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	11	$2,222	18% below the national average	$1,750	$16,538
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	32	$2,246	17% below the national average	$1,789	$13,986
University Of Missouri Health CareColumbia, MO · CCN 260141	31	$2,325	14% below the national average	$1,844	$16,863
Research Medical CenterKansas City, MO · CCN 260027	22	$2,357	13% below the national average	$1,892	$40,965
Cox Medical CentersSpringfield, MO · CCN 260040	60	$2,360	13% below the national average	$1,928	$15,541
Boone Hospital CenterColumbia, MO · CCN 260068	27	$2,389	12% below the national average	$1,908	$11,035
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	36	$2,400	11% below the national average	$1,917	$11,764
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	50	$2,420	10% below the national average	$1,964	$15,099
Mercy Hospital SouthSaint Louis, MO · CCN 260077	29	$2,437	About average	$1,965	$8,796
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	11	$2,439	About average	$2,011	$6,695
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	36	$2,443	About average	$1,969	$11,545
Saint Lukes North HospitalKansas City, MO · CCN 260062	20	$2,451	About average	$2,021	$23,750
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	58	$2,483	About average	$2,001	$11,102
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
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
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	44	$2,562	About average	$2,082	$12,683
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	23	$2,569	About average	$2,058	$19,985

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.