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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 651–700. 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
Ahn Wexford HospitalWexford, PA · CCN 39033417$3,090About average$2,456$25,228
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 39014525$3,090About average$2,456$15,156
St Clair HospitalPittsburgh, PA · CCN 39022842$3,090About average$2,456$16,691
UPMC WilliamsportWilliamsport, PA · CCN 39004534$3,090About average$2,455$22,064
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 39000335$3,090About average$2,452$26,430
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 39006211$3,090About average$2,450$16,337
Excela Health Latrobe HospitalLatrobe, PA · CCN 39021917$3,091About average$2,440$18,670
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088116$3,091About average$2,453$25,270
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044 · +$508 outlier payments per case110$3,091About average$2,456$20,894
St Anthonys HospitalSaint Petersburg, FL · CCN 10006757$3,091About average$2,450$18,971
Geisinger Medical CenterDanville, PA · CCN 39000657$3,091About average$2,463$49,068
Community Hospitals And Wellness CentersBryan, OH · CCN 36012112$3,092About average$2,463$13,783
Mease Countryside HospitalSafety Harbor, FL · CCN 10026542$3,092About average$2,455$29,960
Munson Healthcare Manistee HospitalManistee, MI · CCN 23030314$3,093About average$2,430$9,195
Atrium Health Navicent The Medical CenterMacon, GA · CCN 11010732$3,093About average$2,463$24,378
Anmed HealthAnderson, SC · CCN 42002733$3,093About average$2,448$22,498
Grady Memorial HospitalDelaware, OH · CCN 36021011$3,094About average$2,465$42,154
Licking Memorial HospitalNewark, OH · CCN 36021815$3,094About average$2,465$18,929
Fairfield Medical CenterLancaster, OH · CCN 36007233$3,094About average$2,463$31,499
Dublin Methodist HospitalDublin, OH · CCN 36034828$3,094About average$2,462$33,429
Mount Carmel East & WestColumbus, OH · CCN 36003540$3,094About average$2,460$18,000
Berger HospitalCircleville, OH · CCN 36017011$3,094About average$2,448$31,946
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 39003015$3,095About average$2,453$22,988
St Joseph Medical CenterBloomington, IL · CCN 14016225$3,095About average$2,446$25,013
CGH Medical CenterSterling, IL · CCN 14004325$3,095About average$2,442$29,495
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 52003322$3,096About average$2,466$17,150
Bellin Memorial HospitalGreen Bay, WI · CCN 52004942$3,096About average$2,466$16,917
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 52021213$3,096About average$2,466$15,924
Marshfield Medical Center - WestonWeston, WI · CCN 52020212$3,096About average$2,466$15,956
St Mary's HospitalAthens, GA · CCN 11000628$3,098About average$2,468$35,929
Lakeview HospitalBountiful, UT · CCN 46004230$3,099About average$2,469$30,269
Holy Cross Hospital-DavisLayton, UT · CCN 46004112$3,099About average$2,469$14,746
LDS HospitalSalt Lake City, UT · CCN 46000615$3,099About average$2,469$17,797
Intermountain Health Utah Valley HospitalProvo, UT · CCN 46000123$3,099About average$2,461$19,770
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067164$3,100About average$2,468$19,097
AdventHealth Daytona BeachDaytona Beach, FL · CCN 10006875$3,101About average$2,460$31,549
Baxter HealthMountain Home, AR · CCN 04002745$3,101About average$2,456$13,739
North Mississippi Medical CenterTupelo, MS · CCN 25000446$3,102About average$2,471$16,916
Jackson-Madison County General HospitalJackson, TN · CCN 44000298$3,103About average$2,464$13,585
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326100$3,103About average$2,460$39,499
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 34009182$3,104About average$2,471$13,758
Randolph HospitalAsheboro, NC · CCN 34012313$3,104About average$2,458$24,030
Columbus Regional HospitalColumbus, IN · CCN 15011232$3,104About average$2,457$13,218
Ascension St Vincent HospitalIndianapolis, IN · CCN 15008436$3,104About average$2,473$44,349
Kettering Health Main CampusKettering, OH · CCN 36007929$3,105About average$2,474$40,803
Wellspan Ephrata Community HospitalEphrata, PA · CCN 39022532$3,105About average$2,474$37,868
UF Health Shands HospitalGainesville, FL · CCN 10011390$3,106About average$2,469$28,706
AdventHealth OrlandoOrlando, FL · CCN 100007 · +$944 outlier payments per case193$3,108About average$2,469$42,935
Mary Washington HospitalFredericksburg, VA · CCN 49002238$3,108About average$2,448$16,237
Sarasota Memorial HospitalSarasota, FL · CCN 100087195$3,108About average$2,470$31,609

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.