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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 1,301–1,350. 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
Providence St Peter HospitalOlympia, WA · CCN 50002484$3,498About average$2,779$22,911
Island HospitalAnacortes, WA · CCN 50000731$3,498About average$2,777$18,863
MedStar Washington Hospital CenterWashington, DC · CCN 09001145$3,499About average$2,778$25,182
Virtua Mount Holly HospitalMount Holly, NJ · CCN 31005724$3,502About average$2,766$33,141
Sibley Memorial HospitalWashington, DC · CCN 09000593$3,509About average$2,790$19,664
St Anthony HospitalGig Harbor, WA · CCN 50015133$3,511About average$2,794$43,578
Newport HospitalNewport, RI · CCN 41000620$3,511About average$2,797$8,223
Westerly HospitalWesterly, RI · CCN 41001320$3,511About average$2,797$18,156
Kent County Memorial HospitalWarwick, RI · CCN 41000931$3,511About average$2,791$8,877
The Miriam HospitalProvidence, RI · CCN 41001264$3,511About average$2,790$10,166
South County Hospital IncWakefield, RI · CCN 41000830$3,511About average$2,785$12,708
Roger Williams Medical CenterProvidence, RI · CCN 41000413$3,511About average$2,783$13,478
MedStar Georgetown University HospitalWashington, DC · CCN 09000489$3,517About average$2,797$25,588
UNC Health Care WayneGoldsboro, NC · CCN 34001011$3,525About average$2,809$18,158
Mercy Regional Medical CenterDurango, CO · CCN 06001320$3,527About average$2,810$21,552
Montrose Regional HealthMontrose, CO · CCN 06000625$3,527About average$2,810$26,959
Valley View Hospital AssociationGlenwood Springs, CO · CCN 06007523$3,527About average$2,810$22,022
Delta County Memorial HospitalDelta, CO · CCN 06007122$3,527About average$2,807$12,845
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 06002334$3,527About average$2,803$30,873
UCHealth Yampa Valley Medical CenterSteamboat Springs, CO · CCN 06004922$3,527About average$2,802$13,287
San Luis Valley Regional Medical CenterAlamosa, CO · CCN 06000816$3,528About average$2,794$10,080
Ahs Hospital CorpHackettstown, NJ · CCN 31011529$3,529About average$2,786$18,622
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 29005417$3,532About average$2,778$88,283
Cascade Valley HospitalArlington, WA · CCN 50006015$3,533About average$2,815$20,543
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 50005118$3,533About average$2,815$42,311
Swedish IssaquahIssaquah, WA · CCN 50015223$3,533About average$2,815$33,333
Swedish Edmonds HospitalEdmonds, WA · CCN 50002624$3,533About average$2,811$18,050
Providence Regional Medical Center EverettEverett, WA · CCN 50001436$3,533About average$2,805$20,357
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003 · +$1,152 outlier payments per case101$3,534About average$2,815$28,516
Unity HospitalRochester, NY · CCN 33022622$3,535About average$2,787$11,349
Flagstaff Medical CenterFlagstaff, AZ · CCN 03002337$3,535About average$2,798$13,516
Monmouth Medical CenterLong Branch, NJ · CCN 31007547$3,543About average$2,794$19,502
Hunterdon Medical CenterFlemington, NJ · CCN 31000523$3,543About average$2,822$13,892
Mayo Clinic Health System - MankatoMankato, MN · CCN 24009340$3,546About average$2,825$11,692
Renown South Meadows Medical CenterReno, NV · CCN 29004917$3,549About average$2,796$33,746
Baystate Noble HospitalWestfield, MA · CCN 22006520$3,550About average$2,785$10,074
Merrimack Health Lawrence HospitalLawrence, MA · CCN 22001018$3,551About average$2,796$9,857
Clara Maass Medical CenterBelleville, NJ · CCN 31000918$3,552About average$2,796$20,695
Summerlin Hospital Medical CenterLas Vegas, NV · CCN 29004129$3,558About average$2,812$78,807
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012107$3,559About average$2,820$13,705
United Health Services Hospitals, IncBinghamton, NY · CCN 33039444$3,560About average$2,821$17,533
Highland HospitalRochester, NY · CCN 33016456$3,564About average$2,817$14,852
St Joseph Medical CenterTacoma, WA · CCN 50010834$3,565About average$2,837$60,051
Providence Alaska Medical CenterAnchorage, AK · CCN 02000143$3,571About average$2,836$25,237
Crouse HospitalSyracuse, NY · CCN 33020360$3,574About average$2,825$12,094
St Vincent HospitalWorcester, MA · CCN 22017621$3,575About average$2,819$43,094
Jefferson Stratford HospitalStratford, NJ · CCN 310086105$3,577About average$2,841$22,542
St Luke's Warren HospitalPhillipsburg, NJ · CCN 31006045$3,584About average$2,847$40,360
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 29000339$3,588About average$2,833$54,264
Community Medical CenterToms River, NJ · CCN 31004185$3,588About average$2,849$15,371

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.