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

Sort by

Order

Year of care

1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. Download as CSV

Medicare payments per case for Level 1 Abdominal/Peritoneal/Biliary and Related Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Saint Joseph HospitalLexington, KY · CCN 180010	19	$2,765	17% below the national average	$2,156	$15,507
Ogden Regional Medical CenterOgden, UT · CCN 460005	15	$2,770	17% below the national average	$2,140	$26,427
Thomas HospitalFairhope, AL · CCN 010100	25	$2,778	16% below the national average	$2,195	$10,304
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	33	$2,780	16% below the national average	$2,187	$18,078
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	24	$2,781	16% below the national average	$2,201	$8,548
Jefferson HospitalJefferson Hills, PA · CCN 390265	16	$2,782	16% below the national average	$2,153	$18,512
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	11	$2,784	16% below the national average	$2,174	$11,884
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	16	$2,795	16% below the national average	$2,157	$27,510
Onslow Memorial HospitalJacksonville, NC · CCN 340042	12	$2,796	16% below the national average	$2,141	$19,412
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	16	$2,797	16% below the national average	$2,196	$20,101
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	18	$2,798	16% below the national average	$2,146	$57,706
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	37	$2,799	16% below the national average	$2,203	$19,897
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	44	$2,801	16% below the national average	$2,199	$19,905
Parkwest Medical CenterKnoxville, TN · CCN 440173	90	$2,803	16% below the national average	$2,221	$7,809
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	12	$2,803	16% below the national average	$2,177	$82,051
McLeod Loris HospitalLoris, SC · CCN 420105	44	$2,805	16% below the national average	$2,200	$35,892
Fmol Health St FrancisMonroe, LA · CCN 190125	32	$2,805	16% below the national average	$2,220	$21,755
University Health System, IncKnoxville, TN · CCN 440015	82	$2,806	16% below the national average	$2,223	$11,597
Cox Medical CentersSpringfield, MO · CCN 260040	51	$2,807	16% below the national average	$2,227	$19,185
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	14	$2,808	16% below the national average	$2,203	$14,857
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	38	$2,808	15% below the national average	$2,225	$9,943
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	13	$2,810	15% below the national average	$2,196	$50,942
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	15	$2,811	15% below the national average	$2,159	$57,592
Bellevue Medical CenterBellevue, NE · CCN 280132	73	$2,812	15% below the national average	$2,176	$13,147
Hillsdale HospitalHillsdale, MI · CCN 230037	12	$2,814	15% below the national average	$2,201	$9,650
Vanderbilt University Medical CenterNashville, TN · CCN 440039 · +$648 outlier payments per case	139	$2,815	15% below the national average	$2,234	$29,280
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	13	$2,815	15% below the national average	$2,196	$13,487
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	21	$2,819	15% below the national average	$2,200	$28,336
Huntsville HospitalHuntsville, AL · CCN 010039	96	$2,820	15% below the national average	$2,226	$20,106
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	31	$2,822	15% below the national average	$2,234	$13,550
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	17	$2,824	15% below the national average	$2,222	$34,389
Forrest General HospitalHattiesburg, MS · CCN 250078	45	$2,825	15% below the national average	$2,249	$17,136
Southwest Mississippi Regional Medical CenterMccomb, MS · CCN 250097	22	$2,825	15% below the national average	$2,242	$12,395
Karmanos Cancer CenterDetroit, MI · CCN 230297	11	$2,826	15% below the national average	$2,207	$8,108
Roper HospitalCharleston, SC · CCN 420087	30	$2,826	15% below the national average	$2,220	$17,544
Ochsner Medical Center - Baton RougeBaton Rouge, LA · CCN 190202	22	$2,827	15% below the national average	$2,225	$17,782
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	16	$2,828	15% below the national average	$2,223	$18,900
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	33	$2,829	15% below the national average	$2,222	$37,572
Fairview HospitalCleveland, OH · CCN 360077	76	$2,830	15% below the national average	$2,224	$16,846
Memorial HospitalMarysville, OH · CCN 360092	18	$2,831	15% below the national average	$2,191	$44,078
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	31	$2,831	15% below the national average	$2,224	$60,270
Summa Health SystemAkron, OH · CCN 360020	21	$2,832	15% below the national average	$2,234	$22,349
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	19	$2,833	15% below the national average	$2,208	$21,257
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	62	$2,833	15% below the national average	$2,228	$10,957
Piedmont Medical CenterRock Hill, SC · CCN 420002	27	$2,834	15% below the national average	$2,202	$33,821
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	37	$2,834	15% below the national average	$2,246	$18,782
Wadley Regional Medical CenterTexarkana, TX · CCN 450200	18	$2,835	15% below the national average	$2,219	$25,434
Delta Health System - The Medical CenterGreenville, MS · CCN 250082	11	$2,839	15% below the national average	$2,217	$10,259
Magnolia Regional Health CenterCorinth, MS · CCN 250009	44	$2,841	15% below the national average	$2,264	$32,529
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	16	$2,841	15% below the national average	$2,261	$7,682

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 care	Average payment	Average 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
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	332	$1,696	$1,585–$2,048
Alabama	24	662	$2,827	$2,722–$2,869
Mississippi	22	651	$2,832	$2,761–$2,863
Louisiana	30	867	$2,897	$2,876–$2,930
Tennessee	36	1,428	$2,900	$2,838–$2,981
Arkansas	25	804	$2,914	$2,895–$3,125
Ohio	75	2,603	$2,933	$2,908–$3,027
South Carolina	36	1,316	$2,936	$2,833–$2,984
West Virginia	15	434	$2,941	$2,877–$2,991
Oklahoma	29	822	$2,960	$2,907–$3,023
Kentucky	25	771	$2,971	$2,899–$3,124
Kansas	22	741	$2,989	$2,954–$3,128
Iowa	21	968	$3,003	$2,959–$3,088
Missouri	36	1,255	$3,030	$2,983–$3,116
Georgia	53	1,713	$3,034	$2,924–$3,178
Utah	14	610	$3,049	$2,960–$3,126
Michigan	52	1,939	$3,050	$3,014–$3,167
North Carolina	58	2,478	$3,058	$3,011–$3,109
Texas	112	3,599	$3,064	$3,002–$3,123
Nebraska	16	610	$3,079	$3,084–$3,148
Virginia	53	2,484	$3,080	$2,979–$3,190
Florida	87	4,030	$3,098	$3,088–$3,134
New Mexico	12	326	$3,102	$3,013–$3,240
Indiana	48	1,397	$3,111	$3,084–$3,143
Idaho	13	383	$3,149	$3,056–$3,334
Wisconsin	45	1,344	$3,150	$3,086–$3,254
Maine	11	291	$3,169	$3,009–$3,251
Pennsylvania	91	4,271	$3,214	$3,090–$3,316
Illinois	65	2,855	$3,239	$3,197–$3,285
Montana	8	346	$3,263	$3,244–$3,323
North Dakota	6	385	$3,290	$3,244–$3,391
South Dakota	11	501	$3,292	$3,244–$3,474
Colorado	34	1,048	$3,316	$3,293–$3,303
Minnesota	32	1,262	$3,325	$3,260–$3,449
Arizona	38	1,467	$3,391	$3,311–$3,374
New Hampshire	12	506	$3,393	$3,317–$3,395
Wyoming	9	165	$3,414	$3,407–$3,474
Delaware	6	345	$3,450	$3,435–$3,471
Rhode Island	7	234	$3,484	$3,511–$3,511
District of Columbia	4	290	$3,507	$3,498–$3,511
Washington	37	1,402	$3,554	$3,472–$3,673
New Jersey	48	2,241	$3,658	$3,583–$3,719
Nevada	15	386	$3,666	$3,554–$3,705
Oregon	22	681	$3,671	$3,601–$3,730
Massachusetts	45	2,898	$3,684	$3,678–$3,716
Alaska	5	129	$3,716	$3,710–$3,824
New York	83	4,544	$3,796	$3,668–$3,898
Connecticut	22	834	$3,837	$3,783–$3,889
Hawaii	7	217	$3,982	$3,936–$4,202
California	148	5,807	$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.