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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 1,001–1,050. 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
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 23023914$3,228About average$2,572$11,447
Munson Medical CenterTraverse City, MI · CCN 23009750$3,228About average$2,572$13,246
Dickinson County Memorial HospitalIron Mountain, MI · CCN 23005528$3,228About average$2,571$12,428
Carteret General HospitalMorehead City, NC · CCN 34014232$3,229About average$2,573$12,410
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 52008362$3,230About average$2,572$11,674
UnityPoint Health - MeriterMadison, WI · CCN 52008976$3,230About average$2,570$21,589
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098115$3,230About average$2,567$16,588
The Monroe ClinicMonroe, WI · CCN 52002813$3,230About average$2,559$24,167
Advocate Trinity HospitalChicago, IL · CCN 14004848$3,230About average$2,561$24,125
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053102$3,231About average$2,564$14,281
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010206$3,231About average$2,572$14,824
Golden Valley Memorial HospitalClinton, MO · CCN 26017514$3,235About average$2,601$17,495
LmhLawrence, KS · CCN 17013719$3,236About average$2,578$19,272
Bothwell Regional Health CenterSedalia, MO · CCN 26000921$3,236About average$2,573$10,840
Paris Regional Medical CenterParis, TX · CCN 45019627$3,236About average$2,552$46,445
St. Catherine Hospital - Garden CityGarden City, KS · CCN 17002322$3,237About average$2,549$17,931
Northwestern Memorial HospitalChicago, IL · CCN 140281165$3,238About average$2,559$32,256
University Of Colorado Hospital AuthorityAurora, CO · CCN 06002489$3,238About average$2,577$27,513
UCH-Memorial Health SystemColorado Springs, CO · CCN 06002297$3,239About average$2,568$32,332
St Joseph's HospitalTucson, AZ · CCN 03001117$3,243About average$2,557$108,575
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015044$3,243About average$2,555$24,455
Dunes Surgical HospitalDakota Dunes, SD · CCN 43008915$3,244About average$2,584$17,810
Same Day Surgery Center LLCRapid City, SD · CCN 43009314$3,244About average$2,584$13,063
Sanford Medical Center AberdeenAberdeen, SD · CCN 43009716$3,244About average$2,584$14,510
Avera St LukesAberdeen, SD · CCN 43001459$3,244About average$2,584$14,856
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 27004932$3,244About average$2,584$15,670
Sanford Medical Center FargoFargo, ND · CCN 350011149$3,244About average$2,583$11,086
Benefis Hospitals IncGreat Falls, MT · CCN 27001238$3,244About average$2,582$23,276
Sanford Medical Center BismarckBismarck, ND · CCN 35001538$3,244About average$2,581$11,421
CHI St Alexius HealthBismarck, ND · CCN 35000238$3,244About average$2,580$7,385
St. Patrick HospitalMissoula, MT · CCN 27001444$3,244About average$2,580$15,404
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 49014120$3,244About average$2,585$40,405
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 49001919$3,244About average$2,585$23,615
Warren Memorial HospitalFront Royal, VA · CCN 49003322$3,244About average$2,585$10,784
Inova Loudoun HospitalLeesburg, VA · CCN 49004354$3,244About average$2,584$11,228
Great Falls Clinic HospitalGreat Falls, MT · CCN 27008613$3,244About average$2,552$35,045
Inova Alexandria HospitalAlexandria, VA · CCN 49004054$3,244About average$2,574$23,084
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
Northwest Community Hospital 1Arlington Heights, IL · CCN 14025270$3,247About average$2,569$17,595
M Health Fairview Ridges HospitalBurnsville, MN · CCN 24020743$3,248About average$2,576$14,754
Mymichigan Medical Center MidlandMidland, MI · CCN 23022233$3,249About average$2,588$11,364
McLaren Northern MichiganPetoskey, MI · CCN 23010522$3,249About average$2,585$14,943
Mymichigan Medical Center AlpenaAlpena, MI · CCN 23003637$3,249About average$2,583$10,168
Northern Light Mercy HospitalPortland, ME · CCN 20000821$3,251About average$2,590$18,029
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 20002135$3,251About average$2,590$14,615
York HospitalYork, ME · CCN 20002032$3,251About average$2,588$16,876
Mainehealth Maine Medical CenterPortland, ME · CCN 20000960$3,251About average$2,583$19,796
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 03014822$3,251About average$2,566$72,412

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.