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 1,501–1,550. 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
Staten Island University HospitalStaten Island, NY · CCN 330160	130	$3,818	15% above the national average	$3,015	$20,439
Garnet Health Medical CenterMiddletown, NY · CCN 330126	61	$3,819	15% above the national average	$3,028	$19,649
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	121	$3,823	15% above the national average	$3,039	$24,927
Central Peninsula General HospitalSoldotna, AK · CCN 020024	14	$3,824	15% above the national average	$3,047	$20,483
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	22	$3,824	15% above the national average	$3,047	$43,192
Middlesex HospitalMiddletown, CT · CCN 070020	43	$3,825	15% above the national average	$3,033	$18,028
Olean General HospitalOlean, NY · CCN 330103	25	$3,829	15% above the national average	$3,009	$8,345
Mount Sinai Beth IsraelNew York, NY · CCN 330169	46	$3,829	15% above the national average	$3,037	$22,728
The Queens Medical CenterHonolulu, HI · CCN 120001	74	$3,830	15% above the national average	$3,016	$17,197
Lenox Hill HospitalNew York, NY · CCN 330119	41	$3,839	16% above the national average	$3,047	$25,827
Yale-New Haven HospitalNew Haven, CT · CCN 070022	172	$3,841	16% above the national average	$3,047	$14,781
Montefiore Medical CenterBronx, NY · CCN 330059	61	$3,843	16% above the national average	$3,050	$31,377
Nyu Langone HospitalsNew York, NY · CCN 330214 · +$270 outlier payments per case	380	$3,847	16% above the national average	$3,054	$55,839
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	12	$3,847	16% above the national average	$3,065	$17,603
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	24	$3,847	16% above the national average	$3,065	$33,309
Phelps HospitalSleepy Hollow, NY · CCN 330261	23	$3,852	16% above the national average	$3,050	$43,679
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	134	$3,855	16% above the national average	$3,060	$21,424
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	33	$3,859	16% above the national average	$3,075	$11,976
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	36	$3,859	16% above the national average	$3,075	$13,560
Saint Mary's HospitalWaterbury, CT · CCN 070016	18	$3,859	16% above the national average	$3,075	$23,404
Charlotte Hungerford HospitalTorrington, CT · CCN 070011	37	$3,859	16% above the national average	$3,073	$9,393
Bristol HospitalBristol, CT · CCN 070029	19	$3,859	16% above the national average	$3,073	$34,440
Long Island Community HospitalPatchogue, NY · CCN 330141 · +$1,531 outlier payments per case	36	$3,864	16% above the national average	$3,079	$74,580
St Charles HospitalPort Jefferson, NY · CCN 330246	32	$3,864	16% above the national average	$3,077	$33,304
Overlook Medical CenterSummit, NJ · CCN 310051	120	$3,868	16% above the national average	$3,074	$19,601
Stamford HospitalStamford, CT · CCN 070006	97	$3,877	17% above the national average	$3,087	$22,356
Nyack HospitalNyack, NY · CCN 330104	66	$3,881	17% above the national average	$3,081	$20,606
New York-Presbyterian HospitalNew York, NY · CCN 330101 · +$160 outlier payments per case	434	$3,886	17% above the national average	$3,085	$26,264
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	29	$3,887	17% above the national average	$3,096	$19,628
Northwell Hospital Glen CoveGlen Cove, NY · CCN 330181	57	$3,887	17% above the national average	$3,095	$19,271
Norwalk HospitalNorwalk, CT · CCN 070034	30	$3,893	17% above the national average	$3,102	$31,789
Danbury HospitalDanbury, CT · CCN 070033	47	$3,893	17% above the national average	$3,101	$27,135
Pali Momi Medical CenterAiea, HI · CCN 120026	37	$3,893	17% above the national average	$3,081	$11,329
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	29	$3,894	17% above the national average	$3,098	$22,102
Bon Secours Community HospitalPort Jervis, NY · CCN 330135	16	$3,894	17% above the national average	$3,090	$50,206
The University HospitalNewark, NJ · CCN 310119	11	$3,894	17% above the national average	$3,075	$24,576
Mount Sinai WestNew York, NY · CCN 330046	49	$3,897	17% above the national average	$3,105	$19,815
Griffin HospitalDerby, CT · CCN 070031	14	$3,897	17% above the national average	$3,105	$30,008
St Vincent's Medical CenterBridgeport, CT · CCN 070028	14	$3,897	17% above the national average	$3,105	$20,461
Bridgeport HospitalBridgeport, CT · CCN 070010	38	$3,897	17% above the national average	$3,100	$17,840
Mercy Medical CenterRockville Centre, NY · CCN 330259	12	$3,898	17% above the national average	$3,106	$26,389
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	29	$3,898	17% above the national average	$3,106	$23,691
Mount Sinai South NassauOceanside, NY · CCN 330198	42	$3,898	17% above the national average	$3,100	$29,751
Berkshire Medical CenterPittsfield, MA · CCN 220046	51	$3,902	17% above the national average	$3,109	$25,113
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	45	$3,907	18% above the national average	$3,044	$20,858
Hackensack University Medical CenterHackensack, NJ · CCN 310001	114	$3,910	18% above the national average	$3,106	$19,619
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	73	$3,910	18% above the national average	$3,113	$50,642
Mount Sinai HospitalNew York, NY · CCN 330024	123	$3,911	18% above the national average	$3,111	$21,220
Maimonides Medical CenterBrooklyn, NY · CCN 330194	109	$3,919	18% above the national average	$3,119	$32,374
Bassett HealthcareCooperstown, NY · CCN 330136	38	$3,928	18% above the national average	$3,130	$13,620

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.