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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

Hospitals in Alabama

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
Alabama
Specific hospitals up to 10
Average payment across these 24 hospitals
$2,827National $3,323 · Alabama $2,827
Median hospital
$2,853
Lowest to highest
$2,347–$3,151
Medicare procedures
662

24 hospitals reported at least 11 Medicare procedures for this in 2024. 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
Princeton Baptist Medical CenterBirmingham, AL · CCN 01010317$2,34729% below the national average$1,737$59,602
St Vincent's BirminghamBirmingham, AL · CCN 01005614$2,56023% below the national average$1,959$26,068
North Alabama Medical CenterFlorence, AL · CCN 01000623$2,63721% below the national average$2,059$26,600
Baptist Health Brookwood HospitalBirmingham, AL · CCN 01013911$2,67919% below the national average$2,092$91,789
Helen Keller HospitalSheffield, AL · CCN 01001916$2,69619% below the national average$2,117$15,857
Grandview Medical CenterBirmingham, AL · CCN 01010429$2,71818% below the national average$2,133$102,597
Shelby Baptist Medical CenterAlabaster, AL · CCN 01001614$2,72418% below the national average$2,123$42,042
Baldwin HealthFoley, AL · CCN 01008317$2,73718% below the national average$2,153$96,830
Thomas HospitalFairhope, AL · CCN 01010025$2,77816% below the national average$2,195$10,304
Mobile Infirmary Medical CenterMobile, AL · CCN 01011338$2,80815% below the national average$2,225$9,943
Huntsville HospitalHuntsville, AL · CCN 01003996$2,82015% below the national average$2,226$20,106
Southeast Health Medical CenterDothan, AL · CCN 01000164$2,85314% below the national average$2,250$34,622
University Of Alabama HospitalBirmingham, AL · CCN 01003367$2,85414% below the national average$2,266$25,528
Crestwood Medical CenterHuntsville, AL · CCN 01013142$2,86214% below the national average$2,258$73,245
Marshall Medical CentersBoaz, AL · CCN 01000518$2,86814% below the national average$2,285$9,063
Gadsden Regional Medical CenterGadsden, AL · CCN 01004014$2,86814% below the national average$2,285$94,414
Jackson Hospital & Clinic IncMontgomery, AL · CCN 01002417$2,86814% below the national average$2,285$22,765
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 01009014$2,86914% below the national average$2,286$15,888
Coosa Valley Medical CenterSylacauga, AL · CCN 01016411$2,86914% below the national average$2,268$15,147
Baptist Medical Center EastMontgomery, AL · CCN 01014917$2,90513% below the national average$2,314$16,625
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 01008523$2,92212% below the national average$2,328$29,910
Flowers HospitalDothan, AL · CCN 01005528$2,97111% below the national average$2,360$72,991
The East Alabama Healthcare AuthorityOpelika, AL · CCN 01002922$3,061About average$2,439$8,785
Dch Regional Medical CenterTuscaloosa, AL · CCN 01009225$3,151About average$2,495$25,882

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.