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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 Ohio

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
Ohio
Specific hospitals up to 10
Average payment across these 74 hospitals
$2,931National $3,323 · Ohio $2,933
Median hospital
$2,953
Lowest to highest
$1,591–$3,325
Medicare procedures
2,573

74 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–74. 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
Mercy Health - West HospitalCincinnati, OH · CCN 36023417$3,009About average$2,397$29,551
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 36013211$3,009About average$2,397$45,164
Mercy Health - Fairfield HospitalFairfield, OH · CCN 36005613$3,009About average$2,397$29,164
Bethesda NorthCincinnati, OH · CCN 36017971$3,009About average$2,397$17,269
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 36000345$3,010About average$2,399$29,344
University Of Toledo Medical CenterToledo, OH · CCN 36004813$3,025About average$2,405$38,404
Adena Regional Medical CenterChillicothe, OH · CCN 36015919$3,028About average$2,413$37,050
Marion General HospitalMarion, OH · CCN 36001122$3,028About average$2,413$21,069
OhioHealth Mansfield HospitalMansfield, OH · CCN 36011824$3,028About average$2,410$27,428
Kettering Health DaytonDayton, OH · CCN 36013319$3,029About average$2,401$33,901
Riverside Methodist HospitalColumbus, OH · CCN 36000656$3,050About average$2,421$33,555
Doctors HospitalColumbus, OH · CCN 36015214$3,055About average$2,429$33,720
Ohio State University State Health SystemColumbus, OH · CCN 360085 · +$886 outlier payments per case84$3,061About average$2,436$28,718
Mercy St Vincent Medical CenterToledo, OH · CCN 36011257$3,089About average$2,460$51,534
Community Hospitals And Wellness CentersBryan, OH · CCN 36012112$3,092About average$2,463$13,783
Grady Memorial HospitalDelaware, OH · CCN 36021011$3,094About average$2,465$42,154
Licking Memorial HospitalNewark, OH · CCN 36021815$3,094About average$2,465$18,929
Fairfield Medical CenterLancaster, OH · CCN 36007233$3,094About average$2,463$31,499
Dublin Methodist HospitalDublin, OH · CCN 36034828$3,094About average$2,462$33,429
Mount Carmel East & WestColumbus, OH · CCN 36003540$3,094About average$2,460$18,000
Berger HospitalCircleville, OH · CCN 36017011$3,094About average$2,448$31,946
Kettering Health Main CampusKettering, OH · CCN 36007929$3,105About average$2,474$40,803
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 36020312$3,153About average$2,512$21,764
Mary Rutan HospitalBellefontaine, OH · CCN 36019713$3,325About average$2,650$31,780

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.