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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 601–650. 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
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 34005392$3,082About average$2,447$15,092
Billings Clinic HospitalBillings, MT · CCN 27000479$3,082About average$2,440$8,542
Emory Decatur HospitalDecatur, GA · CCN 11007640$3,083About average$2,430$17,851
Ingalls Memorial HospitalHarvey, IL · CCN 14019126$3,083About average$2,416$26,253
Covenant Medical CenterSaginaw, MI · CCN 23007043$3,083About average$2,455$16,733
Trinity Health Oakland HospitalPontiac, MI · CCN 23002949$3,084About average$2,452$25,325
Ascension Providence Rochester HospitalRochester, MI · CCN 23025439$3,084About average$2,452$20,603
Ascension St Vincent EvansvilleEvansville, IN · CCN 15010049$3,084About average$2,457$35,519
Baptist Health FloydNew Albany, IN · CCN 15004421$3,084About average$2,457$41,177
Memorial Hospital And Health Care CenterJasper, IN · CCN 15011514$3,084About average$2,457$20,103
Norton Clark HospitalJeffersonville, IN · CCN 15000912$3,084About average$2,457$62,991
Deaconess Hospital IncEvansville, IN · CCN 15008299$3,084About average$2,456$17,376
Franciscan Health Michigan CityMichigan City, IN · CCN 15001528$3,084About average$2,450$26,731
Good Samaritan HospitalVincennes, IN · CCN 15004225$3,084About average$2,450$20,102
Franciscan Health LafayetteLafayette, IN · CCN 15010927$3,084About average$2,449$50,465
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 15008613$3,084About average$2,449$16,986
Indiana University Health Arnett HospitalLafayette, IN · CCN 15017347$3,084About average$2,449$28,002
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 23008118$3,085About average$2,429$15,090
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 52013624$3,086About average$2,459$23,360
Berkeley Medical CenterMartinsburg, WV · CCN 51000828$3,086About average$2,435$21,454
Anderson HospitalMaryville, IL · CCN 14028923$3,087About average$2,437$18,098
Baptist HospitalPensacola, FL · CCN 10009354$3,088About average$2,448$58,457
UF Health Leesburg HospitalLeesburg, FL · CCN 10008450$3,088About average$2,447$28,166
Methodist Fremont HealthFremont, NE · CCN 28007716$3,088About average$2,418$21,909
MercyOne Dubuque Medical CenterDubuque, IA · CCN 16006938$3,088About average$2,444$22,524
Jupiter Medical CenterJupiter, FL · CCN 10025356$3,089About average$2,452$18,492
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 23001961$3,089About average$2,461$19,804
Beaumont Hospital - DearbornDearborn, MI · CCN 23002028$3,089About average$2,461$31,606
McLaren Greater LansingLansing, MI · CCN 23016731$3,089About average$2,461$12,890
ProMedica Monroe Regional HospitalMonroe, MI · CCN 23009911$3,089About average$2,461$14,522
Mercy St Vincent Medical CenterToledo, OH · CCN 36011257$3,089About average$2,460$51,534
Memorial Hermann Hospital SystemHouston, TX · CCN 45018463$3,089About average$2,431$34,574
Lincoln Surgical HospitalLincoln, NE · CCN 28012717$3,090About average$2,443$10,329
The Nebraska Methodist HospitalOmaha, NE · CCN 28004090$3,090About average$2,455$16,365
Allegheny General HospitalPittsburgh, PA · CCN 39005025$3,090About average$2,462$23,486
Forbes HospitalMonroeville, PA · CCN 39026719$3,090About average$2,462$23,167
Independence Health System Butler Memorial HospitaButler, PA · CCN 39016818$3,090About average$2,462$12,266
The Washington HospitalWashington, PA · CCN 39004216$3,090About average$2,462$15,962
UPMC JamesonNew Castle, PA · CCN 39001615$3,090About average$2,462$15,299
UPMC MercyPittsburgh, PA · CCN 39002827$3,090About average$2,462$23,766
UPMC NorthwestSeneca, PA · CCN 39009114$3,090About average$2,462$8,725
UPMC St MargaretPittsburgh, PA · CCN 39010217$3,090About average$2,462$38,537
UPMC PassavantPittsburgh, PA · CCN 39010740$3,090About average$2,462$33,924
Uniontown HospitalUniontown, PA · CCN 39004146$3,090About average$2,461$9,497
Cleveland Clinic Martin North HospitalStuart, FL · CCN 10004457$3,090About average$2,449$30,339
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 39018513$3,090About average$2,459$25,644
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 39001354$3,090About average$2,459$30,076
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 39016473$3,090About average$2,458$44,004
UPMC EastMonroeville, PA · CCN 39032849$3,090About average$2,458$24,139
West Penn HospitalPittsburgh, PA · CCN 39009011$3,090About average$2,457$37,129

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.