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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 Texas

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
Texas
Specific hospitals up to 10
Average payment across these 111 hospitals
$3,056National $3,323 · Texas $3,064
Median hospital
$3,056
Lowest to highest
$2,672–$3,334
Medicare procedures
3,418

111 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 45013733$3,048About average$2,408$24,102
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 45005444$3,050About average$2,407$18,295
United Regional Health Care SystemWichita Falls, TX · CCN 45001029$3,052About average$2,396$20,459
Shannon Medical CenterSan Angelo, TX · CCN 45057148$3,055About average$2,400$22,024
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 45003416$3,056About average$2,396$26,545
Methodist Richardson Medical CenterRichardson, TX · CCN 45053742$3,056About average$2,430$25,147
Baylor University Medical CenterDallas, TX · CCN 45002174$3,059About average$2,430$18,332
Baylor St Lukes Medical CenterHouston, TX · CCN 45019352$3,061About average$2,408$30,447
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 45089052$3,066About average$2,433$21,136
Longview Regional Medical CenterLongview, TX · CCN 45070239$3,067About average$2,439$63,949
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 45046260$3,072About average$2,436$24,667
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 67006852$3,075About average$2,440$26,644
Memorial Hermann Hospital SystemHouston, TX · CCN 45018463$3,089About average$2,431$34,574
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044 · +$508 outlier payments per case110$3,091About average$2,456$20,894
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013533$3,113About average$2,481$39,206
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 67008215$3,113About average$2,481$20,831
Baylor Scott & White Medical Center At IrvingIrving, TX · CCN 45007912$3,113About average$2,481$20,275
Medical City PlanoPlano, TX · CCN 45065111$3,113About average$2,481$68,753
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 45077125$3,113About average$2,481$25,017
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 67004416$3,113About average$2,481$18,549
Texoma Medical CenterDenison, TX · CCN 45032414$3,113About average$2,481$54,030
UT Health East Texas Athens HospitalAthens, TX · CCN 45038931$3,113About average$2,479$31,841
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 45074218$3,114About average$2,470$21,361
Ascension ProvidenceWaco, TX · CCN 45004232$3,115About average$2,482$29,303
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 45056338$3,123About average$2,489$19,100
JPS Health NetworkFort Worth, TX · CCN 45003912$3,123About average$2,489$22,039
Lake Granbury Medical CenterGranbury, TX · CCN 45059614$3,123About average$2,489$89,899
Medical City North HillsNorth Richland Hills, TX · CCN 45008711$3,123About average$2,489$59,001
Texas Health Arlington Memorial HospitalArlington, TX · CCN 45006417$3,123About average$2,489$21,822
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 67008513$3,123About average$2,489$43,117
Texas Health Harris Methodist Hospital SouthlakeSouthlake, TX · CCN 45088811$3,123About average$2,489$37,204
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 45063916$3,123About average$2,489$29,753
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 45037223$3,123About average$2,488$29,095
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 45077932$3,123About average$2,483$23,950
Medical City WeatherfordWeatherford, TX · CCN 45020315$3,123About average$2,482$86,340
Houston Methodist HospitalHouston, TX · CCN 450358 · +$362 outlier payments per case179$3,126About average$2,483$47,650
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 45078812$3,127About average$2,492$53,872
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 45082048$3,155About average$2,503$50,762
AdventHealth Central TexasKilleen, TX · CCN 45015221$3,158About average$2,504$24,632
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 45001853$3,172About average$2,527$23,630
Hendrick Medical CenterAbilene, TX · CCN 45022984$3,175About average$2,529$48,386
HCA Houston Healthcare Clear LakeWebster, TX · CCN 45061721$3,208About average$2,556$83,274
Memorial Hermann Katy HospitalKaty, TX · CCN 45084716$3,208About average$2,556$20,301
Memorial Hermann Northeast HospitalHumble, TX · CCN 45068416$3,208About average$2,556$34,068
CHI St Luke's Health BrazosportLake Jackson, TX · CCN 45007212$3,208About average$2,556$17,922
HCA Houston Healthcare KingwoodKingwood, TX · CCN 45077523$3,208About average$2,556$93,781
HCA Houston Healthcare TomballTomball, TX · CCN 45067011$3,208About average$2,556$100,427
Houston Methodist Baytown HospitalBaytown, TX · CCN 45042411$3,208About average$2,556$39,125
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 45070928$3,208About average$2,556$60,569
Houston Methodist West HospitalHouston, TX · CCN 67007730$3,208About average$2,556$49,398

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.