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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

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.

Location
Specific hospitals up to 10

1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 501–550. Download as CSV

Medicare payments per case for Level 1 Abdominal/Peritoneal/Biliary and Related Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
CHI Health LakesideOmaha, NE · CCN 28013026$3,022About average$2,381$24,129
Mercy Hospital Ardmore, IncArdmore, OK · CCN 37004715$3,023About average$2,374$14,975
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 26010414$3,024About average$2,409$14,107
SSM St Clare Health CenterFenton, MO · CCN 26008123$3,024About average$2,409$15,826
Fairview Park HospitalDublin, GA · CCN 11012515$3,025About average$2,408$68,312
Mercy HospitalCoon Rapids, MN · CCN 24011528$3,025About average$2,353$13,356
Methodist Dallas Medical CenterDallas, TX · CCN 45005128$3,025About average$2,392$22,567
University Of Toledo Medical CenterToledo, OH · CCN 36004813$3,025About average$2,405$38,404
South Central Regional Medical CenterLaurel, MS · CCN 25005822$3,026About average$2,406$7,295
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 52003520$3,026About average$2,386$14,185
Atrium Health UnionMonroe, NC · CCN 34013030$3,026About average$2,392$24,467
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 11002517$3,027About average$2,381$15,771
Adena Regional Medical CenterChillicothe, OH · CCN 36015919$3,028About average$2,413$37,050
Marion General HospitalMarion, OH · CCN 36001122$3,028About average$2,413$21,069
OhioHealth Mansfield HospitalMansfield, OH · CCN 36011824$3,028About average$2,410$27,428
Kettering Health DaytonDayton, OH · CCN 36013319$3,029About average$2,401$33,901
Presbyterian HospitalAlbuquerque, NM · CCN 32002173$3,029About average$2,404$10,855
St Marys HospitalDecatur, IL · CCN 14016614$3,029About average$2,365$25,987
Mymichigan Medical Center AlmaAlma, MI · CCN 23003012$3,029About average$2,413$12,405
Bronson Battle Creek HospitalBattle Creek, MI · CCN 23007544$3,029About average$2,408$9,990
Barnes Jewish HospitalSaint Louis, MO · CCN 260032112$3,030About average$2,407$16,184
Duke Health Lake Norman HospitalMooresville, NC · CCN 34012932$3,031About average$2,399$47,255
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 23030285$3,031About average$2,403$11,016
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 34011567$3,033About average$2,409$20,557
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 39013743$3,033About average$2,405$39,745
Princeton Community Hospital Assn IncPrinceton, WV · CCN 51004634$3,035About average$2,403$17,612
Henry Ford Allegiance HealthJackson, MI · CCN 23009246$3,036About average$2,408$14,338
Indiana University Health Bloomington HospitalBloomington, IN · CCN 15005156$3,036About average$2,401$32,912
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009136$3,036About average$2,413$10,666
Intermountain Medical CenterMurray, UT · CCN 46001089$3,037About average$2,409$12,362
Stafford Hospital, LLCStafford, VA · CCN 49014025$3,037About average$2,378$14,987
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 67008815$3,038About average$2,379$18,542
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 13000227$3,039About average$2,362$12,797
Carolinas Medical Center-NortheastConcord, NC · CCN 34000171$3,040About average$2,406$16,668
St Josephs Community Hospital West BendWest Bend, WI · CCN 52006323$3,043About average$2,402$25,333
Corewell Health Trenton HospitalTrenton, MI · CCN 23017626$3,044About average$2,418$25,076
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047 · +$1,162 outlier payments per case46$3,044About average$2,402$43,165
St Luke's Nampa Medical CenterNampa, ID · CCN 13007136$3,045About average$2,411$11,875
Ascension St Vincent's RiversideJacksonville, FL · CCN 10004028$3,045About average$2,408$58,143
Ascension Seton Medical Center AustinAustin, TX · CCN 45005631$3,045About average$2,426$36,471
Round Rock Medical CenterRound Rock, TX · CCN 45071822$3,045About average$2,426$57,232
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 45012414$3,045About average$2,426$33,905
St David's Medical CenterAustin, TX · CCN 45043122$3,045About average$2,418$69,171
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 49011326$3,045About average$2,379$25,319
University Of Michigan Health - WestWyoming, MI · CCN 23023646$3,046About average$2,418$14,035
McLaren Port HuronPort Huron, MI · CCN 23021618$3,047About average$2,428$9,949
McLaren MacombMount Clemens, MI · CCN 23022725$3,047About average$2,420$19,770
King's Daughters Medical Center-BrookhavenBrookhaven, MS · CCN 25005714$3,047About average$2,428$12,573
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 45013733$3,048About average$2,408$24,102
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 39033923$3,049About average$2,429$31,531

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6332$1,696$1,585–$2,048
Alabama24662$2,827$2,722–$2,869
Mississippi22651$2,832$2,761–$2,863
Louisiana30867$2,897$2,876–$2,930
Tennessee361,428$2,900$2,838–$2,981
Arkansas25804$2,914$2,895–$3,125
Ohio752,603$2,933$2,908–$3,027
South Carolina361,316$2,936$2,833–$2,984
West Virginia15434$2,941$2,877–$2,991
Oklahoma29822$2,960$2,907–$3,023
Kentucky25771$2,971$2,899–$3,124
Kansas22741$2,989$2,954–$3,128
Iowa21968$3,003$2,959–$3,088
Missouri361,255$3,030$2,983–$3,116
Georgia531,713$3,034$2,924–$3,178
Utah14610$3,049$2,960–$3,126
Michigan521,939$3,050$3,014–$3,167
North Carolina582,478$3,058$3,011–$3,109
Texas1123,599$3,064$3,002–$3,123
Nebraska16610$3,079$3,084–$3,148
Virginia532,484$3,080$2,979–$3,190
Florida874,030$3,098$3,088–$3,134
New Mexico12326$3,102$3,013–$3,240
Indiana481,397$3,111$3,084–$3,143
Idaho13383$3,149$3,056–$3,334
Wisconsin451,344$3,150$3,086–$3,254
Maine11291$3,169$3,009–$3,251
Pennsylvania914,271$3,214$3,090–$3,316
Illinois652,855$3,239$3,197–$3,285
Montana8346$3,263$3,244–$3,323
North Dakota6385$3,290$3,244–$3,391
South Dakota11501$3,292$3,244–$3,474
Colorado341,048$3,316$3,293–$3,303
Minnesota321,262$3,325$3,260–$3,449
Arizona381,467$3,391$3,311–$3,374
New Hampshire12506$3,393$3,317–$3,395
Wyoming9165$3,414$3,407–$3,474
Delaware6345$3,450$3,435–$3,471
Rhode Island7234$3,484$3,511–$3,511
District of Columbia4290$3,507$3,498–$3,511
Washington371,402$3,554$3,472–$3,673
New Jersey482,241$3,658$3,583–$3,719
Nevada15386$3,666$3,554–$3,705
Oregon22681$3,671$3,601–$3,730
Massachusetts452,898$3,684$3,678–$3,716
Alaska5129$3,716$3,710–$3,824
New York834,544$3,796$3,668–$3,898
Connecticut22834$3,837$3,783–$3,889
Hawaii7217$3,982$3,936–$4,202
California1485,807$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.