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 1,601–1,650. 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
Sutter Surgical Hospital - North ValleyYuba City, CA · CCN 050766	55	$4,217	27% above the national average	$3,348	$24,432
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327 · +$911 outlier payments per case	60	$4,218	27% above the national average	$3,356	$41,450
Clovis Community Medical CenterClovis, CA · CCN 050492	66	$4,221	27% above the national average	$3,363	$24,274
Providence St Joseph HospitalEureka, CA · CCN 050006	69	$4,253	28% above the national average	$3,390	$44,112
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	58	$4,253	28% above the national average	$3,389	$67,013
Adventist Health TulareTulare, CA · CCN 050784	21	$4,253	28% above the national average	$3,389	$24,932
Antelope Valley HospitalLancaster, CA · CCN 050056	20	$4,253	28% above the national average	$3,389	$25,710
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	23	$4,253	28% above the national average	$3,389	$36,770
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	12	$4,253	28% above the national average	$3,389	$21,750
Enloe HealthChico, CA · CCN 050039	68	$4,253	28% above the national average	$3,389	$48,051
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	28	$4,253	28% above the national average	$3,389	$31,421
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	79	$4,253	28% above the national average	$3,389	$29,543
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	17	$4,253	28% above the national average	$3,389	$28,087
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	21	$4,253	28% above the national average	$3,389	$43,863
Memorial Medical CenterModesto, CA · CCN 050557	18	$4,253	28% above the national average	$3,389	$38,444
Oroville HospitalOroville, CA · CCN 050030	16	$4,253	28% above the national average	$3,389	$15,530
Providence Mission HospitalMission Viejo, CA · CCN 050567	44	$4,253	28% above the national average	$3,389	$29,288
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	15	$4,253	28% above the national average	$3,389	$30,149
Redlands Community HospitalRedlands, CA · CCN 050272	16	$4,253	28% above the national average	$3,389	$41,103
Saint John's Health CenterSanta Monica, CA · CCN 050290	39	$4,253	28% above the national average	$3,389	$14,757
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	24	$4,253	28% above the national average	$3,389	$65,352
Scripps Mercy HospitalSan Diego, CA · CCN 050077	26	$4,253	28% above the national average	$3,389	$41,442
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	25	$4,253	28% above the national average	$3,389	$40,133
St Johns Regional Medical CenterOxnard, CA · CCN 050082	43	$4,253	28% above the national average	$3,389	$27,334
Temecula Valley HospitalTemecula, CA · CCN 050775	11	$4,253	28% above the national average	$3,389	$35,068
Providence St. Joseph HospitalOrange, CA · CCN 050069	33	$4,253	28% above the national average	$3,389	$23,884
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	31	$4,253	28% above the national average	$3,389	$33,219
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	34	$4,253	28% above the national average	$3,388	$25,010
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	36	$4,253	28% above the national average	$3,388	$23,545
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	36	$4,253	28% above the national average	$3,388	$35,982
Huntington HospitalPasadena, CA · CCN 050438	38	$4,253	28% above the national average	$3,387	$37,656
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625 · +$1,032 outlier payments per case	137	$4,254	28% above the national average	$3,387	$82,093
Centinela Hospital Medical CenterInglewood, CA · CCN 050739	12	$4,254	28% above the national average	$3,386	$46,419
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	28	$4,254	28% above the national average	$3,386	$52,583
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	21	$4,254	28% above the national average	$3,385	$35,252
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	52	$4,254	28% above the national average	$3,385	$29,192
Mercy Medical Center ReddingRedding, CA · CCN 050280	52	$4,254	28% above the national average	$3,384	$33,090
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	70	$4,254	28% above the national average	$3,384	$45,679
Tri-City Medical CenterOceanside, CA · CCN 050128	13	$4,254	28% above the national average	$3,384	$36,393
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	12	$4,254	28% above the national average	$3,384	$138,348
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	63	$4,254	28% above the national average	$3,384	$39,473
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	15	$4,254	28% above the national average	$3,384	$108,643
Adventist Health White MemorialLos Angeles, CA · CCN 050103	21	$4,254	28% above the national average	$3,383	$60,397
Grossmont HospitalLa Mesa, CA · CCN 050026	37	$4,254	28% above the national average	$3,383	$42,383
Pioneers Memorial Healthcare DistrictBrawley, CA · CCN 050342	29	$4,254	28% above the national average	$3,382	$13,070
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	69	$4,254	28% above the national average	$3,382	$32,462
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	28	$4,254	28% above the national average	$3,382	$20,345
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	23	$4,254	28% above the national average	$3,381	$47,656
San Antonio Regional HospitalUpland, CA · CCN 050099	18	$4,254	28% above the national average	$3,380	$40,501
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	31	$4,254	28% above the national average	$3,380	$40,622

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.