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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 Colorado

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
Colorado
Specific hospitals up to 10
Average payment across these 34 hospitals
$3,316National $3,323 · Colorado $3,316
Median hospital
$3,293
Lowest to highest
$3,180–$3,528
Medicare procedures
1,048

34 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
AdventHealth AvistaLouisville, CO · CCN 06010323$3,180About average$2,499$30,426
Boulder Community HealthBoulder, CO · CCN 06002727$3,206About average$2,529$59,384
University Of Colorado Hospital AuthorityAurora, CO · CCN 06002489$3,238About average$2,577$27,513
UCH-Memorial Health SystemColorado Springs, CO · CCN 06002297$3,239About average$2,568$32,332
AdventHealth PorterDenver, CO · CCN 06006416$3,293About average$2,624$24,253
Centura Health-St Anthony HospitalLakewood, CO · CCN 06001530$3,293About average$2,624$19,609
Community HospitalGrand Junction, CO · CCN 06005424$3,293About average$2,624$23,691
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 06001411$3,293About average$2,624$100,836
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 06000414$3,293About average$2,624$17,990
Longs Peak HospitalLongmont, CO · CCN 06012826$3,293About average$2,624$37,856
Parkview Medical Center, IncPueblo, CO · CCN 06002038$3,293About average$2,624$41,973
Saint Joseph HospitalDenver, CO · CCN 06002817$3,293About average$2,624$35,398
Sky Ridge Medical CenterLone Tree, CO · CCN 06011212$3,293About average$2,624$107,723
St Mary-Corwin HospitalPueblo, CO · CCN 06001215$3,293About average$2,624$28,046
Swedish Medical CenterEnglewood, CO · CCN 06003416$3,293About average$2,624$51,733
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 06013230$3,293About average$2,624$30,676
AdventHealth LittletonLittleton, CO · CCN 06011320$3,293About average$2,624$31,512
HCA Healthone RoseDenver, CO · CCN 06003221$3,293About average$2,624$92,052
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 06010046$3,293About average$2,623$74,193
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031117$3,293About average$2,623$18,949
Medical Center Of The RockiesLoveland, CO · CCN 06011929$3,293About average$2,623$29,976
Poudre Valley HospitalFort Collins, CO · CCN 06001045$3,293About average$2,622$37,674
AdventHealth ParkerParker, CO · CCN 06011435$3,294About average$2,619$27,062
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 06000929$3,294About average$2,618$20,128
Good Samaritan Medical Center LLCLafayette, CO · CCN 06011613$3,294About average$2,614$24,605
Banner North Colorado Medical CenterGreeley, CO · CCN 06000124$3,306About average$2,634$17,966
UCHealth Greeley HospitalGreeley, CO · CCN 06013122$3,306About average$2,634$30,619
Mercy Regional Medical CenterDurango, CO · CCN 06001320$3,527About average$2,810$21,552
Montrose Regional HealthMontrose, CO · CCN 06000625$3,527About average$2,810$26,959
Valley View Hospital AssociationGlenwood Springs, CO · CCN 06007523$3,527About average$2,810$22,022
Delta County Memorial HospitalDelta, CO · CCN 06007122$3,527About average$2,807$12,845
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 06002334$3,527About average$2,803$30,873
UCHealth Yampa Valley Medical CenterSteamboat Springs, CO · CCN 06004922$3,527About average$2,802$13,287
San Luis Valley Regional Medical CenterAlamosa, CO · CCN 06000816$3,528About average$2,794$10,080

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.