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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 Illinois

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
Illinois
Specific hospitals up to 10
Average payment across these 65 hospitals
$3,239National $3,323 · Illinois $3,239
Median hospital
$3,231
Lowest to highest
$2,879–$3,424
Medicare procedures
2,855

65 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
Trinity Rock IslandRock Island, IL · CCN 14028016$2,87913% below the national average$2,217$21,730
Riverside Medical CenterKankakee, IL · CCN 14018621$3,009About average$2,337$26,127
St Marys HospitalDecatur, IL · CCN 14016614$3,029About average$2,365$25,987
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 14028834$3,054About average$2,386$21,197
Carle Foundation HospitalUrbana, IL · CCN 14009145$3,055About average$2,421$24,133
Ingalls Memorial HospitalHarvey, IL · CCN 14019126$3,083About average$2,416$26,253
Anderson HospitalMaryville, IL · CCN 14028923$3,087About average$2,437$18,098
St Joseph Medical CenterBloomington, IL · CCN 14016225$3,095About average$2,446$25,013
CGH Medical CenterSterling, IL · CCN 14004325$3,095About average$2,442$29,495
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 14021346$3,114About average$2,442$12,520
Decatur Memorial HospitalDecatur, IL · CCN 14013586$3,179About average$2,527$17,126
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 14020856$3,191About average$2,524$15,173
Rush Oak Park HospitalOak Park, IL · CCN 14006329$3,194About average$2,527$18,523
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 14004612$3,197About average$2,547$34,533
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 14018721$3,197About average$2,547$33,010
Javon Bea HospitalRockford, IL · CCN 14023931$3,197About average$2,547$25,770
Memorial HospitalBelleville, IL · CCN 14018528$3,197About average$2,547$25,797
OSF Saint Katharine Medical CenterDixon, IL · CCN 14001224$3,197About average$2,547$19,728
Saint Francis Medical CenterPeoria, IL · CCN 14006768$3,197About average$2,547$37,694
Loyola University Medical CenterMaywood, IL · CCN 14027648$3,197About average$2,513$22,914
Memorial Medical CenterSpringfield, IL · CCN 14014856$3,197About average$2,545$14,754
Carle Health Methodist HospitalPeoria, IL · CCN 14020937$3,197About average$2,544$39,705
St Johns HospitalSpringfield, IL · CCN 14005327$3,197About average$2,543$14,872
Alton Memorial HospitalAlton, IL · CCN 14000216$3,197About average$2,543$22,488
Carle Bromenn Medical CenterNormal, IL · CCN 14012738$3,197About average$2,542$12,197
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 14016429$3,197About average$2,539$41,817
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 14029413$3,198About average$2,533$57,281
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130151$3,213About average$2,549$21,862
Amita Health Resurrection Medical CenterChicago, IL · CCN 14011737$3,215About average$2,533$29,431
Advocate Condell Medical CenterLibertyville, IL · CCN 14020267$3,226About average$2,560$22,459
Advocate Lutheran General HospitalPark Ridge, IL · CCN 14022388$3,227About average$2,556$13,774
Advocate Trinity HospitalChicago, IL · CCN 14004848$3,230About average$2,561$24,125
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010206$3,231About average$2,572$14,824
Northwestern Memorial HospitalChicago, IL · CCN 140281165$3,238About average$2,559$32,256
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015044$3,243About average$2,555$24,455
Northwest Community Hospital 1Arlington Heights, IL · CCN 14025270$3,247About average$2,569$17,595
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 14024284$3,254About average$2,585$30,363
Presence St Marys HospitalKankakee, IL · CCN 14015515$3,254About average$2,592$38,648
Copley Memorial HospitalAurora, IL · CCN 14002922$3,256About average$2,563$29,334
Advocate Good Shepherd HospitalBarrington, IL · CCN 14029161$3,265About average$2,601$15,695
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 14025827$3,266About average$2,579$23,389
Elmhurst Memorial HospitalElmhurst, IL · CCN 14020086$3,266About average$2,598$22,377
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 14018212$3,285About average$2,617$25,220
John H Stroger Jr HospitalChicago, IL · CCN 14012411$3,285About average$2,617$30,412
Palos Community HospitalPalos Heights, IL · CCN 14006243$3,285About average$2,617$18,602
Saint Joseph Medical CenterJoliet, IL · CCN 14000730$3,285About average$2,617$25,841
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 14012231$3,285About average$2,617$23,912
Northwestern Medicine MCHenryMchenry, IL · CCN 14011630$3,285About average$2,614$38,932
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 14006520$3,285About average$2,614$20,539
Morris Hospital & Healthcare CentersMorris, IL · CCN 14010136$3,285About average$2,609$22,888

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.