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 Texas

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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Texas

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Year of care

Average payment across these 55 hospitals: $2,475National $2,703 · Texas $2,481
Median hospital: $2,477
Lowest to highest: $2,141–$2,609
Medicare procedures: 1,606

55 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Christus St Michael Health SystemTexarkana, TX · CCN 450801	16	$2,141	21% below the national average	$1,643	$19,764
University Medical CenterLubbock, TX · CCN 450686	20	$2,144	21% below the national average	$1,720	$53,805
Hendrick Medical CenterAbilene, TX · CCN 450229	21	$2,179	19% below the national average	$1,743	$32,535
Baptist Medical CenterSan Antonio, TX · CCN 450058	36	$2,227	18% below the national average	$1,728	$48,197
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	15	$2,265	16% below the national average	$1,767	$14,259
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	17	$2,341	13% below the national average	$1,859	$24,734
University Health SystemSan Antonio, TX · CCN 450213	21	$2,343	13% below the national average	$1,869	$12,064
Methodist Dallas Medical CenterDallas, TX · CCN 450051	13	$2,372	12% below the national average	$1,868	$17,551
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	27	$2,392	11% below the national average	$1,959	$11,166
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	15	$2,393	11% below the national average	$1,879	$14,926
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	45	$2,393	11% below the national average	$1,980	$19,037
St David's Medical CenterAustin, TX · CCN 450431	29	$2,403	11% below the national average	$1,903	$29,459
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	78	$2,413	11% below the national average	$1,988	$32,789
Baylor University Medical CenterDallas, TX · CCN 450021	30	$2,416	11% below the national average	$1,929	$18,236
Christus Mother Frances HospitalTyler, TX · CCN 450102	105	$2,417	11% below the national average	$2,007	$27,404
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	30	$2,435	About average	$2,000	$29,040
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	22	$2,436	About average	$1,940	$16,654
Bsa HospitalAmarillo, TX · CCN 450231	22	$2,436	About average	$1,947	$26,115
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	11	$2,436	About average	$1,944	$25,206
Methodist HospitalSan Antonio, TX · CCN 450388	25	$2,436	About average	$1,941	$27,332
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	19	$2,436	About average	$1,940	$25,409
Connally Memorial Medical CenterFloresville, TX · CCN 450108	14	$2,436	About average	$1,938	$11,715
Resolute Health HospitalNew Braunfels, TX · CCN 670098	26	$2,441	About average	$1,945	$28,132
Citizens Medical CenterVictoria, TX · CCN 450023	14	$2,449	About average	$1,987	$11,050
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	25	$2,450	About average	$1,957	$16,216
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	22	$2,470	About average	$1,955	$14,823
North Austin Medical CenterAustin, TX · CCN 450809	19	$2,470	About average	$2,021	$48,848
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	38	$2,477	About average	$1,994	$16,128
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	53	$2,488	About average	$2,023	$11,233
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	25	$2,514	About average	$2,052	$25,931
Shannon Medical CenterSan Angelo, TX · CCN 450571	22	$2,515	About average	$1,984	$16,406
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	63	$2,520	About average	$2,071	$29,772
Methodist Charlton Medical CenterDallas, TX · CCN 450723	15	$2,525	About average	$2,105	$17,046
Texoma Medical CenterDenison, TX · CCN 450324	23	$2,525	About average	$2,077	$18,914
Hunt Regional Medical CenterGreenville, TX · CCN 450352	24	$2,526	About average	$2,068	$7,092
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	26	$2,526	About average	$2,033	$13,697
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	15	$2,526	About average	$2,030	$10,586
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	53	$2,527	About average	$2,079	$18,953
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	53	$2,528	About average	$2,052	$23,730
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	37	$2,532	About average	$2,056	$23,097
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	12	$2,534	About average	$2,041	$20,264
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	32	$2,538	About average	$2,026	$14,886
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	14	$2,542	About average	$2,026	$20,288
Houston Methodist HospitalHouston, TX · CCN 450358	81	$2,577	About average	$2,094	$22,934
Harris HealthHouston, TX · CCN 450289	14	$2,590	About average	$2,082	$8,228
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	15	$2,602	About average	$2,152	$26,208
Houston Methodist West HospitalHouston, TX · CCN 670077	24	$2,602	About average	$2,150	$19,946
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	42	$2,602	About average	$2,133	$17,928
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	38	$2,602	About average	$2,132	$23,809
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	27	$2,603	About average	$2,118	$18,550

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.