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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 701–750. 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
Atrium Health PinevilleCharlotte, NC · CCN 34009841$3,109About average$2,477$30,297
Atrium Health University CityCharlotte, NC · CCN 34016616$3,109About average$2,477$22,485
Caromont Regional Medical CenterGastonia, NC · CCN 34003218$3,109About average$2,477$22,452
Iredell Memorial Hospital IncStatesville, NC · CCN 34003924$3,109About average$2,477$38,400
Novant Health Matthews Medical CenterMatthews, NC · CCN 34017127$3,109About average$2,477$27,551
Atrium Health LincolnLincolnton, NC · CCN 34014518$3,109About average$2,474$22,462
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 34018339$3,109About average$2,472$18,211
Novant Health Rowan Medical CenterSalisbury, NC · CCN 34001515$3,109About average$2,464$5,989
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 52021020$3,110About average$2,477$15,538
Oakleaf Surgical HospitalAltoona, WI · CCN 52019626$3,110About average$2,476$19,485
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 42000932$3,111About average$2,462$18,579
Tampa General HospitalTampa, FL · CCN 100128 · +$1,483 outlier payments per case85$3,112About average$2,473$67,814
Piedmont Mountainside Hospital IncJasper, GA · CCN 11022526$3,112About average$2,460$34,141
Community Memorial HospitalSouth Hill, VA · CCN 49009823$3,112About average$2,448$19,116
Cooper University HospitalCamden, NJ · CCN 310014111$3,113About average$2,460$18,095
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013533$3,113About average$2,481$39,206
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 67008215$3,113About average$2,481$20,831
Baylor Scott & White Medical Center At IrvingIrving, TX · CCN 45007912$3,113About average$2,481$20,275
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 13001816$3,113About average$2,481$44,059
Medical City PlanoPlano, TX · CCN 45065111$3,113About average$2,481$68,753
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 45077125$3,113About average$2,481$25,017
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 67004416$3,113About average$2,481$18,549
Texoma Medical CenterDenison, TX · CCN 45032414$3,113About average$2,481$54,030
UT Health East Texas Athens HospitalAthens, TX · CCN 45038931$3,113About average$2,479$31,841
Mountain View HospitalIdaho Falls, ID · CCN 13006518$3,114About average$2,474$12,028
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 45074218$3,114About average$2,470$21,361
Vanderbilt Clarksville HospitalClarksville, TN · CCN 44003536$3,114About average$2,469$41,599
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 14021346$3,114About average$2,442$12,520
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 52000913$3,114About average$2,473$15,015
Ascension ProvidenceWaco, TX · CCN 45004232$3,115About average$2,482$29,303
WakeMed, Raleigh CampusRaleigh, NC · CCN 34006936$3,115About average$2,482$23,313
WakeMed, Cary HospitalCary, NC · CCN 34017340$3,115About average$2,480$25,779
Samaritan Albany General HospitalAlbany, OR · CCN 38002212$3,115About average$2,385$20,706
Aurora BayCare Medical CenterGreen Bay, WI · CCN 52019312$3,115About average$2,482$23,607
Lake Regional Health SystemOsage Beach, MO · CCN 26018626$3,116About average$2,482$13,240
Citizens Memorial HospitalBolivar, MO · CCN 26019517$3,116About average$2,480$20,026
Parkview Regional Medical CenterFort Wayne, IN · CCN 15002153$3,117About average$2,471$33,795
MercyOne Siouxland Medical CenterSioux City, IA · CCN 16015315$3,117About average$2,484$19,743
Bryan Medical CenterLincoln, NE · CCN 28000371$3,118About average$2,481$17,926
CHI Health Bergan MercyOmaha, NE · CCN 28006028$3,118About average$2,480$28,731
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 03000221$3,118About average$2,432$35,486
CHI Health MidlandsPapillion, NE · CCN 28010512$3,118About average$2,471$38,026
Indiana University Health North HospitalCarmel, IN · CCN 15016113$3,118About average$2,484$20,636
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 52016037$3,118About average$2,477$12,012
Inova Fairfax HospitalFalls Church, VA · CCN 49006388$3,119About average$2,464$14,750
North Carolina Specialty HospitalDurham, NC · CCN 34004914$3,121About average$2,486$8,898
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105136$3,122About average$2,487$21,168
Madison Memorial HospitalRexburg, ID · CCN 13002516$3,123About average$2,488$9,971
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 45056338$3,123About average$2,489$19,100
JPS Health NetworkFort Worth, TX · CCN 45003912$3,123About average$2,489$22,039

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.