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 351–400. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Flowers Hospital | 28 | $2,971 | 11% below the national average | $2,360 | $72,991 |
| CJW Medical Center | 107 | $2,971 | 11% below the national average | $2,360 | $104,765 |
| Mercy Health System Corp | 14 | $2,973 | 11% below the national average | $2,320 | $24,905 |
| KershawHealth | 18 | $2,973 | 11% below the national average | $2,369 | $22,552 |
| Prisma Health Baptist Parkridge | 21 | $2,973 | 11% below the national average | $2,359 | $25,948 |
| Duke Health Raleigh Hospital | 35 | $2,973 | 11% below the national average | $2,330 | $14,619 |
| Sentara Virginia Beach General Hospital | 60 | $2,973 | 11% below the national average | $2,358 | $22,384 |
| Memorial Mission Hospital And Asheville Surgery Ce | 84 | $2,975 | 10% below the national average | $2,357 | $20,791 |
| Central Maine Medical Center | 22 | $2,975 | 10% below the national average | $2,316 | $17,233 |
| Grady Memorial Hospital | 14 | $2,975 | 10% below the national average | $2,328 | $14,083 |
| Ecu Health Medical Center | 140 | $2,977 | 10% below the national average | $2,364 | $15,786 |
| Carilion New River Valley Medical Center | 23 | $2,978 | 10% below the national average | $2,373 | $25,840 |
| Centra Bedford Memorial Hospital | 13 | $2,978 | 10% below the national average | $2,373 | $33,360 |
| MUSC Health Lancaster Medical Center | 19 | $2,978 | 10% below the national average | $2,347 | $92,639 |
| Geisinger-Community Medical Center | 84 | $2,978 | 10% below the national average | $2,354 | $46,700 |
| Bon Secours Maryview Medical Center | 17 | $2,979 | 10% below the national average | $2,370 | $25,297 |
| Mary Immaculate Hospital | 21 | $2,979 | 10% below the national average | $2,373 | $30,678 |
| Good Samaritan Hospital | 80 | $2,979 | 10% below the national average | $2,367 | $13,076 |
| Sentara Williamsburg Regional Medical Center | 59 | $2,979 | 10% below the national average | $2,373 | $21,084 |
| Rex Hospital | 73 | $2,979 | 10% below the national average | $2,344 | $17,339 |
| Houston Methodist The Woodlands Hospital | 33 | $2,979 | 10% below the national average | $2,324 | $56,795 |
| Riverside Walter Reed Hospital | 45 | $2,979 | 10% below the national average | $2,368 | $14,690 |
| Riverside Doctors' Hospital Of Williamsburg | 25 | $2,979 | 10% below the national average | $2,367 | $13,524 |
| Christus Mother Frances Hospital | 108 | $2,980 | 10% below the national average | $2,366 | $50,449 |
| Integris Canadian Valley Hospital | 14 | $2,981 | 10% below the national average | $2,375 | $39,961 |
| Tristar Centennial Medical Center | 24 | $2,981 | 10% below the national average | $2,375 | $42,376 |
| Tristar Hendersonville Medical Center | 13 | $2,981 | 10% below the national average | $2,375 | $54,342 |
| University Of Louisville Hospital | 20 | $2,981 | 10% below the national average | $2,375 | $18,626 |
| Uofl Health - Shelbyville Hospital | 14 | $2,981 | 10% below the national average | $2,375 | $13,040 |
| Baptist Health Louisville | 60 | $2,981 | 10% below the national average | $2,375 | $34,845 |
| Highpoint Health-Sumner With Ascension Saint Thoma | 12 | $2,981 | 10% below the national average | $2,375 | $34,774 |
| Tristar Summit Medical Center | 12 | $2,981 | 10% below the national average | $2,375 | $41,011 |
| Williamson Medical Center | 34 | $2,981 | 10% below the national average | $2,374 | $30,976 |
| Ascension St John Medical Center | 35 | $2,981 | 10% below the national average | $2,374 | $18,298 |
| Uofl Health - Jewish Hospital And Mary & Elizabeth Hospital | 35 | $2,981 | 10% below the national average | $2,373 | $21,437 |
| Saint Thomas Rutherford Hospital | 29 | $2,981 | 10% below the national average | $2,373 | $30,009 |
| Baptist Health Hardin | 36 | $2,981 | 10% below the national average | $2,372 | $43,340 |
| Integris Southwest Medical Center | 20 | $2,981 | 10% below the national average | $2,370 | $36,850 |
| Community Hospital, LLC | 70 | $2,981 | 10% below the national average | $2,369 | $23,758 |
| Kearney Regional Medical Center | 22 | $2,981 | 10% below the national average | $2,375 | $30,061 |
| Ascension Saint Thomas Hospital | 52 | $2,981 | 10% below the national average | $2,361 | $30,422 |
| Elkhart General Hospital | 12 | $2,983 | 10% below the national average | $2,322 | $15,036 |
| Mercy Medical Center - Cedar Rapids | 61 | $2,983 | 10% below the national average | $2,377 | $11,863 |
| St Lukes Hospital | 28 | $2,983 | 10% below the national average | $2,373 | $17,068 |
| Prisma Health Baptist Easley Hospital | 13 | $2,984 | 10% below the national average | $2,378 | $23,121 |
| Prisma Health Greer Memorial Hospital | 19 | $2,984 | 10% below the national average | $2,378 | $21,461 |
| Prisma Health Patewood Hospital | 12 | $2,984 | 10% below the national average | $2,378 | $16,689 |
| Waukesha Memorial Hospital | 30 | $2,984 | 10% below the national average | $2,344 | $42,907 |
| ProMedica Toledo Hospital | 75 | $2,985 | 10% below the national average | $2,363 | $28,210 |
| Bon Secours-St Francis Xavier Hospital | 15 | $2,985 | 10% below the national average | $2,366 | $20,705 |
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.