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 Washington

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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Washington

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Year of care

Average payment across these 24 hospitals: $2,859National $2,703 · Washington $2,859
Median hospital: $2,854
Lowest to highest: $2,653–$3,120
Medicare procedures: 758

24 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
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	19	$2,653	About average	$2,065	$23,565
Valley Medical CenterRenton, WA · CCN 500088	15	$2,715	About average	$2,146	$10,408
Kadlec Regional Medical CenterRichland, WA · CCN 500058	47	$2,770	About average	$2,200	$14,117
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	49	$2,786	About average	$2,257	$8,922
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	15	$2,790	About average	$2,174	$18,640
Virginia Mason Medical CenterSeattle, WA · CCN 500005	68	$2,811	About average	$2,273	$12,483
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	17	$2,816	About average	$2,361	$10,177
Deaconess Medical CenterSpokane, WA · CCN 500044	23	$2,816	About average	$2,325	$12,301
Providence Holy Family HospitalSpokane, WA · CCN 500077	26	$2,816	About average	$2,321	$11,676
University Of Washington Medical CenterSeattle, WA · CCN 500008	48	$2,818	About average	$2,263	$12,928
Skagit Valley HospitalMount Vernon, WA · CCN 500003	89	$2,837	About average	$2,352	$15,506
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	24	$2,842	About average	$2,255	$21,305
St Francis Community HospitalFederal Way, WA · CCN 500141	28	$2,865	About average	$2,387	$20,118
Swedish IssaquahIssaquah, WA · CCN 500152	29	$2,867	About average	$2,329	$9,353
Providence Regional Medical Center EverettEverett, WA · CCN 500014	21	$2,867	About average	$2,325	$12,830
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	31	$2,867	About average	$2,289	$12,641
Capital Medical CenterOlympia, WA · CCN 500139	15	$2,893	About average	$2,305	$26,140
St Joseph Medical CenterTacoma, WA · CCN 500108	22	$2,893	About average	$2,305	$29,654
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	38	$2,893	About average	$2,304	$19,954
Confluence Health HospitalWenatchee, WA · CCN 500016	57	$2,997	11% above the national average	$2,446	$7,763
Swedish Medical CenterSeattle, WA · CCN 500027	24	$3,008	11% above the national average	$2,441	$12,553
Olympic Medical CenterPort Angeles, WA · CCN 500072	15	$3,017	12% above the national average	$2,445	$8,536
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	21	$3,018	12% above the national average	$2,426	$12,147
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	17	$3,120	15% above the national average	$2,606	$12,179

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.