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 201–250. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Cleveland Clinic Avon Hospital | 91 | $2,902 | 13% below the national average | $2,302 | $15,056 |
| Baptist Health Corbin | 12 | $2,902 | 13% below the national average | $2,313 | $24,943 |
| Murray-Calloway County Hospital | 13 | $2,902 | 13% below the national average | $2,313 | $22,017 |
| Opelousas General Health System | 20 | $2,903 | 13% below the national average | $2,313 | $37,409 |
| Terrebonne General Medical Center - Parish | 16 | $2,903 | 13% below the national average | $2,302 | $11,669 |
| Southern Ohio Medical Center | 30 | $2,904 | 13% below the national average | $2,261 | $33,509 |
| Minden Medical Center | 11 | $2,904 | 13% below the national average | $2,312 | $21,884 |
| Baptist Medical Center East | 17 | $2,905 | 13% below the national average | $2,314 | $16,625 |
| Southeast Georgia Health System -- Camden Campus | 11 | $2,905 | 13% below the national average | $2,261 | $11,837 |
| MercyOne Des Moines Medical Center | 87 | $2,905 | 13% below the national average | $2,303 | $17,730 |
| West Calcasieu Cameron Hospital | 24 | $2,906 | 13% below the national average | $2,316 | $7,068 |
| Christus Ochsner Lake Area Hospital | 15 | $2,906 | 13% below the national average | $2,308 | $48,551 |
| O U Medical Center | 32 | $2,907 | 13% below the national average | $2,294 | $38,050 |
| Treasure Valley Hospital | 12 | $2,907 | 13% below the national average | $2,262 | $13,822 |
| Arkansas Heart Hospital-Encore | 11 | $2,908 | 12% below the national average | $2,300 | $20,580 |
| Mercy Hospital Joplin | 16 | $2,909 | 12% below the national average | $2,318 | $21,458 |
| Trident Medical Center | 32 | $2,911 | 12% below the national average | $2,304 | $45,010 |
| Mercy Health St Ritas Medical Center | 50 | $2,912 | 12% below the national average | $2,302 | $33,765 |
| SSM Health Saint Louis University Hospital | 27 | $2,912 | 12% below the national average | $2,320 | $18,307 |
| Blount Memorial Hospital | 23 | $2,913 | 12% below the national average | $2,302 | $22,157 |
| SSM Health St Mary's Hospital - St Louis | 22 | $2,915 | 12% below the national average | $2,299 | $11,733 |
| Northern Regional Hospital | 25 | $2,915 | 12% below the national average | $2,295 | $6,426 |
| Jefferson Regional Medical Center | 31 | $2,917 | 12% below the national average | $2,277 | $13,955 |
| Baptist Memorial Hospital | 102 | $2,918 | 12% below the national average | $2,318 | $19,850 |
| Northwest Medical Center-Springdale | 15 | $2,918 | 12% below the national average | $2,325 | $37,860 |
| St Bernards Medical Center | 30 | $2,918 | 12% below the national average | $2,320 | $9,435 |
| Mercy Hospital Northwest Arkansas | 22 | $2,918 | 12% below the national average | $2,320 | $16,806 |
| Mercy Hospital Oklahoma City, Inc | 77 | $2,919 | 12% below the national average | $2,313 | $11,809 |
| Aspirus Wausau Hospital | 28 | $2,919 | 12% below the national average | $2,296 | $18,436 |
| Riverside Regional Medical Center | 40 | $2,919 | 12% below the national average | $2,309 | $18,677 |
| Sentara Obici Hospital | 31 | $2,921 | 12% below the national average | $2,323 | $23,354 |
| South Arkansas Regional Hospital LLC | 23 | $2,922 | 12% below the national average | $2,280 | $22,719 |
| Decatur Morgan Hospital - Decatur Campus | 23 | $2,922 | 12% below the national average | $2,328 | $29,910 |
| Methodist Healthcare - Olive Branch Hospital | 11 | $2,923 | 12% below the national average | $2,329 | $28,737 |
| Baptist Medical Center | 46 | $2,923 | 12% below the national average | $2,312 | $84,158 |
| Aultman Hospital | 73 | $2,924 | 12% below the national average | $2,327 | $14,994 |
| Piedmont Columbus Regional Midtown | 27 | $2,924 | 12% below the national average | $2,330 | $27,201 |
| Savannah Health Services LLC Dba Memorial Health University Medical Center | 19 | $2,924 | 12% below the national average | $2,330 | $27,839 |
| St Francis Hospital- Emory Healthcare | 19 | $2,924 | 12% below the national average | $2,330 | $34,035 |
| SGMC Health | 39 | $2,924 | 12% below the national average | $2,327 | $25,381 |
| West Chester Hospital | 56 | $2,925 | 12% below the national average | $2,311 | $19,912 |
| Blue Ridge Healthcare Hospitals, Inc | 28 | $2,925 | 12% below the national average | $2,312 | $26,930 |
| Erlanger Medical Center | 45 | $2,926 | 12% below the national average | $2,324 | $17,630 |
| Hamilton Medical Center | 11 | $2,926 | 12% below the national average | $2,274 | $31,000 |
| Wellstar Kennestone Regional Medical Center | 79 | $2,927 | 12% below the national average | $2,317 | $33,355 |
| Prisma Health Greenville Memorial Hospital | 83 | $2,927 | 12% below the national average | $2,320 | $21,083 |
| Doctors Hosptal At Renaissance | 32 | $2,927 | 12% below the national average | $2,315 | $25,788 |
| SSM Health St. Mary's Hospital - Jefferson City | 17 | $2,928 | 12% below the national average | $2,333 | $21,922 |
| Wellstar McG Health, Affiliated With Medical Col | 17 | $2,928 | 12% below the national average | $2,333 | $20,098 |
| Memorial Healthcare System, Inc | 114 | $2,928 | 12% below the national average | $2,326 | $18,076 |
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.