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 New York

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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New York

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Average payment across these 49 hospitals: $3,064National $2,703 · New York $3,067
Median hospital: $3,111
Lowest to highest: $2,550–$3,249
Medicare procedures: 2,208

49 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
Mount Sinai WestNew York, NY · CCN 330046	63	$2,550	About average	$2,031	$13,917
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	27	$2,581	About average	$1,943	$17,647
Oneida Health HospitalOneida, NY · CCN 330115	24	$2,684	About average	$2,075	$9,416
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	23	$2,710	About average	$2,064	$15,706
Highland HospitalRochester, NY · CCN 330164	12	$2,779	About average	$2,187	$11,754
Strong Memorial HospitalRochester, NY · CCN 330285	51	$2,790	About average	$2,240	$15,910
Kaleida HealthBuffalo, NY · CCN 330005	25	$2,822	About average	$2,225	$11,484
Crouse HospitalSyracuse, NY · CCN 330203	24	$2,878	About average	$2,265	$11,279
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	25	$2,881	About average	$2,311	$23,800
Albany Medical Center HospitalAlbany, NY · CCN 330013	33	$2,905	About average	$2,313	$8,879
Southside HospitalBay Shore, NY · CCN 330043	15	$2,907	About average	$2,331	$17,689
Huntington HospitalHuntington, NY · CCN 330045	46	$2,915	About average	$2,291	$16,011
St Peter's HospitalAlbany, NY · CCN 330057	76	$2,915	About average	$2,317	$11,635
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	41	$2,975	10% above the national average	$2,454	$10,086
Corning HospitalCorning, NY · CCN 330277	13	$2,975	10% above the national average	$2,452	$11,897
Glens Falls HospitalGlens Falls, NY · CCN 330191	21	$2,976	10% above the national average	$2,426	$6,481
Rochester General HospitalRochester, NY · CCN 330125	12	$2,976	10% above the national average	$2,421	$8,849
Wynn HospitalUtica, NY · CCN 330044	23	$2,977	10% above the national average	$2,371	$18,575
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	14	$3,013	11% above the national average	$2,375	$46,869
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	61	$3,030	12% above the national average	$2,396	$17,756
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	16	$3,036	12% above the national average	$2,419	$12,478
Staten Island University HospitalStaten Island, NY · CCN 330160	52	$3,062	13% above the national average	$2,472	$19,127
Lenox Hill HospitalNew York, NY · CCN 330119	29	$3,075	14% above the national average	$2,455	$19,190
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	36	$3,090	14% above the national average	$2,447	$13,096
Montefiore Medical CenterBronx, NY · CCN 330059	49	$3,111	15% above the national average	$2,475	$22,651
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	118	$3,119	15% above the national average	$2,509	$23,240
North Shore University HospitalManhasset, NY · CCN 330106	85	$3,124	16% above the national average	$2,489	$19,333
Garnet Health Medical CenterMiddletown, NY · CCN 330126	57	$3,128	16% above the national average	$2,511	$14,349
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	28	$3,131	16% above the national average	$2,498	$7,686
Nyu Langone HospitalsNew York, NY · CCN 330214	347	$3,135	16% above the national average	$2,527	$39,908
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	13	$3,135	16% above the national average	$2,530	$13,944
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	11	$3,135	16% above the national average	$2,527	$13,155
Long Island Community HospitalPatchogue, NY · CCN 330141	19	$3,136	16% above the national average	$2,499	$30,810
Bassett HealthcareCooperstown, NY · CCN 330136	34	$3,140	16% above the national average	$2,554	$9,508
Mount Sinai Beth IsraelNew York, NY · CCN 330169	33	$3,163	17% above the national average	$2,520	$16,002
Mount Sinai South NassauOceanside, NY · CCN 330198	52	$3,163	17% above the national average	$2,538	$23,796
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	48	$3,163	17% above the national average	$2,537	$16,080
Westchester Medical CenterValhalla, NY · CCN 330234	11	$3,179	18% above the national average	$2,533	$39,960
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	33	$3,187	18% above the national average	$2,605	$12,803
New York-Presbyterian HospitalNew York, NY · CCN 330101	243	$3,188	18% above the national average	$2,584	$19,767
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	24	$3,193	18% above the national average	$2,652	$15,579
New York-Presbyterian/QueensFlushing, NY · CCN 330055	34	$3,194	18% above the national average	$2,582	$16,356
Phelps HospitalSleepy Hollow, NY · CCN 330261	23	$3,195	18% above the national average	$2,566	$26,151
Maimonides Medical CenterBrooklyn, NY · CCN 330194	45	$3,195	18% above the national average	$2,563	$17,634
White Plains Hospital CenterWhite Plains, NY · CCN 330304	23	$3,195	18% above the national average	$2,559	$32,173
Mount Sinai HospitalNew York, NY · CCN 330024	74	$3,195	18% above the national average	$2,558	$14,638
Nyack HospitalNyack, NY · CCN 330104	12	$3,195	18% above the national average	$2,546	$20,706
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 330019	14	$3,195	18% above the national average	$2,535	$12,451
Garnet Health Medical Center CatskillsHarris, NY · CCN 330386	16	$3,249	20% above the national average	$2,702	$8,075

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.