Complex GI Procedures
In 2024, Medicare and patients paid an average of $5,364 per procedure at 512 hospitals. Half of hospitals averaged between $4,867 and $5,721.
National figures, 2024
- Average payment per case
- $5,364
- Typical range (middle half of hospitals)
- $4,867–$5,721
- Medicare’s share
- $4,263
- Average billed charge
- $34,865
- Hospitals reporting
- 512
Compare hospitals
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.
505 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | 19 | $4,914 | About average | $3,871 | $34,290 |
| Medical College Of Virginia Hospitals | 39 | $4,921 | About average | $3,920 | $34,170 |
| Baylor St Lukes Medical Center | 73 | $4,923 | About average | $3,918 | $42,187 |
| Northwestern Memorial Hospital | 144 | $4,927 | About average | $3,928 | $37,604 |
| Medical City Plano | 20 | $4,934 | About average | $3,881 | $112,542 |
| Saint Joseph Hospital | 25 | $4,936 | About average | $3,932 | $34,057 |
| Baptist Health Lexington | 21 | $4,936 | About average | $3,932 | $53,331 |
| Inova Alexandria Hospital | 53 | $4,941 | About average | $3,937 | $11,992 |
| University Of Michigan Health System | 157 | $4,943 | About average | $3,933 | $42,154 |
| Methodist Hospital | 58 | $4,945 | About average | $3,940 | $45,235 |
| Methodist Hospital Stone Oak | 36 | $4,945 | About average | $3,940 | $46,605 |
| University Health System | 42 | $4,945 | About average | $3,940 | $14,261 |
| The Hospitals Of Providence Transmountain Campus | 11 | $4,945 | About average | $3,940 | $71,940 |
| University Medical Center Of El Paso | 14 | $4,945 | About average | $3,940 | $26,913 |
| Baptist Medical Center | 24 | $4,945 | About average | $3,938 | $68,481 |
| UT Health East Texas Tyler Regional Hospital | 37 | $4,945 | About average | $3,937 | $61,535 |
| Christ Hospital | 17 | $4,950 | About average | $3,944 | $23,476 |
| Cape Fear Valley Medical Center | 47 | $4,954 | About average | $3,935 | $40,092 |
| Bethesda North | 29 | $4,956 | About average | $3,949 | $23,553 |
| Good Samaritan Hospital | 16 | $4,956 | About average | $3,949 | $19,620 |
| Sentara Norfolk General Hospital | 67 | $4,959 | About average | $3,951 | $21,741 |
| Memorial Mission Hospital And Asheville Surgery Ce | 31 | $4,960 | About average | $3,952 | $41,702 |
| Pardee Hospital Henderson County | 13 | $4,960 | About average | $3,952 | $22,644 |
| Christiana Hospital | 27 | $4,960 | About average | $3,881 | $15,939 |
| Northern Light Eastern Maine Medical Center | 16 | $4,965 | About average | $3,956 | $24,357 |
| M Health Fairview University Of Mn Medical Center | 202 | $4,966 | About average | $3,951 | $28,062 |
| Carolinas Medical Center/Behavioral Health | 84 | $4,975 | About average | $3,933 | $26,947 |
| Research Medical Center | 21 | $4,977 | About average | $3,977 | $62,263 |
| St Lukes Hospital Of Kansas City | 27 | $4,977 | About average | $3,966 | $31,570 |
| Kootenai Health | 47 | $4,979 | About average | $3,947 | $21,421 |
| Ascension St Vincent Hospital | 33 | $4,983 | About average | $3,945 | $47,852 |
| University Of Toledo Medical Center | 18 | $4,983 | About average | $3,970 | $36,923 |
| Bronson Methodist Hospital | 12 | $4,985 | About average | $3,972 | $14,144 |
| Ohio State University State Health System | 127 | $4,987 | About average | $3,947 | $27,702 |
| Miami Valley Hospital | 30 | $4,989 | About average | $3,968 | $22,974 |
| AdventHealth Port Charlotte | 26 | $5,004 | About average | $3,955 | $60,807 |
| Central Maine Medical Center | 20 | $5,004 | About average | $3,981 | $21,303 |
| UF Health Shands Hospital | 55 | $5,013 | About average | $3,964 | $23,478 |
| Wellstar Kennestone Regional Medical Center | 31 | $5,016 | About average | $3,996 | $53,015 |
| North Austin Medical Center | 16 | $5,016 | About average | $3,997 | $100,710 |
| St David's Medical Center | 21 | $5,016 | About average | $3,997 | $68,634 |
| St David's South Austin Medical Center | 19 | $5,016 | About average | $3,997 | $85,188 |
| Dell Seton Medical Center At The University Of Tx | 11 | $5,016 | About average | $3,997 | $39,899 |
| The Nebraska Medical Center | 77 | $5,020 | About average | $3,989 | $26,014 |
| Advocate Good Shepherd Hospital | 15 | $5,020 | About average | $3,999 | $17,013 |
| Henry Ford Health Hospital | 118 | $5,020 | About average | $3,986 | $19,936 |
| Memorial Hermann - Texas Medical Center | 41 | $5,027 | About average | $4,005 | $40,453 |
| Mercy Hospital | 13 | $5,029 | About average | $4,007 | $16,373 |
| Gulf Coast Medical Center Lee Health | 31 | $5,030 | About average | $3,981 | $35,409 |
| Methodist Richardson Medical Center | 32 | $5,032 | About average | $4,010 | $41,648 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $4,700 | $27K |
| 2021 | $4,970 | $29K |
| 2022 | $5,056 | $30K |
| 2023 | $5,110 | $32K |
| 2024 | $5,364 | $35K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 49 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 1 | 23 | $3,074 | $3,074–$3,074 |
| Kentucky | 8 | 389 | $4,113 | $4,455–$4,936 |
| Utah | 4 | 198 | $4,182 | $4,535–$5,105 |
| Missouri | 13 | 680 | $4,447 | $4,539–$4,977 |
| Alabama | 8 | 220 | $4,593 | $4,412–$4,712 |
| South Carolina | 11 | 539 | $4,632 | $4,628–$4,897 |
| West Virginia | 6 | 189 | $4,661 | $4,527–$4,775 |
| Mississippi | 4 | 84 | $4,740 | $4,654–$4,771 |
| Ohio | 21 | 624 | $4,759 | $4,541–$4,956 |
| Tennessee | 11 | 279 | $4,762 | $4,669–$4,891 |
| Iowa | 3 | 223 | $4,769 | $4,607–$4,741 |
| Oklahoma | 7 | 282 | $4,772 | $4,665–$4,880 |
| Kansas | 6 | 274 | $4,777 | $4,835–$4,866 |
| Arkansas | 4 | 160 | $4,783 | $4,758–$5,170 |
| Louisiana | 7 | 188 | $4,788 | $4,779–$4,827 |
| Michigan | 10 | 539 | $4,809 | $4,802–$5,072 |
| North Carolina | 15 | 650 | $4,900 | $4,957–$5,126 |
| Virginia | 14 | 574 | $4,903 | $4,838–$4,936 |
| Georgia | 17 | 437 | $4,927 | $4,631–$5,121 |
| Arizona | 12 | 848 | $4,962 | $5,163–$5,557 |
| Texas | 37 | 1,293 | $4,995 | $4,934–$5,129 |
| Indiana | 14 | 500 | $5,027 | $4,837–$5,164 |
| Nebraska | 4 | 173 | $5,060 | $4,989–$5,136 |
| Maine | 3 | 90 | $5,066 | $4,985–$5,062 |
| Illinois | 25 | 1,019 | $5,069 | $4,846–$5,384 |
| Florida | 26 | 1,074 | $5,073 | $5,133–$5,162 |
| New Mexico | 3 | 36 | $5,146 | $4,850–$5,408 |
| Idaho | 4 | 112 | $5,177 | $5,091–$5,226 |
| Pennsylvania | 25 | 897 | $5,177 | $5,080–$5,364 |
| Wisconsin | 12 | 292 | $5,248 | $5,134–$5,364 |
| Delaware | 2 | 44 | $5,253 | $5,149–$5,528 |
| South Dakota | 3 | 152 | $5,258 | $5,201–$5,291 |
| Montana | 5 | 97 | $5,342 | $5,343–$5,723 |
| Colorado | 7 | 411 | $5,379 | $5,385–$5,425 |
| North Dakota | 2 | 115 | $5,383 | $5,438–$5,628 |
| Minnesota | 11 | 791 | $5,385 | $5,392–$5,448 |
| New Hampshire | 3 | 79 | $5,639 | $5,450–$5,613 |
| District of Columbia | 3 | 236 | $5,710 | $5,578–$5,716 |
| Washington | 15 | 588 | $5,713 | $5,602–$5,846 |
| Rhode Island | 2 | 34 | $5,784 | $5,784–$5,784 |
| Oregon | 7 | 192 | $5,805 | $5,680–$6,001 |
| Alaska | 1 | 17 | $5,883 | $5,883–$5,883 |
| New Jersey | 18 | 574 | $5,910 | $5,618–$6,291 |
| Massachusetts | 10 | 706 | $5,938 | $5,857–$6,121 |
| Nevada | 2 | 40 | $6,104 | $6,104–$6,104 |
| New York | 30 | 1,137 | $6,189 | $6,042–$6,401 |
| Connecticut | 6 | 273 | $6,266 | $6,093–$6,323 |
| Hawaii | 3 | 73 | $6,293 | $6,181–$6,327 |
| California | 47 | 2,152 | $7,178 | $6,934–$7,660 |
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.