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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

Hospitals in New York

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
New York
Specific hospitals up to 10
Average payment across these 81 hospitals
$3,789National $3,323 · New York $3,796
Median hospital
$3,816
Lowest to highest
$3,425–$3,937
Medicare procedures
4,229

81 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–81. 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
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195134$3,85516% above the national average$3,060$21,424
Long Island Community HospitalPatchogue, NY · CCN 330141 · +$1,531 outlier payments per case36$3,86416% above the national average$3,079$74,580
St Charles HospitalPort Jefferson, NY · CCN 33024632$3,86416% above the national average$3,077$33,304
Nyack HospitalNyack, NY · CCN 33010466$3,88117% above the national average$3,081$20,606
New York-Presbyterian HospitalNew York, NY · CCN 330101 · +$160 outlier payments per case434$3,88617% above the national average$3,085$26,264
Montefiore St Luke's CornwallNewburgh, NY · CCN 33026429$3,88717% above the national average$3,096$19,628
Northwell Hospital Glen CoveGlen Cove, NY · CCN 33018157$3,88717% above the national average$3,095$19,271
Bon Secours Community HospitalPort Jervis, NY · CCN 33013516$3,89417% above the national average$3,090$50,206
Mount Sinai WestNew York, NY · CCN 33004649$3,89717% above the national average$3,105$19,815
Mercy Medical CenterRockville Centre, NY · CCN 33025912$3,89817% above the national average$3,106$26,389
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 33018229$3,89817% above the national average$3,106$23,691
Mount Sinai South NassauOceanside, NY · CCN 33019842$3,89817% above the national average$3,100$29,751
Mount Sinai HospitalNew York, NY · CCN 330024123$3,91118% above the national average$3,111$21,220
Maimonides Medical CenterBrooklyn, NY · CCN 330194109$3,91918% above the national average$3,119$32,374
Bassett HealthcareCooperstown, NY · CCN 33013638$3,92818% above the national average$3,130$13,620
Cayuga Medical Center At IthacaIthaca, NY · CCN 33030726$3,92818% above the national average$3,130$15,303
Guthrie Cortland Regional Medical CenterCortland, NY · CCN 33017525$3,92818% above the national average$3,130$14,978
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 33025042$3,92818% above the national average$3,130$10,953
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 33008531$3,92818% above the national average$3,130$7,934
Canton-Potsdam HospitalPotsdam, NY · CCN 33019724$3,92918% above the national average$3,129$14,594
Auburn Community HospitalAuburn, NY · CCN 33023520$3,92918% above the national average$3,121$10,077
White Plains Hospital CenterWhite Plains, NY · CCN 330304114$3,93518% above the national average$3,135$36,162
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 33023312$3,93718% above the national average$3,137$12,294
Flushing Hospital Medical CenterFlushing, NY · CCN 33019314$3,93718% above the national average$3,137$6,274
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 33015813$3,93718% above the national average$3,137$45,563
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 33001915$3,93718% above the national average$3,137$16,888
New York-Presbyterian/QueensFlushing, NY · CCN 33005533$3,93718% above the national average$3,137$25,185
Richmond University Medical CenterStaten Island, NY · CCN 33002813$3,93718% above the national average$3,137$18,750
South Brooklyn HealthBrooklyn, NY · CCN 33019617$3,93718% above the national average$3,137$12,504
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 33035011$3,93718% above the national average$3,132$16,866
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 33018419$3,93718% above the national average$3,123$19,731

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.