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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 851–900. 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
White County Medical CenterSearcy, AR · CCN 04001425$3,150About average$2,510$17,224
Dch Regional Medical CenterTuscaloosa, AL · CCN 01009225$3,151About average$2,495$25,882
Community Memorial HospitalMenomonee Falls, WI · CCN 52010334$3,152About average$2,511$17,185
Fort Memorial HospitalFort Atkinson, WI · CCN 52007112$3,152About average$2,511$20,097
Aurora Medical CenterGrafton, WI · CCN 52020718$3,152About average$2,501$24,280
Community Hospital South, Inc.Indianapolis, IN · CCN 15012830$3,152About average$2,512$25,174
Indiana University HealthIndianapolis, IN · CCN 150056108$3,152About average$2,509$22,002
Franciscan Health IndianapolisIndianapolis, IN · CCN 15016247$3,152About average$2,506$21,099
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 36020312$3,153About average$2,512$21,764
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 39033523$3,153About average$2,512$38,118
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 34014875$3,153About average$2,513$11,569
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 34001446$3,154About average$2,509$12,306
Northeast Georgia Medical Center, IncGainesville, GA · CCN 11002984$3,154About average$2,513$44,913
Wellstar West Georgia Medical CenterLagrange, GA · CCN 11001615$3,154About average$2,513$33,530
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 52009512$3,154About average$2,513$15,182
AdventHealth RedmondRome, GA · CCN 11016812$3,155About average$2,497$60,319
Penn State Health St. JosephReading, PA · CCN 39009621$3,155About average$2,513$29,801
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 45082048$3,155About average$2,503$50,762
Camc Greenbrier Valley Medical Center, IncRonceverte, WV · CCN 51000221$3,156About average$2,514$21,838
Emory University HospitalAtlanta, GA · CCN 11001060$3,157About average$2,515$21,366
Northside Hospital CherokeeCanton, GA · CCN 11000848$3,158About average$2,500$30,006
AdventHealth Central TexasKilleen, TX · CCN 45015221$3,158About average$2,504$24,632
Lancaster General HospitalLancaster, PA · CCN 39010086$3,159About average$2,503$19,996
UNC HospitalsChapel Hill, NC · CCN 34006161$3,159About average$2,517$16,404
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 32009022$3,161About average$2,488$13,350
Labette HealthParsons, KS · CCN 17012015$3,163About average$2,520$10,728
Pratt Regional Medical CenterPratt, KS · CCN 17002715$3,163About average$2,520$16,193
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 17002028$3,163About average$2,516$29,309
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 04002661$3,164About average$2,517$17,829
Piedmont Fayette HospitalFayetteville, GA · CCN 11021534$3,164About average$2,508$29,082
Mercy Hospital SoutheastCape Girardeau, MO · CCN 26011036$3,165About average$2,522$27,705
Saint Francis Medical CenterCape Girardeau, MO · CCN 26018344$3,165About average$2,522$28,878
Mercy Health - Lourdes HospitalPaducah, KY · CCN 18010214$3,165About average$2,518$31,208
Baptist Health PaducahPaducah, KY · CCN 18010411$3,165About average$2,517$38,653
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046116$3,165About average$2,515$15,580
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 52000428$3,167About average$2,504$16,275
Trinity Regional Medical CenterFort Dodge, IA · CCN 16001628$3,170About average$2,525$14,090
Inova Mount Vernon HospitalAlexandria, VA · CCN 49012235$3,170About average$2,506$14,880
Ascension Genesys HospitalGrand Blanc, MI · CCN 23019758$3,172About average$2,509$22,541
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 45001853$3,172About average$2,527$23,630
Cookeville Regional Medical CenterCookeville, TN · CCN 44005945$3,174About average$2,529$14,389
T J Samson Community HospitalGlasgow, KY · CCN 18001718$3,174About average$2,529$14,768
Banner Thunderbird Medical CenterGlendale, AZ · CCN 03008927$3,174About average$2,489$38,241
Hendrick Medical CenterAbilene, TX · CCN 45022984$3,175About average$2,529$48,386
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 49006954$3,177About average$2,526$24,879
Bon Secours St Marys HospitalRichmond, VA · CCN 49005968$3,177About average$2,526$24,825
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 04000723$3,178About average$2,532$23,199
Robert Packer HospitalSayre, PA · CCN 39007953$3,178About average$2,529$18,307
Northside Hospital ForsythCumming, GA · CCN 11000579$3,178About average$2,522$30,252
Decatur Memorial HospitalDecatur, IL · CCN 14013586$3,179About average$2,527$17,126

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.