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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 901–950. 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
Hays Medical CenterHays, KS · CCN 17001357$3,179About average$2,533$14,072
Mainehealth Pen Bay HospitalRockport, ME · CCN 20006321$3,179About average$2,533$20,010
AdventHealth AvistaLouisville, CO · CCN 06010323$3,180About average$2,499$30,426
Castleview HospitalPrice, UT · CCN 46001119$3,180About average$2,514$21,827
Northside HospitalAtlanta, GA · CCN 11016163$3,180About average$2,533$31,385
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 16000111$3,180About average$2,534$14,854
Reid HealthRichmond, IN · CCN 15004843$3,180About average$2,509$20,831
Sanford USDMedical CenterSioux Falls, SD · CCN 430027118$3,181About average$2,533$15,017
Self Regional HealthcareGreenwood, SC · CCN 42007120$3,181About average$2,534$18,648
Trinity Health Muskegon HospitalMuskegon, MI · CCN 23006634$3,186About average$2,523$23,268
Inova Fair Oaks HospitalFairfax, VA · CCN 490101149$3,187About average$2,527$12,558
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 39018313$3,188About average$2,540$37,534
Virginia Hospital CenterArlington, VA · CCN 49005040$3,188About average$2,527$22,154
St Claire Regional Medical CenterMorehead, KY · CCN 18001819$3,189About average$2,535$16,704
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002167$3,190About average$2,541$29,210
Twin County Regional HospitalGalax, VA · CCN 49011512$3,190About average$2,541$28,605
Lonesome Pine HospitalBig Stone Gap, VA · CCN 49011414$3,190About average$2,535$22,831
Riverside Shore Memorial HospitalOnancock, VA · CCN 49003722$3,190About average$2,524$15,439
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 14020856$3,191About average$2,524$15,173
Mercy Hospital AdaAda, OK · CCN 37002014$3,192About average$2,537$17,277
Faith HealthNorfolk, NE · CCN 28012514$3,193About average$2,544$13,353
Regional West Medical CenterScottsbluff, NE · CCN 28006157$3,193About average$2,533$16,304
Rush Oak Park HospitalOak Park, IL · CCN 14006329$3,194About average$2,527$18,523
Goshen HospitalGoshen, IN · CCN 15002623$3,195About average$2,545$18,021
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 15001225$3,195About average$2,542$12,553
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 16005736$3,195About average$2,546$16,564
Prisma Health Laurens County HospitalClinton, SC · CCN 42003815$3,196About average$2,546$24,892
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 14004612$3,197About average$2,547$34,533
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 14018721$3,197About average$2,547$33,010
Javon Bea HospitalRockford, IL · CCN 14023931$3,197About average$2,547$25,770
Memorial HospitalBelleville, IL · CCN 14018528$3,197About average$2,547$25,797
OSF Saint Katharine Medical CenterDixon, IL · CCN 14001224$3,197About average$2,547$19,728
Saint Francis Medical CenterPeoria, IL · CCN 14006768$3,197About average$2,547$37,694
Loyola University Medical CenterMaywood, IL · CCN 14027648$3,197About average$2,513$22,914
Memorial Medical CenterSpringfield, IL · CCN 14014856$3,197About average$2,545$14,754
Carle Health Methodist HospitalPeoria, IL · CCN 14020937$3,197About average$2,544$39,705
St Johns HospitalSpringfield, IL · CCN 14005327$3,197About average$2,543$14,872
Alton Memorial HospitalAlton, IL · CCN 14000216$3,197About average$2,543$22,488
Carle Bromenn Medical CenterNormal, IL · CCN 14012738$3,197About average$2,542$12,197
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 14016429$3,197About average$2,539$41,817
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 14029413$3,198About average$2,533$57,281
Wellspan Good Samaritan HospitalLebanon, PA · CCN 39006632$3,199About average$2,529$20,657
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 23015655$3,200About average$2,546$19,358
Essentia HealthFargo, ND · CCN 35007060$3,201About average$2,541$17,135
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 18009326$3,201About average$2,543$50,132
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 26000653$3,205About average$2,544$15,348
Boulder Community HealthBoulder, CO · CCN 06002727$3,206About average$2,529$59,384
Grand Island Regional Medical CenterGrand Island, NE · CCN 28013929$3,206About average$2,554$16,396
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 03010132$3,206About average$2,518$86,160
Hurley Medical CenterFlint, MI · CCN 23013220$3,206About average$2,545$24,096

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.