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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 1,201–1,250. 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
The University Of Chicago Medical CenterChicago, IL · CCN 14008878$3,365About average$2,681$30,693
Saint Anthony Medical CenterRockford, IL · CCN 14023324$3,365About average$2,673$21,974
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 14028621$3,365About average$2,672$41,573
St Alexius Medical CenterHoffman Estates, IL · CCN 14029017$3,365About average$2,662$28,445
Elliot HospitalManchester, NH · CCN 30001228$3,367About average$2,670$20,030
Multicare Valley HospitalSpokane Valley, WA · CCN 50011927$3,370About average$2,657$28,035
Winchester Medical CenterWinchester, VA · CCN 49000587$3,371About average$2,677$11,395
Abrazo West CampusGoodyear, AZ · CCN 03011013$3,374About average$2,688$61,773
Banner Ironwood Medical CenterQueen Creek, AZ · CCN 03013012$3,374About average$2,688$46,539
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 03001413$3,374About average$2,688$40,901
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 03012313$3,374About average$2,688$39,133
Kingman Regional Medical CenterKingman, AZ · CCN 03005521$3,374About average$2,688$57,786
Tucson Medical CenterTucson, AZ · CCN 03000640$3,374About average$2,688$14,713
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 03002430$3,374About average$2,687$66,256
Oro Valley HospitalOro Valley, AZ · CCN 03011421$3,374About average$2,686$59,104
Banner Gateway Medical CenterGilbert, AZ · CCN 03012241$3,374About average$2,685$23,404
Mercy Gilbert Medical CenterGilbert, AZ · CCN 03011928$3,374About average$2,684$45,596
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 03003869$3,374About average$2,684$45,749
Banner Estrella Medical CenterPhoenix, AZ · CCN 03011525$3,374About average$2,680$27,126
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 03009215$3,374About average$2,679$42,140
Northwest Medical CenterTucson, AZ · CCN 03008533$3,374About average$2,679$63,359
Banner Boswell Medical CenterSun City, AZ · CCN 03006143$3,374About average$2,677$33,723
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 39020132$3,374About average$2,687$33,712
Capital Medical CenterOlympia, WA · CCN 50013930$3,375About average$2,644$31,901
Virginia Mason Medical CenterSeattle, WA · CCN 50000583$3,377About average$2,677$21,878
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 52008817$3,378About average$2,692$13,905
Catholic Medical CenterManchester, NH · CCN 30003425$3,378About average$2,692$18,554
Southern NH Medical CenterNashua, NH · CCN 30002029$3,378About average$2,692$23,677
St Joseph HospitalNashua, NH · CCN 30001151$3,379About average$2,690$23,231
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 14021153$3,380About average$2,693$29,630
OHSU Hospital And ClinicsPortland, OR · CCN 38000987$3,380About average$2,693$16,860
Advocate Sherman HospitalElgin, IL · CCN 14003047$3,380About average$2,685$15,707
Monument Health Rapid City HospitalRapid City, SD · CCN 430077119$3,381About average$2,674$20,709
Banner Wyoming Medical CenterCasper, WY · CCN 53001232$3,388About average$2,666$22,153
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057 · +$1,413 outlier payments per case72$3,397About average$2,688$20,154
Rhode Island HospitalProvidence, RI · CCN 41000756$3,398About average$2,697$11,005
Sheridan Memorial HospitalSheridan, WY · CCN 53000620$3,407About average$2,713$20,246
Multicare Good Samaritan HospitalPuyallup, WA · CCN 50007918$3,407About average$2,682$32,757
Logan Health Medical CenterKalispell, MT · CCN 27005143$3,410About average$2,701$17,153
Tacoma General Allenmore HospitalTacoma, WA · CCN 50012937$3,411About average$2,687$35,500
Asante Ashland Community HospitalAshland, OR · CCN 38000524$3,413About average$2,720$15,052
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 38000223$3,413About average$2,720$15,868
Skagit Valley HospitalMount Vernon, WA · CCN 50000334$3,416About average$2,705$24,941
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 14018924$3,424About average$2,728$28,159
Blessing HospitalQuincy, IL · CCN 14001544$3,424About average$2,728$32,657
St Mary Medical CenterGalesburg, IL · CCN 14006423$3,424About average$2,724$30,002
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 33001112$3,425About average$2,679$33,682
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 38010233$3,425About average$2,693$22,125
Bayhealth Medical Center, Kent CampusDover, DE · CCN 08000451$3,426About average$2,718$25,215
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010284$3,427About average$2,719$17,185

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.