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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 551–600. 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
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 34011382$3,049About average$2,412$29,686
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 45005444$3,050About average$2,407$18,295
Cumberland Medical CenterCrossville, TN · CCN 44000945$3,050About average$2,427$5,290
Riverside Methodist HospitalColumbus, OH · CCN 36000656$3,050About average$2,421$33,555
Mercy Hospital St LouisSaint Louis, MO · CCN 26002067$3,050About average$2,421$11,850
United Regional Health Care SystemWichita Falls, TX · CCN 45001029$3,052About average$2,396$20,459
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 14028834$3,054About average$2,386$21,197
Doctors HospitalColumbus, OH · CCN 36015214$3,055About average$2,429$33,720
Shannon Medical CenterSan Angelo, TX · CCN 45057148$3,055About average$2,400$22,024
Carle Foundation HospitalUrbana, IL · CCN 14009145$3,055About average$2,421$24,133
Orlando HealthOrlando, FL · CCN 10000664$3,056About average$2,418$61,535
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 45003416$3,056About average$2,396$26,545
Methodist Richardson Medical CenterRichardson, TX · CCN 45053742$3,056About average$2,430$25,147
St Luke's Regional Medical CenterBoise, ID · CCN 130006109$3,056About average$2,435$12,631
Aurora Medical Center - SummitSummit, WI · CCN 52020626$3,058About average$2,417$15,108
Beaumont Hospital, TroyTroy, MI · CCN 23026979$3,058About average$2,426$24,151
AdventHealth DelandDeland, FL · CCN 10004533$3,058About average$2,416$34,953
Baylor University Medical CenterDallas, TX · CCN 45002174$3,059About average$2,430$18,332
Central Carolina HospitalSanford, NC · CCN 34002019$3,059About average$2,437$43,466
UNC Health NashRocky Mount, NC · CCN 34014730$3,059About average$2,437$17,771
Wilson Medical CenterWilson, NC · CCN 34012618$3,059About average$2,430$58,520
Baylor St Lukes Medical CenterHouston, TX · CCN 45019352$3,061About average$2,408$30,447
Ohio State University State Health SystemColumbus, OH · CCN 360085 · +$886 outlier payments per case84$3,061About average$2,436$28,718
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130108$3,061About average$2,426$25,809
The East Alabama Healthcare AuthorityOpelika, AL · CCN 01002922$3,061About average$2,439$8,785
Lovelace Medical CenterAlbuquerque, NM · CCN 32000928$3,062About average$2,438$24,941
UNM HospitalAlbuquerque, NM · CCN 32000153$3,062About average$2,438$11,021
AdventHealth GordonCalhoun, GA · CCN 11002326$3,065About average$2,417$64,698
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 45089052$3,066About average$2,433$21,136
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009166$3,066About average$2,427$18,050
Longview Regional Medical CenterLongview, TX · CCN 45070239$3,067About average$2,439$63,949
Piedmont Athens Regional Medical CenterAthens, GA · CCN 11007440$3,068About average$2,444$31,854
The Nebraska Medical CenterOmaha, NE · CCN 280013105$3,070About average$2,436$15,819
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 45046260$3,072About average$2,436$24,667
Mcalester Regional Health CenterMcalester, OK · CCN 37003434$3,073About average$2,433$9,490
HCA Florida West HospitalPensacola, FL · CCN 10023141$3,073About average$2,431$95,587
High Point Regional Health SystemHigh Point, NC · CCN 34000441$3,074About average$2,449$13,887
Lakeland Regional Medical CenterLakeland, FL · CCN 10015742$3,074About average$2,437$23,767
Duke Regional HospitalDurham, NC · CCN 34015555$3,075About average$2,441$22,421
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 67006852$3,075About average$2,440$26,644
Baptist Hospital Of MiamiMiami, FL · CCN 10000843$3,076About average$2,434$41,349
Carolina Pines Regional Medical CenterHartsville, SC · CCN 42001021$3,076About average$2,451$85,910
Northwest Specialty HospitalPost Falls, ID · CCN 13006618$3,078About average$2,443$27,276
Mercy Hospital JeffersonCrystal City, MO · CCN 26002313$3,079About average$2,453$13,555
Mercy Hospital WashingtonWashington, MO · CCN 26005222$3,079About average$2,453$9,843
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020021$3,079About average$2,453$12,598
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 26016223$3,079About average$2,441$14,469
Sacred Heart HospitalPensacola, FL · CCN 100025 · +$2,088 outlier payments per case47$3,081About average$2,444$40,325
Halifax Health Medical CenterDaytona Beach, FL · CCN 10001747$3,081About average$2,436$24,821
The Villages Regional HospitalThe Villages, FL · CCN 10029041$3,081About average$2,443$23,022

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.