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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

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.

Location
Specific hospitals up to 10

1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,701–1,723. Download as CSV

Medicare payments per case for Level 1 Abdominal/Peritoneal/Biliary and Related Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Eden Medical CenterCastro Valley, CA · CCN 05048824$4,80445% above the national average$3,820$21,967
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 05018012$4,81745% above the national average$3,838$76,556
San Ramon Regional Medical CenterSan Ramon, CA · CCN 05068919$4,81745% above the national average$3,838$68,477
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276 · +$5,765 outlier payments per case18$4,81745% above the national average$3,825$18,490
John Muir Medical Center - Concord CampusConcord, CA · CCN 05049624$4,81745% above the national average$3,822$70,441
Santa Clara Valley Medical CenterSan Jose, CA · CCN 05003847$4,82045% above the national average$3,836$26,372
Novato Community HospitalNovato, CA · CCN 05013120$4,83245% above the national average$3,830$29,304
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 05000913$4,84546% above the national average$3,860$49,124
Sutter Medical Center, SacramentoSacramento, CA · CCN 05010821$4,84546% above the national average$3,860$27,218
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 05017456$4,84546% above the national average$3,857$54,871
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 05004740$4,84746% above the national average$3,842$25,731
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$668 outlier payments per case200$4,85446% above the national average$3,862$30,401
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 05014534$4,87247% above the national average$3,882$20,673
Salinas Valley Health Medical CenterSalinas, CA · CCN 05033448$4,87247% above the national average$3,882$42,986
Sequoia HospitalRedwood City, CA · CCN 05019737$4,87247% above the national average$3,882$46,444
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 05028325$4,87247% above the national average$3,882$55,123
Washington HospitalFremont, CA · CCN 05019523$4,87247% above the national average$3,882$26,409
El Camino HealthMountain View, CA · CCN 05030871$4,87247% above the national average$3,878$53,294
Good Samaritan HospitalSan Jose, CA · CCN 05038049$4,87247% above the national average$3,878$75,827
Peninsula Medical CenterBurlingame, CA · CCN 05000747$4,94549% above the national average$3,935$24,425
Chinese HospitalSan Francisco, CA · CCN 05040712$4,94649% above the national average$3,920$25,041
Sutter Solano Medical CenterVallejo, CA · CCN 05010114$4,97850% above the national average$3,965$27,168
NorthBay Medical CenterFairfield, CA · CCN 050367 · +$3,662 outlier payments per case41$4,97850% above the national average$3,959$133,241

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6332$1,696$1,585–$2,048
Alabama24662$2,827$2,722–$2,869
Mississippi22651$2,832$2,761–$2,863
Louisiana30867$2,897$2,876–$2,930
Tennessee361,428$2,900$2,838–$2,981
Arkansas25804$2,914$2,895–$3,125
Ohio752,603$2,933$2,908–$3,027
South Carolina361,316$2,936$2,833–$2,984
West Virginia15434$2,941$2,877–$2,991
Oklahoma29822$2,960$2,907–$3,023
Kentucky25771$2,971$2,899–$3,124
Kansas22741$2,989$2,954–$3,128
Iowa21968$3,003$2,959–$3,088
Missouri361,255$3,030$2,983–$3,116
Georgia531,713$3,034$2,924–$3,178
Utah14610$3,049$2,960–$3,126
Michigan521,939$3,050$3,014–$3,167
North Carolina582,478$3,058$3,011–$3,109
Texas1123,599$3,064$3,002–$3,123
Nebraska16610$3,079$3,084–$3,148
Virginia532,484$3,080$2,979–$3,190
Florida874,030$3,098$3,088–$3,134
New Mexico12326$3,102$3,013–$3,240
Indiana481,397$3,111$3,084–$3,143
Idaho13383$3,149$3,056–$3,334
Wisconsin451,344$3,150$3,086–$3,254
Maine11291$3,169$3,009–$3,251
Pennsylvania914,271$3,214$3,090–$3,316
Illinois652,855$3,239$3,197–$3,285
Montana8346$3,263$3,244–$3,323
North Dakota6385$3,290$3,244–$3,391
South Dakota11501$3,292$3,244–$3,474
Colorado341,048$3,316$3,293–$3,303
Minnesota321,262$3,325$3,260–$3,449
Arizona381,467$3,391$3,311–$3,374
New Hampshire12506$3,393$3,317–$3,395
Wyoming9165$3,414$3,407–$3,474
Delaware6345$3,450$3,435–$3,471
Rhode Island7234$3,484$3,511–$3,511
District of Columbia4290$3,507$3,498–$3,511
Washington371,402$3,554$3,472–$3,673
New Jersey482,241$3,658$3,583–$3,719
Nevada15386$3,666$3,554–$3,705
Oregon22681$3,671$3,601–$3,730
Massachusetts452,898$3,684$3,678–$3,716
Alaska5129$3,716$3,710–$3,824
New York834,544$3,796$3,668–$3,898
Connecticut22834$3,837$3,783–$3,889
Hawaii7217$3,982$3,936–$4,202
California1485,807$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.