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

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Year of care

1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,401–1,450. Download as CSV

Medicare payments per case for Level 1 Abdominal/Peritoneal/Biliary and Related Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Mercy Medical CenterRoseburg, OR · CCN 380027	24	$3,655	About average	$2,881	$24,790
Saint Alphonsus Medical Center OntarioOntario, OR · CCN 380052	11	$3,656	About average	$2,913	$12,544
St Charles Medical Center - BendBend, OR · CCN 380047	85	$3,656	About average	$2,912	$20,020
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	104	$3,659	10% above the national average	$2,902	$16,323
Putnam Hospital CenterCarmel, NY · CCN 330273	36	$3,663	10% above the national average	$2,858	$20,101
Glens Falls HospitalGlens Falls, NY · CCN 330191	32	$3,668	10% above the national average	$2,923	$10,087
Kenmore Mercy HospitalKenmore, NY · CCN 330102	15	$3,668	10% above the national average	$2,923	$16,696
Oneida Health HospitalOneida, NY · CCN 330115	22	$3,668	10% above the national average	$2,923	$15,146
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	20	$3,668	10% above the national average	$2,923	$12,100
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	14	$3,668	10% above the national average	$2,923	$10,047
UPMC ChautauquaJamestown, NY · CCN 330239	17	$3,668	10% above the national average	$2,923	$12,968
F F Thompson HospitalCanandaigua, NY · CCN 330074	18	$3,668	10% above the national average	$2,923	$10,226
Saratoga HospitalSaratoga Springs, NY · CCN 330222	39	$3,668	10% above the national average	$2,922	$26,351
Kaleida HealthBuffalo, NY · CCN 330005	50	$3,668	10% above the national average	$2,921	$18,546
Ellis HospitalSchenectady, NY · CCN 330153	20	$3,668	10% above the national average	$2,921	$16,542
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$2,190 outlier payments per case	39	$3,668	10% above the national average	$2,920	$28,143
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	30	$3,668	10% above the national average	$2,920	$9,363
Albany Medical Center HospitalAlbany, NY · CCN 330013	33	$3,668	10% above the national average	$2,917	$16,271
Erie County Medical CenterBuffalo, NY · CCN 330219	16	$3,668	10% above the national average	$2,909	$9,194
JFK University Medical CenterEdison, NJ · CCN 310108	32	$3,670	10% above the national average	$2,924	$19,947
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	26	$3,670	10% above the national average	$2,924	$15,484
Swedish Medical CenterSeattle, WA · CCN 500027	80	$3,673	11% above the national average	$2,917	$24,574
Greenwich Hospital Association -Greenwich, CT · CCN 070018	42	$3,674	11% above the national average	$2,927	$25,911
Southcoast Hospitals GroupFall River, MA · CCN 220074	73	$3,675	11% above the national average	$2,913	$17,059
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	49	$3,676	11% above the national average	$2,885	$17,245
South Shore HospitalSouth Weymouth, MA · CCN 220100	127	$3,678	11% above the national average	$2,922	$7,188
Baystate Medical CenterSpringfield, MA · CCN 220077	105	$3,680	11% above the national average	$2,932	$8,162
Massachusetts General HospitalBoston, MA · CCN 220071 · +$154 outlier payments per case	357	$3,691	11% above the national average	$2,935	$22,664
Newton-Wellesley HospitalNewton, MA · CCN 220101	141	$3,695	11% above the national average	$2,928	$13,015
Cape Cod HospitalHyannis, MA · CCN 220012	196	$3,700	11% above the national average	$2,945	$12,332
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 290053	14	$3,705	11% above the national average	$2,952	$52,528
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	27	$3,705	11% above the national average	$2,952	$49,592
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	11	$3,705	11% above the national average	$2,951	$90,616
Henderson HospitalHenderson, NV · CCN 290057	18	$3,705	11% above the national average	$2,950	$98,583
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	33	$3,705	11% above the national average	$2,947	$62,805
Bartlett Regional HospitalJuneau, AK · CCN 020008	25	$3,710	12% above the national average	$2,915	$11,177
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	64	$3,715	12% above the national average	$2,954	$25,565
North Shore University HospitalManhasset, NY · CCN 330106	192	$3,715	12% above the national average	$2,939	$21,334
Anna Jaques HospitalNewburyport, MA · CCN 220029	36	$3,716	12% above the national average	$2,960	$9,934
Baystate Wing HospitalPalmer, MA · CCN 220030	23	$3,716	12% above the national average	$2,960	$8,948
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	43	$3,716	12% above the national average	$2,960	$16,332
Boston Medical CenterBoston, MA · CCN 220031	31	$3,716	12% above the national average	$2,960	$9,403
Emerson Hospital -W Concord, MA · CCN 220084	38	$3,716	12% above the national average	$2,960	$9,359
Heywood Hospital -Gardner, MA · CCN 220095	25	$3,716	12% above the national average	$2,960	$13,624
Holyoke Medical CenterHolyoke, MA · CCN 220024	35	$3,716	12% above the national average	$2,960	$12,199
Lowell General HospitalLowell, MA · CCN 220063	36	$3,716	12% above the national average	$2,960	$11,537
Northeast Hospital CorporationBeverly, MA · CCN 220033	44	$3,716	12% above the national average	$2,960	$7,239
Saint Anne's HospitalFall River, MA · CCN 220020	44	$3,716	12% above the national average	$2,960	$13,174
Tufts Medical CenterBoston, MA · CCN 220116	43	$3,716	12% above the national average	$2,960	$15,086
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	11	$3,716	12% above the national average	$2,960	$8,887

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 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

Average payment by state for Level 1 Abdominal/Peritoneal/Biliary and Related Procedures, 2024
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.