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 Pennsylvania

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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Average payment across these 48 hospitals: $2,594National $2,703 · Pennsylvania $2,595
Median hospital: $2,578
Lowest to highest: $1,464–$2,959
Medicare procedures: 1,647

48 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
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	15	$1,464	46% below the national average	$1,167	$16,579
UPMC MemorialYork, PA · CCN 390101	27	$1,498	45% below the national average	$1,201	$8,176
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	28	$2,346	13% below the national average	$1,900	$41,742
Penn State Health St. JosephReading, PA · CCN 390096	12	$2,391	12% below the national average	$1,854	$26,903
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	17	$2,406	11% below the national average	$1,911	$28,722
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	45	$2,422	10% below the national average	$1,915	$28,021
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	18	$2,445	About average	$1,954	$29,585
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	20	$2,445	About average	$1,947	$19,771
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	31	$2,467	About average	$1,966	$14,823
Geisinger Medical CenterDanville, PA · CCN 390006	39	$2,477	About average	$1,982	$34,521
UPMC St MargaretPittsburgh, PA · CCN 390102	20	$2,506	About average	$2,063	$26,802
UPMC EastMonroeville, PA · CCN 390328	16	$2,507	About average	$2,061	$23,084
UPMC PassavantPittsburgh, PA · CCN 390107	37	$2,507	About average	$2,021	$21,987
Allegheny General HospitalPittsburgh, PA · CCN 390050	25	$2,507	About average	$2,021	$12,397
Jefferson HospitalJefferson Hills, PA · CCN 390265	14	$2,507	About average	$2,014	$11,990
Geisinger-Community Medical CenterScranton, PA · CCN 390001	26	$2,508	About average	$2,008	$45,243
West Penn HospitalPittsburgh, PA · CCN 390090	30	$2,508	About average	$2,002	$11,353
St Clair HospitalPittsburgh, PA · CCN 390228	44	$2,508	About average	$2,001	$13,232
Regional Hospital Of ScrantonScranton, PA · CCN 390237	16	$2,508	About average	$1,998	$26,670
Lancaster General HospitalLancaster, PA · CCN 390100	49	$2,527	About average	$2,004	$15,598
Wellspan York HospitalYork, PA · CCN 390046	48	$2,555	About average	$2,033	$14,249
Penn Highlands DuboisDubois, PA · CCN 390086	11	$2,564	About average	$2,035	$9,351
Reading HospitalWest Reading, PA · CCN 390044	30	$2,565	About average	$2,044	$15,263
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	66	$2,578	About average	$2,065	$17,424
Robert Packer HospitalSayre, PA · CCN 390079	38	$2,579	About average	$2,089	$17,499
Milton S Hershey Medical CenterHershey, PA · CCN 390256	90	$2,596	About average	$2,074	$26,101
Meadville Medical CenterMeadville, PA · CCN 390113	33	$2,619	About average	$2,176	$19,478
Jefferson Abington HospitalAbington, PA · CCN 390231	27	$2,634	About average	$2,123	$16,435
UPMC HanoverHanover, PA · CCN 390233	38	$2,641	About average	$2,185	$11,159
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	22	$2,650	About average	$2,106	$15,630
St Lukes HospitalBethlehem, PA · CCN 390049	53	$2,656	About average	$2,132	$31,207
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	17	$2,660	About average	$2,119	$23,243
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	12	$2,685	About average	$2,161	$11,035
Doylestown HospitalDoylestown, PA · CCN 390203	84	$2,709	About average	$2,160	$16,409
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	24	$2,709	About average	$2,158	$18,137
Paoli HospitalPaoli, PA · CCN 390153	15	$2,709	About average	$2,158	$14,632
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	13	$2,709	About average	$2,158	$13,166
Main Line Hospital LankenauWynnewood, PA · CCN 390195	32	$2,709	About average	$2,152	$17,638
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	151	$2,711	About average	$2,198	$23,318
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	11	$2,715	About average	$2,176	$12,646
Crozer Chester Medical CenterUpland, PA · CCN 390180	14	$2,727	About average	$2,191	$19,193
Lehigh Valley HospitalAllentown, PA · CCN 390133	135	$2,738	About average	$2,194	$22,934
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	18	$2,738	About average	$2,189	$23,063
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	19	$2,828	About average	$2,283	$30,845
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	45	$2,829	About average	$2,263	$18,887
Temple University HospitalPhiladelphia, PA · CCN 390027	43	$2,829	About average	$2,260	$42,424
Saint Vincent HospitalErie, PA · CCN 390009	17	$2,959	About average	$2,366	$17,850
UPMC HamotErie, PA · CCN 390063	12	$2,959	About average	$2,358	$30,993

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.