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 1,551–1,600. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Cayuga Medical Center At Ithaca | 26 | $3,928 | 18% above the national average | $3,130 | $15,303 |
| Guthrie Cortland Regional Medical Center | 25 | $3,928 | 18% above the national average | $3,130 | $14,978 |
| The University Of Vermont Health Network - Champl | 42 | $3,928 | 18% above the national average | $3,130 | $10,953 |
| Aurelia Osborn Fox Memorial Hospital | 31 | $3,928 | 18% above the national average | $3,130 | $7,934 |
| Canton-Potsdam Hospital | 24 | $3,929 | 18% above the national average | $3,129 | $14,594 |
| Auburn Community Hospital | 20 | $3,929 | 18% above the national average | $3,121 | $10,077 |
| Adventist Health Hanford | 32 | $3,934 | 18% above the national average | $3,133 | $28,648 |
| White Plains Hospital Center | 114 | $3,935 | 18% above the national average | $3,135 | $36,162 |
| Brookdale Hospital Medical Center | 12 | $3,937 | 18% above the national average | $3,137 | $12,294 |
| Flushing Hospital Medical Center | 14 | $3,937 | 18% above the national average | $3,137 | $6,274 |
| Good Samaritan Hospital Of Suffern | 13 | $3,937 | 18% above the national average | $3,137 | $45,563 |
| Hackensack Meridian Health Pascack Valley Medical | 14 | $3,937 | 18% above the national average | $3,137 | $37,803 |
| Holy Name Medical Center | 55 | $3,937 | 18% above the national average | $3,137 | $17,982 |
| New York Community Hospital Of Brooklyn, Inc. | 15 | $3,937 | 18% above the national average | $3,137 | $16,888 |
| New York-Presbyterian/Queens | 33 | $3,937 | 18% above the national average | $3,137 | $25,185 |
| Richmond University Medical Center | 13 | $3,937 | 18% above the national average | $3,137 | $18,750 |
| South Brooklyn Health | 17 | $3,937 | 18% above the national average | $3,137 | $12,504 |
| Valley Hospital | 95 | $3,937 | 18% above the national average | $3,135 | $20,482 |
| SUNY/Downstate University Hospital Of Brooklyn | 11 | $3,937 | 18% above the national average | $3,132 | $16,866 |
| Montefiore New Rochelle Hospital | 19 | $3,937 | 18% above the national average | $3,123 | $19,731 |
| Northeastern Nevada Regional Hospital | 12 | $3,968 | 19% above the national average | $3,158 | $29,629 |
| Straub Clinic And Hospital | 30 | $3,979 | 20% above the national average | $3,170 | $20,490 |
| Northern Nevada Medical Center | 33 | $4,014 | 21% above the national average | $3,160 | $76,440 |
| Northridge Hospital Medical Center | 13 | $4,023 | 21% above the national average | $3,120 | $33,200 |
| Saint Agnes Medical Center | 96 | $4,041 | 22% above the national average | $3,207 | $20,838 |
| Keck Hospital Of USC | 69 | $4,069 | 22% above the national average | $3,236 | $37,509 |
| PIH Health Downey Hospital | 19 | $4,076 | 23% above the national average | $3,179 | $26,319 |
| Hemet Global Medical Center | 15 | $4,096 | 23% above the national average | $3,226 | $27,084 |
| MemorialCare Saddleback Medical Center | 16 | $4,114 | 24% above the national average | $3,250 | $43,071 |
| Maui Memorial Medical Center | 25 | $4,126 | 24% above the national average | $3,260 | $19,118 |
| Mercy Medical Center | 28 | $4,132 | 24% above the national average | $3,268 | $41,881 |
| Sharon Hospital | 13 | $4,134 | 24% above the national average | $3,284 | $12,470 |
| North Hawaii Community Hospital, Inc | 27 | $4,143 | 25% above the national average | $3,273 | $25,334 |
| Scripps Green Hospital | 95 | $4,146 | 25% above the national average | $3,282 | $47,334 |
| Sharp Memorial Hospital | 53 | $4,149 | 25% above the national average | $3,290 | $28,733 |
| Doctors Medical Center | 33 | $4,151 | 25% above the national average | $3,281 | $73,223 |
| Sierra View Medical Center | 33 | $4,151 | 25% above the national average | $3,273 | $21,869 |
| Adventist Health Lodi Memorial | 18 | $4,152 | 25% above the national average | $3,267 | $64,599 |
| UCSan Diego Health Hillcrest - Hillcrest Medical Center | 133 | $4,158 | 25% above the national average | $3,309 | $27,191 |
| Uci Health - Los Alamitos | 76 | $4,166 | 25% above the national average | $3,287 | $80,367 |
| Adventist Health Bakersfield | 48 | $4,183 | 26% above the national average | $3,314 | $50,293 |
| Ronald Reagan UCLA Medical Center | 55 | $4,192 | 26% above the national average | $3,327 | $24,651 |
| Santa Monica - UCLA Medical Center & Orthopaedic Hospital | 159 | $4,197 | 26% above the national average | $3,336 | $24,496 |
| Methodist Hospital Of Sacramento | 12 | $4,198 | 26% above the national average | $3,344 | $60,160 |
| Providence Medford Medical Center | 26 | $4,201 | 26% above the national average | $3,347 | $22,159 |
| Kaweah Health Medical Center | 68 | $4,204 | 26% above the national average | $3,334 | $26,856 |
| Uci Health-Orange | 89 | $4,206 | 27% above the national average | $3,350 | $30,709 |
| Torrance Memorial Medical Center | 78 | $4,210 | 27% above the national average | $3,342 | $37,709 |
| Eisenhower Medical Center | 161 | $4,211 | 27% above the national average | $3,346 | $27,641 |
| Community Regional Medical Center | 52 | $4,215 | 27% above the national average | $3,346 | $21,580 |
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.