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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 401–450. 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
Willis Knighton Medical CenterShreveport, LA · CCN 190111125$2,98610% below the national average$2,376$28,561
Henry Ford Health St John HospitalDetroit, MI · CCN 230165 · +$2,291 outlier payments per case24$2,98710% below the national average$2,359$30,794
Alamance Regional Medical CenterBurlington, NC · CCN 34007033$2,98710% below the national average$2,364$8,072
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 39033824$2,98810% below the national average$2,352$21,492
Sovah Health DanvilleDanville, VA · CCN 49007529$2,99010% below the national average$2,365$39,455
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077104$2,993About average$2,384$18,262
Orlando Health Sebastian River HospitalSebastian, FL · CCN 10021718$2,995About average$2,358$59,887
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 19029813$2,995About average$2,386$50,730
Rapides Regional Medical CenterAlexandria, LA · CCN 19002613$2,995About average$2,386$53,038
Orlando Health Rockledge HospitalRockledge, FL · CCN 10009217$2,996About average$2,350$101,755
Ashtabula County Medical CenterAshtabula, OH · CCN 36012516$2,996About average$2,355$22,658
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 16004721$2,999About average$2,366$20,273
AllianceHealth DurantDurant, OK · CCN 37001413$3,000About average$2,390$96,546
Genesis HospitalZanesville, OH · CCN 36003925$3,000About average$2,385$20,515
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 15011320$3,000About average$2,365$19,394
Mercy Hospital SouthSaint Louis, MO · CCN 26007722$3,002About average$2,367$9,594
Christus St Michael Health SystemTexarkana, TX · CCN 45080139$3,002About average$2,392$26,602
Covenant Medical CenterLubbock, TX · CCN 45004040$3,002About average$2,392$61,178
Hill Country Memorial HospitalFredericksburg, TX · CCN 45060417$3,002About average$2,392$25,049
Methodist HospitalSan Antonio, TX · CCN 45038887$3,002About average$2,392$34,396
Peterson Regional Medical CenterKerrville, TX · CCN 45000722$3,002About average$2,392$19,474
Woodland Heights Medical CenterLufkin, TX · CCN 45048411$3,002About average$2,392$65,642
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 45023773$3,002About average$2,388$35,928
University Health SystemSan Antonio, TX · CCN 45021337$3,002About average$2,388$19,096
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005523$3,002About average$2,387$40,280
Connally Memorial Medical CenterFloresville, TX · CCN 45010822$3,002About average$2,387$12,302
South Texas Health SystemEdinburg, TX · CCN 45011918$3,002About average$2,381$118,151
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 45021111$3,002About average$2,375$25,494
Northwest Texas HospitalAmarillo, TX · CCN 45020915$3,002About average$2,367$43,906
St Mary's Regional Medical CenterLewiston, ME · CCN 20003411$3,004About average$2,388$29,149
Christ HospitalCincinnati, OH · CCN 36016398$3,004About average$2,393$20,795
Johnston HealthSmithfield, NC · CCN 34009023$3,004About average$2,372$21,094
Johnson City Medical CenterJohnson City, TN · CCN 44006313$3,006About average$2,395$22,223
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108131$3,006About average$2,390$15,154
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 49013619$3,006About average$2,388$32,655
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 39033214$3,006About average$2,358$30,153
Atrium Health Floyd Medical CenterRome, GA · CCN 11005417$3,006About average$2,365$43,445
Henry Ford Macomb HospitalClinton Township, MI · CCN 23004747$3,008About average$2,388$14,495
Resolute Health HospitalNew Braunfels, TX · CCN 67009819$3,008About average$2,397$51,916
Mercy Health - West HospitalCincinnati, OH · CCN 36023417$3,009About average$2,397$29,551
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 36013211$3,009About average$2,397$45,164
Mercy Health - Fairfield HospitalFairfield, OH · CCN 36005613$3,009About average$2,397$29,164
Bethesda NorthCincinnati, OH · CCN 36017971$3,009About average$2,397$17,269
St Elizabeth FlorenceFlorence, KY · CCN 18004516$3,009About average$2,393$17,966
South Miami HospitalMiami, FL · CCN 10015440$3,009About average$2,365$43,657
Riverside Medical CenterKankakee, IL · CCN 14018621$3,009About average$2,337$26,127
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 36000345$3,010About average$2,399$29,344
Bon Secours Southside Medical CenterPetersburg, VA · CCN 49006718$3,010About average$2,398$36,812
Sentara Leigh HospitalNorfolk, VA · CCN 49004670$3,010About average$2,398$24,353
Sentara Careplex HospitalHampton, VA · CCN 49009339$3,010About average$2,395$19,875

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.