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 151–200. 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
St Mark's HospitalSalt Lake City, UT · CCN 460047	22	$2,875	14% below the national average	$2,245	$47,755
Washington Regional Medical CenterFayetteville, AR · CCN 040004	44	$2,875	13% below the national average	$2,280	$21,886
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	18	$2,876	13% below the national average	$2,264	$17,377
Miami Valley HospitalDayton, OH · CCN 360051 · +$804 outlier payments per case	95	$2,876	13% below the national average	$2,257	$35,008
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	70	$2,876	13% below the national average	$2,292	$20,491
Iberia Medical CenterNew Iberia, LA · CCN 190054	12	$2,876	13% below the national average	$2,292	$14,944
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	13	$2,876	13% below the national average	$2,292	$27,133
Northern Louisiana Medical CenterRuston, LA · CCN 190086	18	$2,876	13% below the national average	$2,291	$17,433
Acadia General HospitalCrowley, LA · CCN 190044	13	$2,876	13% below the national average	$2,290	$13,831
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	29	$2,876	13% below the national average	$2,289	$20,943
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036 · +$971 outlier payments per case	97	$2,876	13% below the national average	$2,287	$35,350
Park Place Surgical HospitalLafayette, LA · CCN 190255	12	$2,877	13% below the national average	$2,276	$17,168
Cleveland ClinicCleveland, OH · CCN 360180	144	$2,878	13% below the national average	$2,280	$19,671
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	58	$2,879	13% below the national average	$2,294	$19,600
Trinity Rock IslandRock Island, IL · CCN 140280	16	$2,879	13% below the national average	$2,217	$21,730
Candler HospitalSavannah, GA · CCN 110024	44	$2,880	13% below the national average	$2,279	$24,271
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	11	$2,880	13% below the national average	$2,236	$12,005
North Oaks Medical CenterHammond, LA · CCN 190015	20	$2,881	13% below the national average	$2,295	$39,796
Greenwood Leflore HospitalGreenwood, MS · CCN 250099	15	$2,881	13% below the national average	$2,296	$9,347
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	30	$2,882	13% below the national average	$2,286	$22,186
Aiken Regional Medical CenterAiken, SC · CCN 420082	29	$2,882	13% below the national average	$2,279	$62,992
St Marys Medical CenterHuntington, WV · CCN 510007	36	$2,882	13% below the national average	$2,277	$18,667
Sierra Medical CenterEl Paso, TX · CCN 450668	20	$2,882	13% below the national average	$2,268	$76,366
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	19	$2,883	13% below the national average	$2,264	$19,323
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	162	$2,883	13% below the national average	$2,277	$13,830
Boone Hospital CenterColumbia, MO · CCN 260068	38	$2,883	13% below the national average	$2,279	$19,777
Baptist Health - Fort SmithFort Smith, AR · CCN 040055	40	$2,884	13% below the national average	$2,284	$26,892
Atrium Medical CenterFranklin, OH · CCN 360076	20	$2,884	13% below the national average	$2,273	$24,184
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	87	$2,885	13% below the national average	$2,298	$11,491
Wood County HospitalBowling Green, OH · CCN 360029	35	$2,887	13% below the national average	$2,285	$14,337
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	21	$2,888	13% below the national average	$2,278	$15,942
Piedmont Augusta HospitalAugusta, GA · CCN 110028	62	$2,890	13% below the national average	$2,280	$18,477
Prisma Health BaptistColumbia, SC · CCN 420086	47	$2,891	13% below the national average	$2,293	$22,383
University Of Missouri Health CareColumbia, MO · CCN 260141	59	$2,891	13% below the national average	$2,295	$20,693
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	29	$2,892	13% below the national average	$2,298	$23,484
Parma Community General HospitalParma, OH · CCN 360041	37	$2,894	13% below the national average	$2,294	$20,230
Weirton Medical Center, IncWeirton, WV · CCN 510023	15	$2,894	13% below the national average	$2,306	$32,187
Wheeling Hospital, IncWheeling, WV · CCN 510050	30	$2,895	13% below the national average	$2,303	$26,860
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036	30	$2,895	13% below the national average	$2,292	$23,477
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$731 outlier payments per case	91	$2,895	13% below the national average	$2,289	$26,164
Johnston Memorial HospitalAbingdon, VA · CCN 490053	24	$2,896	13% below the national average	$2,283	$33,705
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	11	$2,897	13% below the national average	$2,262	$35,200
Baptist Health LexingtonLexington, KY · CCN 180103	49	$2,899	13% below the national average	$2,290	$37,441
Hillcrest Medical CenterTulsa, OK · CCN 370001	29	$2,899	13% below the national average	$2,293	$38,198
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	73	$2,899	13% below the national average	$2,296	$28,241
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	23	$2,899	13% below the national average	$2,266	$20,969
Lee Memorial HospitalFort Myers, FL · CCN 100012	72	$2,899	13% below the national average	$2,310	$42,625
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	37	$2,899	13% below the national average	$2,297	$70,284
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	44	$2,900	13% below the national average	$2,310	$16,072
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	69	$2,900	13% below the national average	$2,289	$47,575

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.