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

Sort by

Order

Year of care

1,723 hospitals reported at least 11 Medicare procedures for this in 2024; showing 251–300. 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
Doctors HospitalAugusta, GA · CCN 110177	23	$2,928	12% below the national average	$2,324	$87,536
Harris Regional HospitalSylva, NC · CCN 340016	58	$2,928	12% below the national average	$2,315	$33,214
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041	34	$2,928	12% below the national average	$2,318	$31,033
Bsa HospitalAmarillo, TX · CCN 450231	47	$2,928	12% below the national average	$2,313	$29,812
St David's South Austin Medical CenterAustin, TX · CCN 450713	21	$2,930	12% below the national average	$2,311	$70,207
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	97	$2,930	12% below the national average	$2,324	$33,826
East Jefferson General HospitalMetairie, LA · CCN 190176	33	$2,930	12% below the national average	$2,335	$73,385
Slidell Memorial HospitalSlidell, LA · CCN 190040	29	$2,930	12% below the national average	$2,335	$28,250
St Tammany Parish HospitalCovington, LA · CCN 190045	24	$2,930	12% below the national average	$2,335	$19,779
Touro InfirmaryNew Orleans, LA · CCN 190046	19	$2,930	12% below the national average	$2,335	$28,407
Ochsner Medical Center-KennerKenner, LA · CCN 190274	13	$2,931	12% below the national average	$2,320	$10,970
Saline Memorial HospitalBenton, AR · CCN 040084	25	$2,931	12% below the national average	$2,326	$25,257
Henrico Doctors' HospitalRichmond, VA · CCN 490118	57	$2,931	12% below the national average	$2,320	$103,289
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	45	$2,931	12% below the national average	$2,325	$27,684
Camc Charleston Surgical HospitalCharleston, WV · CCN 510091	16	$2,933	12% below the national average	$2,337	$7,650
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	19	$2,933	12% below the national average	$2,337	$31,764
Camden Clark Medical CenterParkersburg, WV · CCN 510058	32	$2,933	12% below the national average	$2,334	$20,638
Citizens Medical CenterVictoria, TX · CCN 450023	28	$2,933	12% below the national average	$2,310	$16,417
Major HospitalShelbyville, IN · CCN 150097	13	$2,933	12% below the national average	$2,298	$29,234
American Fork HospitalAmerican Fork, UT · CCN 460023	15	$2,935	12% below the national average	$2,305	$18,289
Mary Greeley Medical CenterAmes, IA · CCN 160030	70	$2,937	12% below the national average	$2,333	$17,362
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	18	$2,938	12% below the national average	$2,341	$12,502
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	11	$2,938	12% below the national average	$2,337	$24,762
Saint Francis Hospital, IncTulsa, OK · CCN 370091	38	$2,938	12% below the national average	$2,336	$19,971
Memorial HealthLawton, OK · CCN 370056	17	$2,938	12% below the national average	$2,334	$30,698
Delray Medical CenterDelray Beach, FL · CCN 100258	51	$2,938	12% below the national average	$2,299	$66,322
Norton Hospitals, IncLouisville, KY · CCN 180088	119	$2,939	12% below the national average	$2,335	$18,646
Grant Medical CenterColumbus, OH · CCN 360017	32	$2,940	12% below the national average	$2,311	$35,270
Edward W Sparrow HospitalLansing, MI · CCN 230230	33	$2,941	11% below the national average	$2,326	$24,359
St Marys Regional Medical CenterRussellville, AR · CCN 040041	12	$2,943	11% below the national average	$2,344	$60,154
Norman RegionalNorman, OK · CCN 370008	39	$2,943	11% below the national average	$2,337	$27,442
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	37	$2,944	11% below the national average	$2,332	$13,299
Akron General Medical CenterAkron, OH · CCN 360027	46	$2,944	11% below the national average	$2,346	$20,225
Firelands Regional Medical CenterSandusky, OH · CCN 360025	38	$2,944	11% below the national average	$2,346	$15,070
Mercy Medical CenterCanton, OH · CCN 360070	19	$2,944	11% below the national average	$2,346	$19,138
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	11	$2,944	11% below the national average	$2,346	$38,593
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 360211	13	$2,944	11% below the national average	$2,346	$15,413
Union HospitalDover, OH · CCN 360010	30	$2,944	11% below the national average	$2,346	$15,158
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	13	$2,944	11% below the national average	$2,346	$18,985
University Hospitals Samaritan Medical CenterAshland, OH · CCN 360002	15	$2,944	11% below the national average	$2,346	$21,632
Holzer Medical CenterGallipolis, OH · CCN 360054	17	$2,944	11% below the national average	$2,341	$21,609
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	54	$2,945	11% below the national average	$2,332	$27,889
Hillcrest HospitalMayfield Heights, OH · CCN 360230	134	$2,945	11% below the national average	$2,342	$16,775
Carilion Medical CenterRoanoke, VA · CCN 490024	75	$2,947	11% below the national average	$2,335	$22,905
Cabell Huntington Hospital, IncHuntington, WV · CCN 510055	19	$2,947	11% below the national average	$2,348	$25,160
Johnson Memorial HospitalFranklin, IN · CCN 150001	14	$2,947	11% below the national average	$2,312	$21,356
King's Daughters' Medical CenterAshland, KY · CCN 180009	37	$2,947	11% below the national average	$2,343	$24,048
Mayo ClinicJacksonville, FL · CCN 100151	193	$2,949	11% below the national average	$2,335	$17,119
Chesapeake General HospitalChesapeake, VA · CCN 490120	40	$2,950	11% below the national average	$2,338	$24,061
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	17	$2,951	11% below the national average	$2,321	$15,051

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.