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
- $2,636
- 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 101–150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Logan Regional Medical Center | 13 | $2,842 | 14% below the national average | $2,215 | $27,366 |
| University Medical Center | 30 | $2,843 | 14% below the national average | $2,225 | $30,178 |
| St Francis-Downtown | 66 | $2,843 | 14% below the national average | $2,232 | $31,155 |
| University Hospitals - Elyria Medical Center | 19 | $2,844 | 14% below the national average | $2,243 | $24,914 |
| University Of Mississippi Medical Center | 44 | $2,844 | 14% below the national average | $2,244 | $18,581 |
| SSM Health St Anthony Hospital - Shawnee | 36 | $2,849 | 14% below the national average | $2,243 | $12,391 |
| Mercy Health Saint Mary's | 26 | $2,850 | 14% below the national average | $2,252 | $20,604 |
| Lexington Medical Center | 116 | $2,850 | 14% below the national average | $2,246 | $29,412 |
| Methodist Hospitals Of Memphis | 77 | $2,851 | 14% below the national average | $2,255 | $27,482 |
| Freeman Health System - Freeman West | 30 | $2,851 | 14% below the national average | $2,249 | $25,278 |
| Baptist Health Richmond | 17 | $2,851 | 14% below the national average | $2,242 | $40,786 |
| MUSC Medical Center | 90 | $2,852 | 14% below the national average | $2,250 | $30,550 |
| Southeast Health Medical Center | 64 | $2,853 | 14% below the national average | $2,250 | $34,622 |
| Fort Sanders Regional Medical Center | 25 | $2,853 | 14% below the national average | $2,273 | $8,205 |
| Physicians Regional Medical Center | 32 | $2,853 | 14% below the national average | $2,271 | $25,054 |
| Tennova Healthcare-Jefferson Memorial Hospital | 13 | $2,853 | 14% below the national average | $2,269 | $22,154 |
| West Tennessee Healthcare Henry County Hospital | 20 | $2,853 | 14% below the national average | $2,264 | $14,169 |
| Hardin Medical Center | 12 | $2,853 | 14% below the national average | $2,264 | $13,470 |
| University Of Alabama Hospital | 67 | $2,854 | 14% below the national average | $2,266 | $25,528 |
| Christus Good Shepherd Medical Center | 22 | $2,855 | 14% below the national average | $2,227 | $49,930 |
| Good Samaritan Medical Center | 18 | $2,856 | 14% below the national average | $2,219 | $57,596 |
| St Dominic-Jackson Memorial Hospital | 57 | $2,857 | 14% below the national average | $2,264 | $17,344 |
| Marymount Hospital | 22 | $2,857 | 14% below the national average | $2,253 | $22,542 |
| Baptist Health Medical Center-Little Rock | 66 | $2,859 | 14% below the national average | $2,252 | $20,861 |
| Froedtert Memorial Lutheran Hospital | 79 | $2,860 | 14% below the national average | $2,262 | $24,235 |
| Midland Memorial Hospital | 17 | $2,861 | 14% below the national average | $2,251 | $25,470 |
| Affiliate Of Vitruvian Health | 27 | $2,862 | 14% below the national average | $2,255 | $52,514 |
| Crestwood Medical Center | 42 | $2,862 | 14% below the national average | $2,258 | $73,245 |
| Anderson Regional Medical Center | 24 | $2,863 | 14% below the national average | $2,281 | $14,572 |
| Clay County Medical Corporation | 11 | $2,863 | 14% below the national average | $2,281 | $16,328 |
| Bmh-Golden Triangle | 29 | $2,863 | 14% below the national average | $2,276 | $17,016 |
| Mississippi Baptist Medical Center | 69 | $2,863 | 14% below the national average | $2,261 | $21,409 |
| Franklin Woods Community Hospital | 27 | $2,864 | 14% below the national average | $2,261 | $37,020 |
| Maury Regional Hospital | 25 | $2,864 | 14% below the national average | $2,282 | $26,474 |
| Kansas Medical Center LLC | 27 | $2,866 | 14% below the national average | $2,272 | $6,693 |
| Piedmont Eastside Medical Center | 22 | $2,867 | 14% below the national average | $2,209 | $37,142 |
| Emory Houston Hospital Warner Robins | 27 | $2,867 | 14% below the national average | $2,270 | $23,503 |
| Marshall Medical Centers | 18 | $2,868 | 14% below the national average | $2,285 | $9,063 |
| Gadsden Regional Medical Center | 14 | $2,868 | 14% below the national average | $2,285 | $94,414 |
| Jackson Hospital & Clinic Inc | 17 | $2,868 | 14% below the national average | $2,285 | $22,765 |
| USA Health HCA Providence Hospital, LLC | 14 | $2,869 | 14% below the national average | $2,286 | $15,888 |
| Wesley Medical Center | 45 | $2,869 | 14% below the national average | $2,269 | $62,172 |
| Coosa Valley Medical Center | 11 | $2,869 | 14% below the national average | $2,268 | $15,147 |
| Mon Health Medical Center | 38 | $2,869 | 14% below the national average | $2,273 | $37,788 |
| Beaumont Hospital - Farmington Hills | 22 | $2,869 | 14% below the national average | $2,241 | $28,640 |
| Indian Path Community Hospital | 18 | $2,870 | 14% below the national average | $2,287 | $39,036 |
| Charleston Area Medical Center | 72 | $2,872 | 14% below the national average | $2,267 | $28,359 |
| University Of Kansas Hospital | 145 | $2,872 | 14% below the national average | $2,274 | $20,986 |
| Cape Fear Valley Medical Center | 26 | $2,872 | 14% below the national average | $2,250 | $19,588 |
| CHI St Joseph Health Regional Hospital | 51 | $2,873 | 14% below the national average | $2,258 | $48,790 |
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.