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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 Pennsylvania

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
Pennsylvania
Specific hospitals up to 10
Average payment across these 90 hospitals
$3,213National $3,323 · Pennsylvania $3,214
Median hospital
$3,157
Lowest to highest
$2,253–$3,646
Medicare procedures
4,216

90 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–90. 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
Milton S Hershey Medical CenterHershey, PA · CCN 39025687$3,227About average$2,565$29,121
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 39002618$3,227About average$2,544$49,225
Jefferson Lansdale HospitalLansdale, PA · CCN 39001233$3,246About average$2,586$14,531
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 39032954$3,246About average$2,583$14,123
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 39009718$3,246About average$2,575$17,490
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 39003532$3,254About average$2,576$27,571
UPMC HanoverHanover, PA · CCN 39023328$3,256About average$2,595$27,586
Wellspan York HospitalYork, PA · CCN 39004671$3,256About average$2,592$20,534
Phoenixville HospitalPhoenixville, PA · CCN 39012733$3,263About average$2,579$21,258
Main Line Hospital LankenauWynnewood, PA · CCN 39019558$3,263About average$2,586$18,305
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174 · +$247 outlier payments per case188$3,272About average$2,599$21,340
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 39033024$3,277About average$2,611$46,774
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 39014250$3,308About average$2,622$13,635
UPMC AltoonaAltoona, PA · CCN 39007333$3,309About average$2,637$22,738
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 39011035$3,309About average$2,634$13,351
Penn Highlands DuboisDubois, PA · CCN 39008640$3,310About average$2,632$11,639
Meadville Medical CenterMeadville, PA · CCN 39011323$3,310About average$2,629$12,515
Indiana Regional Medical CenterIndiana, PA · CCN 39017311$3,315About average$2,629$20,237
Paoli HospitalPaoli, PA · CCN 39015379$3,316About average$2,642$13,991
Wayne Memorial HospitalHonesdale, PA · CCN 39012511$3,319About average$2,645$16,508
St Luke's Hospital - Easton CampusEaston, PA · CCN 39016241$3,323About average$2,634$47,769
Jefferson Health- NortheastPhiladelphia, PA · CCN 39011567$3,324About average$2,648$15,060
Riddle Memorial HospitalMedia, PA · CCN 39022276$3,326About average$2,639$14,846
Lehigh Valley HospitalAllentown, PA · CCN 390133261$3,331About average$2,643$29,173
St Mary Medical CenterLanghorne, PA · CCN 39025834$3,337About average$2,659$24,146
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 39005727$3,338About average$2,659$17,868
Chester County HospitalWest Chester, PA · CCN 390179101$3,338About average$2,658$22,379
Bryn Mawr HospitalBryn Mawr, PA · CCN 39013978$3,338About average$2,657$12,614
Doylestown HospitalDoylestown, PA · CCN 39020355$3,338About average$2,653$20,365
St Lukes HospitalBethlehem, PA · CCN 390049116$3,351About average$2,663$38,262
Crozer Chester Medical CenterUpland, PA · CCN 39018018$3,361About average$2,678$28,773
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PA · CCN 39015611$3,361About average$2,678$36,619
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 39020132$3,374About average$2,687$33,712
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111206$3,428About average$2,725$37,798
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 39022376$3,449About average$2,741$38,626
Wellspan Chambersburg HospitalChambersburg, PA · CCN 39015126$3,452About average$2,741$25,624
Pennsylvania HospitalPhiladelphia, PA · CCN 39022675$3,486About average$2,777$24,292
Mount Nittany Medical CenterState College, PA · CCN 39026848$3,491About average$2,782$23,551
Saint Vincent HospitalErie, PA · CCN 39000914$3,646About average$2,905$41,792
UPMC HamotErie, PA · CCN 39006344$3,646About average$2,903$30,680

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.