Outpatient procedure · APC 5341 · Surgery or procedure

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

In 2024, Medicare and patients paid an average of $3,323 per procedure at 1,731 hospitals. Half of hospitals averaged between $3,006 and $3,484.

National figures, 2024

Average payment per case: $3,323
Typical range (middle half of hospitals): $3,006–$3,484
Medicare’s share: $2,63679% of the payment
Average billed charge: $26,986
Hospitals reporting: 1,73167,672 procedures

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1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 1 Abdominal/Peritoneal/Biliary and Related Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	26	$1,302	61% below the national average	$617	$10,738
Central Vermont Medical CenterBarre, VT · CCN 470001	53	$1,575	53% below the national average	$877	$13,560
MetroHealth SystemCleveland, OH · CCN 360059	19	$1,591	52% below the national average	$991	$18,513
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	167	$1,614	51% below the national average	$922	$13,526
Marietta Memorial HospitalMarietta, OH · CCN 360147	35	$1,738	48% below the national average	$1,139	$27,181
Rutland Regional Medical CenterRutland, VT · CCN 470005	30	$1,930	42% below the national average	$1,248	$15,549
Palomar Health Downtown CampusEscondido, CA · CCN 050115	14	$2,077	38% below the national average	$1,197	$46,308
Brattleboro Memorial HospitalBrattleboro, VT · CCN 470011	31	$2,087	37% below the national average	$1,450	$15,154
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	25	$2,143	36% below the national average	$1,438	$17,836
Coastal Carolina HospitalHardeeville, SC · CCN 420101	15	$2,178	34% below the national average	$1,574	$66,891
UPMC MemorialYork, PA · CCN 390101	58	$2,253	32% below the national average	$1,788	$23,090
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	65	$2,272	32% below the national average	$1,807	$11,827
Princeton Baptist Medical CenterBirmingham, AL · CCN 010103	17	$2,347	29% below the national average	$1,737	$59,602
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	18	$2,355	29% below the national average	$1,761	$51,460
University Of Mississippi Medical Center- GrenadaGrenada, MS · CCN 250168	20	$2,392	28% below the national average	$1,789	$13,975
Spectrum HealthGrand Rapids, MI · CCN 230038	94	$2,457	26% below the national average	$1,930	$10,736
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	11	$2,549	23% below the national average	$1,943	$40,926
St Vincent's BirminghamBirmingham, AL · CCN 010056	14	$2,560	23% below the national average	$1,959	$26,068
St Francis HospitalMemphis, TN · CCN 440183	27	$2,578	22% below the national average	$1,977	$59,179
Physicians Medical CenterHouma, LA · CCN 190241	15	$2,584	22% below the national average	$1,999	$9,396
Memorial HospitalFremont, OH · CCN 360156	14	$2,616	21% below the national average	$2,016	$18,917
Memorial Hospital At GulfportGulfport, MS · CCN 250019	34	$2,632	21% below the national average	$2,096	$24,707
North Alabama Medical CenterFlorence, AL · CCN 010006	23	$2,637	21% below the national average	$2,059	$26,600
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	43	$2,645	20% below the national average	$2,096	$55,923
Navicent Health BaldwinMilledgeville, GA · CCN 110150	14	$2,650	20% below the national average	$2,047	$11,024
Singing River Health SystemPascagoula, MS · CCN 250040	24	$2,659	20% below the national average	$2,080	$30,773
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	16	$2,668	20% below the national average	$2,066	$76,303
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880	12	$2,672	20% below the national average	$2,023	$26,666
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	11	$2,679	19% below the national average	$2,092	$91,789
Singing River GulfportGulfport, MS · CCN 250123	16	$2,684	19% below the national average	$2,110	$63,572
Helen Keller HospitalSheffield, AL · CCN 010019	16	$2,696	19% below the national average	$2,117	$15,857
Cambridge Medical CenterCambridge, MN · CCN 240020	13	$2,699	19% below the national average	$2,027	$17,861
University Of Kentucky HospitalLexington, KY · CCN 180067	45	$2,704	19% below the national average	$2,120	$18,541
Piedmont Hospital, IncAtlanta, GA · CCN 110083	105	$2,712	18% below the national average	$2,134	$30,412
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	28	$2,717	18% below the national average	$2,165	$19,840
Grandview Medical CenterBirmingham, AL · CCN 010104	29	$2,718	18% below the national average	$2,133	$102,597
Ochsner Rush HospitalMeridian, MS · CCN 250069	16	$2,720	18% below the national average	$2,138	$13,920
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	14	$2,724	18% below the national average	$2,123	$42,042
Lewisgale Medical CenterSalem, VA · CCN 490048	18	$2,725	18% below the national average	$2,109	$84,653
Bailey Medical Center, LLCOwasso, OK · CCN 370228	11	$2,725	18% below the national average	$2,123	$26,247
Prisma Health Richland HospitalColumbia, SC · CCN 420018	37	$2,732	18% below the national average	$2,123	$20,428
Baldwin HealthFoley, AL · CCN 010083	17	$2,737	18% below the national average	$2,153	$96,830
Baptist Memorial Hospital DesotoSouthaven, MS · CCN 250141	40	$2,740	18% below the national average	$2,151	$14,645
St Mary's Regional Medical CenterEnid, OK · CCN 370026	24	$2,743	17% below the national average	$2,138	$38,831
Lima Memorial Health SystemLima, OH · CCN 360009	17	$2,744	17% below the national average	$2,129	$39,002
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	12	$2,753	17% below the national average	$2,146	$25,522
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	40	$2,754	17% below the national average	$2,150	$27,773
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	32	$2,760	17% below the national average	$2,191	$24,450
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	13	$2,763	17% below the national average	$2,173	$9,796
Wellstar Paulding Medical CenterHiram, GA · CCN 110042	11	$2,763	17% below the national average	$2,089	$32,198

National trend

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

Average payment
Average billed charge

2020: 74,021 procedures at 1,870 hospitals · 2021: 76,095 procedures at 1,891 hospitals · 2022: 72,329 procedures at 1,794 hospitals · 2023: 73,640 procedures at 1,829 hospitals · 2024: 67,672 procedures at 1,731 hospitals

View data as a table

National average payment and billed charge for Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
Year of care	Average payment	Average billed charge
2020	$3,111	$19K
2021	$3,207	$20K
2022	$3,252	$21K
2023	$3,521	$25K
2024	$3,323	$27K

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 1 Abdominal/Peritoneal/Biliary and Related Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	332	$1,696	$1,585–$2,048
Alabama	24	662	$2,827	$2,722–$2,869
Mississippi	22	651	$2,832	$2,761–$2,863
Louisiana	30	867	$2,897	$2,876–$2,930
Tennessee	36	1,428	$2,900	$2,838–$2,981
Arkansas	25	804	$2,914	$2,895–$3,125
Ohio	75	2,603	$2,933	$2,908–$3,027
South Carolina	36	1,316	$2,936	$2,833–$2,984
West Virginia	15	434	$2,941	$2,877–$2,991
Oklahoma	29	822	$2,960	$2,907–$3,023
Kentucky	25	771	$2,971	$2,899–$3,124
Kansas	22	741	$2,989	$2,954–$3,128
Iowa	21	968	$3,003	$2,959–$3,088
Missouri	36	1,255	$3,030	$2,983–$3,116
Georgia	53	1,713	$3,034	$2,924–$3,178
Utah	14	610	$3,049	$2,960–$3,126
Michigan	52	1,939	$3,050	$3,014–$3,167
North Carolina	58	2,478	$3,058	$3,011–$3,109
Texas	112	3,599	$3,064	$3,002–$3,123
Nebraska	16	610	$3,079	$3,084–$3,148
Virginia	53	2,484	$3,080	$2,979–$3,190
Florida	87	4,030	$3,098	$3,088–$3,134
New Mexico	12	326	$3,102	$3,013–$3,240
Indiana	48	1,397	$3,111	$3,084–$3,143
Idaho	13	383	$3,149	$3,056–$3,334
Wisconsin	45	1,344	$3,150	$3,086–$3,254
Maine	11	291	$3,169	$3,009–$3,251
Pennsylvania	91	4,271	$3,214	$3,090–$3,316
Illinois	65	2,855	$3,239	$3,197–$3,285
Montana	8	346	$3,263	$3,244–$3,323
North Dakota	6	385	$3,290	$3,244–$3,391
South Dakota	11	501	$3,292	$3,244–$3,474
Colorado	34	1,048	$3,316	$3,293–$3,303
Minnesota	32	1,262	$3,325	$3,260–$3,449
Arizona	38	1,467	$3,391	$3,311–$3,374
New Hampshire	12	506	$3,393	$3,317–$3,395
Wyoming	9	165	$3,414	$3,407–$3,474
Delaware	6	345	$3,450	$3,435–$3,471
Rhode Island	7	234	$3,484	$3,511–$3,511
District of Columbia	4	290	$3,507	$3,498–$3,511
Washington	37	1,402	$3,554	$3,472–$3,673
New Jersey	48	2,241	$3,658	$3,583–$3,719
Nevada	15	386	$3,666	$3,554–$3,705
Oregon	22	681	$3,671	$3,601–$3,730
Massachusetts	45	2,898	$3,684	$3,678–$3,716
Alaska	5	129	$3,716	$3,710–$3,824
New York	83	4,544	$3,796	$3,668–$3,898
Connecticut	22	834	$3,837	$3,783–$3,889
Hawaii	7	217	$3,982	$3,936–$4,202
California	148	5,807	$4,368	$4,253–$4,555

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.