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 California

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.

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Year of care

Average payment across these 147 hospitals: $4,370National $3,323 · California $4,368
Median hospital: $4,254
Lowest to highest: $2,077–$4,978
Medicare procedures: 5,718

147 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Palomar Health Downtown CampusEscondido, CA · CCN 050115	14	$2,077	38% below the national average	$1,197	$46,308
Palomar Medical Center PowayPoway, CA · CCN 050636	34	$3,257	About average	$2,390	$34,089
USC Arcadia HospitalArcadia, CA · CCN 050238	14	$3,769	13% above the national average	$2,905	$23,252
Adventist Health HanfordHanford, CA · CCN 050121	32	$3,934	18% above the national average	$3,133	$28,648
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	13	$4,023	21% above the national average	$3,120	$33,200
Saint Agnes Medical CenterFresno, CA · CCN 050093	96	$4,041	22% above the national average	$3,207	$20,838
Keck Hospital Of USCLos Angeles, CA · CCN 050696 · +$1,052 outlier payments per case	69	$4,069	22% above the national average	$3,236	$37,509
PIH Health Downey HospitalDowney, CA · CCN 050393	19	$4,076	23% above the national average	$3,179	$26,319
Hemet Global Medical CenterHemet, CA · CCN 050390	15	$4,096	23% above the national average	$3,226	$27,084
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	16	$4,114	24% above the national average	$3,250	$43,071
Mercy Medical CenterMerced, CA · CCN 050444	28	$4,132	24% above the national average	$3,268	$41,881
Scripps Green HospitalLa Jolla, CA · CCN 050424	95	$4,146	25% above the national average	$3,282	$47,334
Sharp Memorial HospitalSan Diego, CA · CCN 050100	53	$4,149	25% above the national average	$3,290	$28,733
Doctors Medical CenterModesto, CA · CCN 050464	33	$4,151	25% above the national average	$3,281	$73,223
Sierra View Medical CenterPorterville, CA · CCN 050261	33	$4,151	25% above the national average	$3,273	$21,869
Adventist Health Lodi MemorialLodi, CA · CCN 050336	18	$4,152	25% above the national average	$3,267	$64,599
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025 · +$684 outlier payments per case	133	$4,158	25% above the national average	$3,309	$27,191
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	76	$4,166	25% above the national average	$3,287	$80,367
Adventist Health BakersfieldBakersfield, CA · CCN 050455 · +$1,067 outlier payments per case	48	$4,183	26% above the national average	$3,314	$50,293
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	55	$4,192	26% above the national average	$3,327	$24,651
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112 · +$273 outlier payments per case	159	$4,197	26% above the national average	$3,336	$24,496
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	12	$4,198	26% above the national average	$3,344	$60,160
Kaweah Health Medical CenterVisalia, CA · CCN 050057	68	$4,204	26% above the national average	$3,334	$26,856
Uci Health-OrangeOrange, CA · CCN 050348 · +$1,402 outlier payments per case	89	$4,206	27% above the national average	$3,350	$30,709
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	78	$4,210	27% above the national average	$3,342	$37,709
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	161	$4,211	27% above the national average	$3,346	$27,641
Community Regional Medical CenterFresno, CA · CCN 050060	52	$4,215	27% above the national average	$3,346	$21,580
Sutter Surgical Hospital - North ValleyYuba City, CA · CCN 050766	55	$4,217	27% above the national average	$3,348	$24,432
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327 · +$911 outlier payments per case	60	$4,218	27% above the national average	$3,356	$41,450
Clovis Community Medical CenterClovis, CA · CCN 050492	66	$4,221	27% above the national average	$3,363	$24,274
Providence St Joseph HospitalEureka, CA · CCN 050006	69	$4,253	28% above the national average	$3,390	$44,112
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	58	$4,253	28% above the national average	$3,389	$67,013
Adventist Health TulareTulare, CA · CCN 050784	21	$4,253	28% above the national average	$3,389	$24,932
Antelope Valley HospitalLancaster, CA · CCN 050056	20	$4,253	28% above the national average	$3,389	$25,710
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	23	$4,253	28% above the national average	$3,389	$36,770
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	12	$4,253	28% above the national average	$3,389	$21,750
Enloe HealthChico, CA · CCN 050039	68	$4,253	28% above the national average	$3,389	$48,051
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	28	$4,253	28% above the national average	$3,389	$31,421
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	79	$4,253	28% above the national average	$3,389	$29,543
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	17	$4,253	28% above the national average	$3,389	$28,087
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	21	$4,253	28% above the national average	$3,389	$43,863
Memorial Medical CenterModesto, CA · CCN 050557	18	$4,253	28% above the national average	$3,389	$38,444
Oroville HospitalOroville, CA · CCN 050030	16	$4,253	28% above the national average	$3,389	$15,530
Providence Mission HospitalMission Viejo, CA · CCN 050567	44	$4,253	28% above the national average	$3,389	$29,288
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	15	$4,253	28% above the national average	$3,389	$30,149
Redlands Community HospitalRedlands, CA · CCN 050272	16	$4,253	28% above the national average	$3,389	$41,103
Saint John's Health CenterSanta Monica, CA · CCN 050290	39	$4,253	28% above the national average	$3,389	$14,757
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	24	$4,253	28% above the national average	$3,389	$65,352
Scripps Mercy HospitalSan Diego, CA · CCN 050077	26	$4,253	28% above the national average	$3,389	$41,442
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	25	$4,253	28% above the national average	$3,389	$40,133

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.