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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 801–850. 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
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 10032138$3,134About average$2,497$51,758
Broward Health Coral SpringsCoral Springs, FL · CCN 10027612$3,134About average$2,497$20,649
Cape Canaveral HospitalCocoa Beach, FL · CCN 10017744$3,134About average$2,497$44,355
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 10022319$3,134About average$2,497$157,724
HCA Florida JFK HospitalAtlantis, FL · CCN 10008015$3,134About average$2,497$89,706
HCA Florida Largo HospitalLargo, FL · CCN 10024812$3,134About average$2,497$107,011
HCA Florida Northwest HospitalMargate, FL · CCN 10018913$3,134About average$2,497$100,739
HCA Florida South Shore HospitalSun City Center, FL · CCN 10025914$3,134About average$2,497$73,284
Holy Cross HospitalFt Lauderdale, FL · CCN 10007325$3,134About average$2,497$35,491
Manatee Memorial HospitalBradenton, FL · CCN 10003518$3,134About average$2,497$89,276
Memorial Hospital WestPembroke Pines, FL · CCN 10028114$3,134About average$2,497$39,313
Orlando Health Melbourne HospitalMelbourne, FL · CCN 10029130$3,134About average$2,497$45,753
Orlando Health St Cloud HospitalSaint Cloud, FL · CCN 10030216$3,134About average$2,497$75,511
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 10028644$3,134About average$2,497$58,518
St Lucie Medical CenterPort Saint Lucie, FL · CCN 10026016$3,134About average$2,497$139,668
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 10024913$3,134About average$2,497$74,734
Winter Haven HospitalWinter Haven, FL · CCN 10005213$3,134About average$2,497$29,415
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 10011755$3,134About average$2,497$27,158
Tallahassee Memorial HealthcareTallahassee, FL · CCN 10013541$3,134About average$2,496$29,718
Baptist Medical Center - NassauFernandina Beach, FL · CCN 10014061$3,134About average$2,496$33,546
AdventHealth SebringSebring, FL · CCN 10010921$3,134About average$2,496$34,964
AdventHealth OcalaOcala, FL · CCN 10006285$3,134About average$2,496$76,081
Lakewood Ranch Medical CenterBradenton, FL · CCN 10029941$3,134About average$2,496$94,363
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 10022048$3,134About average$2,495$43,386
Parrish Medical CenterTitusville, FL · CCN 10002821$3,134About average$2,495$29,903
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 10003439$3,134About average$2,494$24,691
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 10026414$3,134About average$2,494$142,122
Cape Coral HospitalCape Coral, FL · CCN 10024442$3,134About average$2,493$56,223
Morton Plant HospitalClearwater, FL · CCN 10012767$3,134About average$2,493$24,995
St Josephs HospitalTampa, FL · CCN 10007530$3,134About average$2,491$35,293
Shands JacksonvilleJacksonville, FL · CCN 10000131$3,134About average$2,491$46,421
Marion Communtiy HospitalOcala, FL · CCN 10021244$3,134About average$2,490$85,935
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 10016649$3,134About average$2,489$96,159
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 10029222$3,134About average$2,488$28,915
Naples Community HospitalNaples, FL · CCN 100018132$3,134About average$2,487$25,260
Bethesda Hospital EastBoynton Beach, FL · CCN 10000229$3,134About average$2,487$40,897
Holmes Regional Medical CenterMelbourne, FL · CCN 10001937$3,134About average$2,486$37,117
HCA Florida Citrus HospitalInverness, FL · CCN 10002326$3,134About average$2,480$86,969
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 10024225$3,134About average$2,480$64,040
Stillwater Medical CenterStillwater, OK · CCN 37004944$3,134About average$2,486$26,009
St. George Regional HospitalSt George, UT · CCN 46002190$3,135About average$2,466$14,916
Reading HospitalWest Reading, PA · CCN 39004477$3,140About average$2,497$18,287
Dupont Hospital LLCFort Wayne, IN · CCN 15015012$3,141About average$2,503$45,472
Pikeville Medical CenterPikeville, KY · CCN 18004456$3,142About average$2,498$19,887
National Park Medical CenterHot Springs, AR · CCN 04007834$3,145About average$2,499$49,703
Beaufort County Memorial HospitalBeaufort, SC · CCN 42006788$3,145About average$2,493$14,729
Franciscan Health Crown PointCrown Point, IN · CCN 15012624$3,146About average$2,480$28,658
Ascension St John Jane PhillipsBartlesville, OK · CCN 37001826$3,146About average$2,507$21,190
Duncan Regional Hospital, IncDuncan, OK · CCN 37002315$3,147About average$2,508$20,097
St Nicholas HospitalSheboygan, WI · CCN 52004419$3,149About average$2,504$20,811

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.