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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1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,451–1,500. 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
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	67	$3,716	12% above the national average	$2,960	$7,761
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	193	$3,716	12% above the national average	$2,960	$8,454
Marlborough HospitalMarlborough, MA · CCN 220049	16	$3,716	12% above the national average	$2,960	$15,010
MelroseWakefield HealthcareMelrose, MA · CCN 220070	14	$3,716	12% above the national average	$2,960	$13,772
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	12	$3,716	12% above the national average	$2,960	$11,570
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	52	$3,716	12% above the national average	$2,960	$20,367
Holy Family HospitalMethuen, MA · CCN 220080	19	$3,716	12% above the national average	$2,960	$12,478
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	42	$3,716	12% above the national average	$2,959	$6,654
Milford Regional Medical CenterMilford, MA · CCN 220090	35	$3,716	12% above the national average	$2,959	$10,509
Brown University Health Morton HospitalTaunton, MA · CCN 220073	35	$3,716	12% above the national average	$2,958	$7,813
Mount Auburn HospitalCambridge, MA · CCN 220002	47	$3,716	12% above the national average	$2,956	$6,232
Falmouth HospitalFalmouth, MA · CCN 220135	45	$3,716	12% above the national average	$2,955	$16,663
Winchester HospitalWinchester, MA · CCN 220105	30	$3,716	12% above the national average	$2,955	$10,085
Mercy Medical CenterSpringfield, MA · CCN 220066	34	$3,716	12% above the national average	$2,951	$8,189
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	39	$3,716	12% above the national average	$2,949	$9,307
MetroWest Medical CenterFramingham, MA · CCN 220175	11	$3,716	12% above the national average	$2,943	$43,361
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	14	$3,716	12% above the national average	$2,961	$21,980
Saint Michael's Medical CenterNewark, NJ · CCN 310096	17	$3,716	12% above the national average	$2,961	$37,510
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	15	$3,716	12% above the national average	$2,943	$21,847
Olympic Medical CenterPort Angeles, WA · CCN 500072	76	$3,719	12% above the national average	$2,963	$12,663
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	32	$3,719	12% above the national average	$2,963	$28,690
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	24	$3,719	12% above the national average	$2,963	$25,089
Yakima Valley MemorialYakima, WA · CCN 500036	62	$3,719	12% above the national average	$2,957	$14,127
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	14	$3,727	12% above the national average	$2,899	$36,659
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	21	$3,731	12% above the national average	$2,954	$38,629
St Michael Medical CenterSilverdale, WA · CCN 500039	46	$3,731	12% above the national average	$2,969	$44,501
Southside HospitalBay Shore, NY · CCN 330043	20	$3,738	12% above the national average	$2,947	$26,154
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	49	$3,741	13% above the national average	$2,961	$15,254
MidState Medical CenterMeriden, CT · CCN 070017	17	$3,746	13% above the national average	$2,985	$16,125
Confluence Health HospitalWenatchee, WA · CCN 500016	72	$3,746	13% above the national average	$2,985	$16,247
Lawrence & Memorial HospitalNew London, CT · CCN 070007	15	$3,747	13% above the national average	$2,963	$15,596
Morristown Medical CenterMorristown, NJ · CCN 310015	154	$3,754	13% above the national average	$2,991	$22,121
Salem HospitalSalem, OR · CCN 380051	54	$3,754	13% above the national average	$2,980	$20,242
Plainview HospitalPlainview, NY · CCN 330331	43	$3,768	13% above the national average	$2,972	$19,957
USC Arcadia HospitalArcadia, CA · CCN 050238	14	$3,769	13% above the national average	$2,905	$23,252
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	37	$3,774	14% above the national average	$2,991	$14,738
Hartford HospitalHartford, CT · CCN 070025	37	$3,776	14% above the national average	$2,991	$12,194
Bay Area HospitalCoos Bay, OR · CCN 380090	19	$3,780	14% above the national average	$3,012	$16,719
William W Backus HospitalNorwich, CT · CCN 070024	40	$3,783	14% above the national average	$2,994	$14,605
Waterbury HospitalWaterbury, CT · CCN 070005	26	$3,785	14% above the national average	$3,009	$30,648
Chilton Medical CenterPompton Plains, NJ · CCN 310017	29	$3,786	14% above the national average	$2,995	$35,206
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	80	$3,792	14% above the national average	$3,006	$19,860
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	14	$3,796	14% above the national average	$3,025	$19,681
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	46	$3,797	14% above the national average	$3,009	$26,570
Westchester Medical CenterValhalla, NY · CCN 330234	27	$3,802	14% above the national average	$2,998	$42,347
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	34	$3,806	15% above the national average	$3,014	$12,476
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	36	$3,807	15% above the national average	$3,011	$41,620
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	25	$3,814	15% above the national average	$3,039	$15,935
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	16	$3,816	15% above the national average	$3,020	$14,393
Providence Centralia HospitalCentralia, WA · CCN 500019	31	$3,818	15% above the national average	$3,042	$23,587

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.