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
- $2,636
- Average billed charge
- $26,986
- Hospitals reporting
- 1,731
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.
1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,251–1,300. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Hospital Of University Of Pennsylvania | 206 | $3,428 | About average | $2,725 | $37,798 |
| Saint Mary's Regional Medical Center | 11 | $3,437 | About average | $2,684 | $34,870 |
| Altru Hospital | 75 | $3,440 | About average | $2,724 | $11,886 |
| Portsmouth Regional Hospital | 21 | $3,444 | About average | $2,741 | $38,024 |
| Cooperman Barnabas Medical Center | 44 | $3,447 | About average | $2,686 | $22,079 |
| Penn Presbyterian Medical Center | 76 | $3,449 | About average | $2,741 | $38,626 |
| Lake Region Healthcare Corporation | 18 | $3,449 | About average | $2,748 | $13,637 |
| Sanford Bemidji Medical Center | 27 | $3,449 | About average | $2,748 | $14,086 |
| Alomere Health | 13 | $3,449 | About average | $2,748 | $16,459 |
| Essentia Health St Joseph's Medical Center | 15 | $3,449 | About average | $2,748 | $22,345 |
| Grand Itasca Clinic And Hospital | 21 | $3,449 | About average | $2,745 | $16,756 |
| Wellspan Chambersburg Hospital | 26 | $3,452 | About average | $2,741 | $25,624 |
| Centracare - St. Cloud Hospital | 46 | $3,454 | About average | $2,740 | $17,592 |
| Valley Medical Center | 37 | $3,457 | About average | $2,739 | $32,060 |
| Capital Health Medical Center - Hopewell | 36 | $3,462 | About average | $2,722 | $68,446 |
| Christiana Hospital | 193 | $3,462 | About average | $2,749 | $10,690 |
| Legacy Salmon Creek Medical Center | 34 | $3,466 | About average | $2,717 | $18,310 |
| West Jersey Hospital | 38 | $3,470 | About average | $2,728 | $42,086 |
| Beebe Medical Center | 44 | $3,471 | About average | $2,766 | $21,230 |
| Bayhealth Hospital, Sussex Campus | 14 | $3,471 | About average | $2,766 | $35,831 |
| Tidalhealth Nanticoke, Inc. | 15 | $3,471 | About average | $2,748 | $15,288 |
| Harborview Medical Center | 16 | $3,472 | About average | $2,767 | $31,500 |
| Providence Holy Family Hospital | 34 | $3,472 | About average | $2,767 | $20,351 |
| Trios Health | 11 | $3,472 | About average | $2,767 | $22,930 |
| University Of Washington Medical Center | 94 | $3,472 | About average | $2,767 | $22,663 |
| Providence Sacred Heart Medical Center & Childrens Hospital | 35 | $3,472 | About average | $2,766 | $12,532 |
| Kadlec Regional Medical Center | 35 | $3,472 | About average | $2,766 | $18,959 |
| Deaconess Medical Center | 25 | $3,472 | About average | $2,763 | $33,268 |
| Concord Hospital- Laconia | 46 | $3,473 | About average | $2,743 | $13,113 |
| Avera Sacred Heart Hospital | 15 | $3,474 | About average | $2,768 | $18,252 |
| Brookings Health System | 11 | $3,474 | About average | $2,768 | $10,523 |
| Campbell County Health | 12 | $3,474 | About average | $2,768 | $12,907 |
| Cheyenne Regional Medical Center | 30 | $3,474 | About average | $2,768 | $30,901 |
| Ivinson Memorial Hospital | 11 | $3,474 | About average | $2,768 | $14,544 |
| Memorial Hospital Sweetwater County | 22 | $3,474 | About average | $2,768 | $16,662 |
| Monument Health Spearfish Hospital | 14 | $3,474 | About average | $2,768 | $19,417 |
| Sagewest Health Care | 15 | $3,474 | About average | $2,768 | $30,310 |
| Trinity Hospitals | 25 | $3,474 | About average | $2,768 | $16,475 |
| Evanston Regional Hospital | 12 | $3,474 | About average | $2,765 | $26,750 |
| Prairie Lakes Healthcare System, Inc | 38 | $3,474 | About average | $2,762 | $12,558 |
| Evergreenhealth Medical Center | 50 | $3,477 | About average | $2,759 | $21,197 |
| Saint Peter's University Hospital | 38 | $3,477 | About average | $2,770 | $33,727 |
| Rochester General Hospital | 56 | $3,482 | About average | $2,735 | $11,356 |
| Pennsylvania Hospital | 75 | $3,486 | About average | $2,777 | $24,292 |
| Hutchinson Health | 13 | $3,487 | About average | $2,778 | $22,799 |
| Mayo Clinic Health System - Albert Lea And Austin | 20 | $3,491 | About average | $2,781 | $14,024 |
| Virtua Our Lady Of Lourdes Hospital | 22 | $3,491 | About average | $2,741 | $52,953 |
| Mount Nittany Medical Center | 48 | $3,491 | About average | $2,782 | $23,551 |
| George Washington University Hospital | 63 | $3,495 | About average | $2,773 | $41,010 |
| Corning Hospital | 34 | $3,496 | About average | $2,751 | $16,306 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average 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
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 6 | 332 | $1,696 | $1,585–$2,048 |
| Alabama | 24 | 662 | $2,827 | $2,722–$2,869 |
| Mississippi | 22 | 651 | $2,832 | $2,761–$2,863 |
| Louisiana | 30 | 867 | $2,897 | $2,876–$2,930 |
| Tennessee | 36 | 1,428 | $2,900 | $2,838–$2,981 |
| Arkansas | 25 | 804 | $2,914 | $2,895–$3,125 |
| Ohio | 75 | 2,603 | $2,933 | $2,908–$3,027 |
| South Carolina | 36 | 1,316 | $2,936 | $2,833–$2,984 |
| West Virginia | 15 | 434 | $2,941 | $2,877–$2,991 |
| Oklahoma | 29 | 822 | $2,960 | $2,907–$3,023 |
| Kentucky | 25 | 771 | $2,971 | $2,899–$3,124 |
| Kansas | 22 | 741 | $2,989 | $2,954–$3,128 |
| Iowa | 21 | 968 | $3,003 | $2,959–$3,088 |
| Missouri | 36 | 1,255 | $3,030 | $2,983–$3,116 |
| Georgia | 53 | 1,713 | $3,034 | $2,924–$3,178 |
| Utah | 14 | 610 | $3,049 | $2,960–$3,126 |
| Michigan | 52 | 1,939 | $3,050 | $3,014–$3,167 |
| North Carolina | 58 | 2,478 | $3,058 | $3,011–$3,109 |
| Texas | 112 | 3,599 | $3,064 | $3,002–$3,123 |
| Nebraska | 16 | 610 | $3,079 | $3,084–$3,148 |
| Virginia | 53 | 2,484 | $3,080 | $2,979–$3,190 |
| Florida | 87 | 4,030 | $3,098 | $3,088–$3,134 |
| New Mexico | 12 | 326 | $3,102 | $3,013–$3,240 |
| Indiana | 48 | 1,397 | $3,111 | $3,084–$3,143 |
| Idaho | 13 | 383 | $3,149 | $3,056–$3,334 |
| Wisconsin | 45 | 1,344 | $3,150 | $3,086–$3,254 |
| Maine | 11 | 291 | $3,169 | $3,009–$3,251 |
| Pennsylvania | 91 | 4,271 | $3,214 | $3,090–$3,316 |
| Illinois | 65 | 2,855 | $3,239 | $3,197–$3,285 |
| Montana | 8 | 346 | $3,263 | $3,244–$3,323 |
| North Dakota | 6 | 385 | $3,290 | $3,244–$3,391 |
| South Dakota | 11 | 501 | $3,292 | $3,244–$3,474 |
| Colorado | 34 | 1,048 | $3,316 | $3,293–$3,303 |
| Minnesota | 32 | 1,262 | $3,325 | $3,260–$3,449 |
| Arizona | 38 | 1,467 | $3,391 | $3,311–$3,374 |
| New Hampshire | 12 | 506 | $3,393 | $3,317–$3,395 |
| Wyoming | 9 | 165 | $3,414 | $3,407–$3,474 |
| Delaware | 6 | 345 | $3,450 | $3,435–$3,471 |
| Rhode Island | 7 | 234 | $3,484 | $3,511–$3,511 |
| District of Columbia | 4 | 290 | $3,507 | $3,498–$3,511 |
| Washington | 37 | 1,402 | $3,554 | $3,472–$3,673 |
| New Jersey | 48 | 2,241 | $3,658 | $3,583–$3,719 |
| Nevada | 15 | 386 | $3,666 | $3,554–$3,705 |
| Oregon | 22 | 681 | $3,671 | $3,601–$3,730 |
| Massachusetts | 45 | 2,898 | $3,684 | $3,678–$3,716 |
| Alaska | 5 | 129 | $3,716 | $3,710–$3,824 |
| New York | 83 | 4,544 | $3,796 | $3,668–$3,898 |
| Connecticut | 22 | 834 | $3,837 | $3,783–$3,889 |
| Hawaii | 7 | 217 | $3,982 | $3,936–$4,202 |
| California | 148 | 5,807 | $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.