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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

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

1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 951–1,000. 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
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
Houston Methodist Willowbrook HospitalHouston, TX · CCN 45084426$3,208About average$2,556$55,066
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 45084811$3,208About average$2,556$38,617
Memorial Hermann Memorial City HospitalHouston, TX · CCN 45061043$3,208About average$2,549$30,507
HCA Houston Healthcare ConroeConroe, TX · CCN 45022213$3,208About average$2,549$91,286
St Luke's Patients Medical CenterPasadena, TX · CCN 67003114$3,208About average$2,549$22,594
Wellstar North Fulton Medical CenterRoswell, GA · CCN 11019813$3,210About average$2,570$57,604
Emory Johns Creek HospitalJohns Creek, GA · CCN 11023026$3,211About average$2,558$12,757
Northside Hospital GwinnettLawrenceville, GA · CCN 11008758$3,211About average$2,558$27,415
Piedmont Cartersville Medical CenterCartersville, GA · CCN 11003016$3,211About average$2,558$39,815
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 11001116$3,211About average$2,558$23,689
Wellstar Cobb Medical CenterAustell, GA · CCN 11014315$3,211About average$2,558$65,642
Wellstar Douglas Medical CenterDouglasville, GA · CCN 11018411$3,211About average$2,558$29,141
Piedmont Rockdale HospitalConyers, GA · CCN 11009114$3,211About average$2,557$48,059
Northside Hospital DuluthDuluth, GA · CCN 11025219$3,211About average$2,556$28,732
Piedmont Newnan Hospital, IncNewnan, GA · CCN 11022928$3,211About average$2,551$43,231
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 43001682$3,212About average$2,554$19,423
Integris Health Woodward HospitalWoodward, OK · CCN 37000214$3,213About average$2,560$40,749
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 37002212$3,213About average$2,560$14,196
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130151$3,213About average$2,549$21,862
Titus Regional Medical CenterMount Pleasant, TX · CCN 45008017$3,215About average$2,562$8,934
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 67010835$3,215About average$2,562$20,091
Amita Health Resurrection Medical CenterChicago, IL · CCN 14011737$3,215About average$2,533$29,431
Community HospitalMunster, IN · CCN 15012571$3,217About average$2,556$17,803
Hennepin County Medical CenterMinneapolis, MN · CCN 24000430$3,219About average$2,541$14,944
Essentia Health VirginiaVirginia, MN · CCN 24008422$3,220About average$2,566$16,901
Range Regional Health ServicesHibbing, MN · CCN 24004014$3,220About average$2,566$17,323
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 52013841$3,221About average$2,557$24,131
Columbus Community HospitalColumbus, TX · CCN 45037022$3,224About average$2,568$12,061
Carolina East Medical CenterNew Bern, NC · CCN 34013174$3,224About average$2,569$18,191
Ecu Health North HospitalRoanoke Rapids, NC · CCN 34015113$3,224About average$2,569$19,940
Sentara Albemarle Medical CenterElizabeth City, NC · CCN 34010915$3,224About average$2,569$31,411
Southeastern Regional Medical CenterLumberton, NC · CCN 34005012$3,224About average$2,569$23,037
Watauga Medical CenterBoone, NC · CCN 34005124$3,224About average$2,569$18,927
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 49008416$3,224About average$2,545$11,733
Advocate Condell Medical CenterLibertyville, IL · CCN 14020267$3,226About average$2,560$22,459
Jefferson Abington HospitalAbington, PA · CCN 39023186$3,226About average$2,562$15,486
Milton S Hershey Medical CenterHershey, PA · CCN 39025687$3,227About average$2,565$29,121
Christus Southern New MexicoAlamogordo, NM · CCN 32000422$3,227About average$2,570$76,595
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 39002618$3,227About average$2,544$49,225
Advocate Lutheran General HospitalPark Ridge, IL · CCN 14022388$3,227About average$2,556$13,774
EvergreenHealth MonroeMonroe, WA · CCN 50008415$3,228About average$2,534$24,277

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.