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
Hospitals in Illinois
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.
- Average payment across these 25 hospitals
- $5,069
- Median hospital
- $5,251
- Lowest to highest
- $4,479–$5,543
- Medicare procedures
- 1,019
25 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Saint Francis Medical Center | 127 | $4,479 | 16% below the national average | $3,569 | $36,671 |
| Palos Community Hospital | 14 | $4,638 | 14% below the national average | $3,695 | $36,423 |
| Advocate Christ Hospital & Medical Center | 24 | $4,717 | 12% below the national average | $3,754 | $11,663 |
| Carle Health Methodist Hospital | 19 | $4,769 | 11% below the national average | $3,755 | $46,241 |
| Advocate Good Samaritan Hospital | 17 | $4,774 | 11% below the national average | $3,804 | $20,453 |
| Advocate Sherman Hospital | 29 | $4,839 | About average | $3,824 | $23,790 |
| Loyola University Medical Center | 53 | $4,846 | About average | $3,715 | $27,171 |
| Carle Foundation Hospital | 44 | $4,908 | About average | $3,910 | $26,960 |
| Northwestern Memorial Hospital | 144 | $4,927 | About average | $3,928 | $37,604 |
| Advocate Good Shepherd Hospital | 15 | $5,020 | About average | $3,999 | $17,013 |
| Advocate Lutheran General Hospital | 27 | $5,211 | About average | $4,151 | $16,536 |
| Silver Cross Hospital And Medical Centers | 68 | $5,221 | About average | $4,121 | $11,060 |
| Saint Anthony Medical Center | 19 | $5,251 | About average | $4,184 | $34,228 |
| Memorial Medical Center | 25 | $5,267 | About average | $4,196 | $38,864 |
| St Johns Hospital | 12 | $5,267 | About average | $4,196 | $20,934 |
| NorthShore University HealthSystem - Evanston Hospital | 69 | $5,310 | About average | $4,231 | $33,866 |
| Northwest Community Hospital 1 | 72 | $5,314 | About average | $4,208 | $14,847 |
| Northwestern Lake Forest Hospital | 19 | $5,378 | About average | $4,285 | $55,531 |
| The University Of Chicago Medical Center | 55 | $5,384 | About average | $4,252 | $61,364 |
| Northwestern Medicine Central Dupage Hospital | 24 | $5,411 | About average | $4,311 | $52,991 |
| Edward Hospital | 34 | $5,411 | About average | $4,309 | $43,055 |
| Elmhurst Memorial Hospital | 23 | $5,411 | About average | $4,303 | $38,279 |
| Rush University Medical Center | 61 | $5,471 | About average | $4,343 | $37,747 |
| Alexian Brothers Medical Center 1 | 13 | $5,543 | About average | $4,416 | $31,149 |
| University Of Illinois Hospital And Clinics | 12 | $5,543 | About average | $4,416 | $28,420 |
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.