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Outpatient procedure · APC 5331 · Surgery or procedure

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
$4,26379% of the payment
Average billed charge
$34,865
Hospitals reporting
51220,597 procedures

Hospitals in Arizona

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.

Location
Arizona
Specific hospitals up to 10
Average payment across these 12 hospitals
$4,962National $5,364 · Arizona $4,962
Median hospital
$5,557
Lowest to highest
$4,308–$5,558
Medicare procedures
848

12 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Complex GI Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Mayo Clinic HospitalPhoenix, AZ · CCN 030103209$4,30820% below the national average$3,432$29,760
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 03009261$4,46417% below the national average$3,557$23,995
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087189$4,64413% below the national average$3,688$29,071
Chandler Regional Medical CenterChandler, AZ · CCN 03003620$5,336About average$4,206$54,054
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 03000258$5,557About average$4,429$23,184
Banner Boswell Medical CenterSun City, AZ · CCN 03006120$5,557About average$4,428$27,958
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 03009397$5,557About average$4,428$21,502
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064105$5,557About average$4,428$19,234
City Of Hope Cancer Center PhoenixGoodyear, AZ · CCN 03013811$5,557About average$4,428$36,837
Mercy Gilbert Medical CenterGilbert, AZ · CCN 03011914$5,557About average$4,428$48,702
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 03002446$5,558About average$4,426$35,161
Banner Gateway Medical CenterGilbert, AZ · CCN 03012218$5,558About average$4,417$35,541

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 20,796 procedures at 559 hospitals · 2021: 21,704 procedures at 553 hospitals · 2022: 21,496 procedures at 548 hospitals · 2023: 20,937 procedures at 533 hospitals · 2024: 20,597 procedures at 512 hospitals
View data as a table
National average payment and billed charge for Complex GI Procedures
Year of careAverage paymentAverage 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
Average payment by state for Complex GI Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont123$3,074$3,074–$3,074
Kentucky8389$4,113$4,455–$4,936
Utah4198$4,182$4,535–$5,105
Missouri13680$4,447$4,539–$4,977
Alabama8220$4,593$4,412–$4,712
South Carolina11539$4,632$4,628–$4,897
West Virginia6189$4,661$4,527–$4,775
Mississippi484$4,740$4,654–$4,771
Ohio21624$4,759$4,541–$4,956
Tennessee11279$4,762$4,669–$4,891
Iowa3223$4,769$4,607–$4,741
Oklahoma7282$4,772$4,665–$4,880
Kansas6274$4,777$4,835–$4,866
Arkansas4160$4,783$4,758–$5,170
Louisiana7188$4,788$4,779–$4,827
Michigan10539$4,809$4,802–$5,072
North Carolina15650$4,900$4,957–$5,126
Virginia14574$4,903$4,838–$4,936
Georgia17437$4,927$4,631–$5,121
Arizona12848$4,962$5,163–$5,557
Texas371,293$4,995$4,934–$5,129
Indiana14500$5,027$4,837–$5,164
Nebraska4173$5,060$4,989–$5,136
Maine390$5,066$4,985–$5,062
Illinois251,019$5,069$4,846–$5,384
Florida261,074$5,073$5,133–$5,162
New Mexico336$5,146$4,850–$5,408
Idaho4112$5,177$5,091–$5,226
Pennsylvania25897$5,177$5,080–$5,364
Wisconsin12292$5,248$5,134–$5,364
Delaware244$5,253$5,149–$5,528
South Dakota3152$5,258$5,201–$5,291
Montana597$5,342$5,343–$5,723
Colorado7411$5,379$5,385–$5,425
North Dakota2115$5,383$5,438–$5,628
Minnesota11791$5,385$5,392–$5,448
New Hampshire379$5,639$5,450–$5,613
District of Columbia3236$5,710$5,578–$5,716
Washington15588$5,713$5,602–$5,846
Rhode Island234$5,784$5,784–$5,784
Oregon7192$5,805$5,680–$6,001
Alaska117$5,883$5,883–$5,883
New Jersey18574$5,910$5,618–$6,291
Massachusetts10706$5,938$5,857–$6,121
Nevada240$6,104$6,104–$6,104
New York301,137$6,189$6,042–$6,401
Connecticut6273$6,266$6,093–$6,323
Hawaii373$6,293$6,181–$6,327
California472,152$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.