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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 Florida

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
Florida
Specific hospitals up to 10
Average payment across these 85 hospitals
$3,098National $3,323 · Florida $3,098
Median hospital
$3,134
Lowest to highest
$2,811–$3,357
Medicare procedures
3,869

85 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Ascension St Vincent's SouthsideJacksonville, FL · CCN 10030715$2,81115% below the national average$2,159$57,592
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 10028718$2,85614% below the national average$2,219$57,596
Lee Memorial HospitalFort Myers, FL · CCN 10001272$2,89913% below the national average$2,310$42,625
Delray Medical CenterDelray Beach, FL · CCN 10025851$2,93812% below the national average$2,299$66,322
Mayo ClinicJacksonville, FL · CCN 100151193$2,94911% below the national average$2,335$17,119
HCA Florida Orange Park HospitalOrange Park, FL · CCN 10022614$2,95511% below the national average$2,319$51,419
AdventHealth Port CharlottePort Charlotte, FL · CCN 10007711$2,96311% below the national average$2,361$100,774
Orlando Health Sebastian River HospitalSebastian, FL · CCN 10021718$2,995About average$2,358$59,887
Orlando Health Rockledge HospitalRockledge, FL · CCN 10009217$2,996About average$2,350$101,755
South Miami HospitalMiami, FL · CCN 10015440$3,009About average$2,365$43,657
Ascension St Vincent's RiversideJacksonville, FL · CCN 10004028$3,045About average$2,408$58,143
Orlando HealthOrlando, FL · CCN 10000664$3,056About average$2,418$61,535
AdventHealth DelandDeland, FL · CCN 10004533$3,058About average$2,416$34,953
HCA Florida West HospitalPensacola, FL · CCN 10023141$3,073About average$2,431$95,587
Lakeland Regional Medical CenterLakeland, FL · CCN 10015742$3,074About average$2,437$23,767
Baptist Hospital Of MiamiMiami, FL · CCN 10000843$3,076About average$2,434$41,349
Sacred Heart HospitalPensacola, FL · CCN 100025 · +$2,088 outlier payments per case47$3,081About average$2,444$40,325
Halifax Health Medical CenterDaytona Beach, FL · CCN 10001747$3,081About average$2,436$24,821
The Villages Regional HospitalThe Villages, FL · CCN 10029041$3,081About average$2,443$23,022
Baptist HospitalPensacola, FL · CCN 10009354$3,088About average$2,448$58,457
UF Health Leesburg HospitalLeesburg, FL · CCN 10008450$3,088About average$2,447$28,166
Jupiter Medical CenterJupiter, FL · CCN 10025356$3,089About average$2,452$18,492
Cleveland Clinic Martin North HospitalStuart, FL · CCN 10004457$3,090About average$2,449$30,339
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088116$3,091About average$2,453$25,270
St Anthonys HospitalSaint Petersburg, FL · CCN 10006757$3,091About average$2,450$18,971
Mease Countryside HospitalSafety Harbor, FL · CCN 10026542$3,092About average$2,455$29,960
AdventHealth Daytona BeachDaytona Beach, FL · CCN 10006875$3,101About average$2,460$31,549
UF Health Shands HospitalGainesville, FL · CCN 10011390$3,106About average$2,469$28,706
AdventHealth OrlandoOrlando, FL · CCN 100007 · +$944 outlier payments per case193$3,108About average$2,469$42,935
Sarasota Memorial HospitalSarasota, FL · CCN 100087195$3,108About average$2,470$31,609
Tampa General HospitalTampa, FL · CCN 100128 · +$1,483 outlier payments per case85$3,112About average$2,473$67,814
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105136$3,122About average$2,487$21,168
Jackson Health SystemMiami, FL · CCN 10002247$3,132About average$2,494$13,942
HCA Florida Twin Cities HospitalNiceville, FL · CCN 10005418$3,134About average$2,506$93,243
Boca Raton Regional HospitalBoca Raton, FL · CCN 10016878$3,134About average$2,497$33,390
Cleveland Clinic HospitalWeston, FL · CCN 10028960$3,134About average$2,497$22,848
HCA Florida North Florida HospitalGainesville, FL · CCN 10020459$3,134About average$2,497$92,197
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 10035969$3,134About average$2,497$32,093
AdventHealth Fish MemorialOrange City, FL · CCN 10007213$3,134About average$2,497$20,956
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 10001448$3,134About average$2,497$19,512
AdventHealth Palm CoastPalm Coast, FL · CCN 10011814$3,134About average$2,497$28,507
AdventHealth TampaTampa, FL · CCN 10017326$3,134About average$2,497$49,655
AdventHealth WatermanTavares, FL · CCN 10005712$3,134About average$2,497$20,317
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319 · +$2,042 outlier payments per case20$3,134About average$2,497$92,603
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 10032138$3,134About average$2,497$51,758
Broward Health Coral SpringsCoral Springs, FL · CCN 10027612$3,134About average$2,497$20,649
Cape Canaveral HospitalCocoa Beach, FL · CCN 10017744$3,134About average$2,497$44,355
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 10022319$3,134About average$2,497$157,724
HCA Florida JFK HospitalAtlantis, FL · CCN 10008015$3,134About average$2,497$89,706
HCA Florida Largo HospitalLargo, FL · CCN 10024812$3,134About average$2,497$107,011

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.