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 Virginia

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 32 hospitals: $2,501National $2,703 · Virginia $2,501
Median hospital: $2,467
Lowest to highest: $2,305–$2,760
Medicare procedures: 1,368

32 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
Sentara Leigh HospitalNorfolk, VA · CCN 490046	23	$2,305	15% below the national average	$1,820	$16,716
Carilion Medical CenterRoanoke, VA · CCN 490024	63	$2,336	14% below the national average	$1,878	$12,045
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	40	$2,345	13% below the national average	$1,887	$22,943
Chesapeake General HospitalChesapeake, VA · CCN 490120	43	$2,398	11% below the national average	$1,898	$13,158
Riverside Regional Medical CenterNewport News, VA · CCN 490052	100	$2,398	11% below the national average	$1,921	$13,193
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	39	$2,410	11% below the national average	$1,926	$13,286
Lewisgale Medical CenterSalem, VA · CCN 490048	135	$2,416	11% below the national average	$2,003	$60,459
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	13	$2,416	11% below the national average	$1,991	$15,345
CJW Medical CenterRichmond, VA · CCN 490112	66	$2,417	11% below the national average	$1,947	$69,259
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	13	$2,417	11% below the national average	$1,926	$21,393
Sentara Obici HospitalSuffolk, VA · CCN 490044	12	$2,418	11% below the national average	$1,916	$20,629
Henrico Doctors' HospitalRichmond, VA · CCN 490118	32	$2,439	About average	$1,970	$73,669
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	22	$2,443	About average	$1,963	$11,564
John Randolph Medical CenterHopewell, VA · CCN 490020	12	$2,443	About average	$1,947	$73,386
Sentara Careplex HospitalHampton, VA · CCN 490093	14	$2,443	About average	$1,947	$16,500
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	25	$2,443	About average	$1,930	$17,121
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	21	$2,491	About average	$1,964	$21,397
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	35	$2,518	About average	$2,054	$17,387
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	63	$2,544	About average	$2,103	$16,172
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	202	$2,559	About average	$2,038	$10,121
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	60	$2,576	About average	$2,069	$9,140
Inova Fairfax HospitalFalls Church, VA · CCN 490063	70	$2,614	About average	$2,092	$8,349
Southside Community Hospital, IncFarmville, VA · CCN 490090	15	$2,615	About average	$2,164	$20,617
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	25	$2,615	About average	$2,158	$13,943
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	33	$2,632	About average	$2,140	$5,978
Stafford Hospital, LLCStafford, VA · CCN 490140	13	$2,632	About average	$2,138	$12,621
Virginia Hospital CenterArlington, VA · CCN 490050	56	$2,632	About average	$2,133	$13,321
Inova Alexandria HospitalAlexandria, VA · CCN 490040	52	$2,632	About average	$2,125	$6,380
Inova Loudoun HospitalLeesburg, VA · CCN 490043	15	$2,632	About average	$2,124	$8,185
Winchester Medical CenterWinchester, VA · CCN 490005	29	$2,685	About average	$2,127	$8,762
Augusta HealthFishersville, VA · CCN 490018	13	$2,714	About average	$2,173	$18,940
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	14	$2,760	About average	$2,249	$11,603

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.