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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 Kentucky

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
Kentucky
Specific hospitals up to 10
Average payment across these 25 hospitals
$2,971National $3,323 · Kentucky $2,971
Median hospital
$2,981
Lowest to highest
$2,704–$3,201
Medicare procedures
771

25 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
University Of Kentucky HospitalLexington, KY · CCN 18006745$2,70419% below the national average$2,120$18,541
Saint Joseph HospitalLexington, KY · CCN 18001019$2,76517% below the national average$2,156$15,507
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 18004814$2,80816% below the national average$2,203$14,857
St Elizabeth EdgewoodEdgewood, KY · CCN 18003516$2,82815% below the national average$2,223$18,900
Baptist Health RichmondRichmond, KY · CCN 18004917$2,85114% below the national average$2,242$40,786
St Elizabeth Ft ThomasFort Thomas, KY · CCN 18000118$2,87613% below the national average$2,264$17,377
Baptist Health LexingtonLexington, KY · CCN 18010349$2,89913% below the national average$2,290$37,441
Baptist Health CorbinCorbin, KY · CCN 18008012$2,90213% below the national average$2,313$24,943
Murray-Calloway County HospitalMurray, KY · CCN 18002713$2,90213% below the national average$2,313$22,017
Norton Hospitals, IncLouisville, KY · CCN 180088119$2,93912% below the national average$2,335$18,646
The Medical Center (Bowling Green)Bowling Green, KY · CCN 18001354$2,94511% below the national average$2,332$27,889
King's Daughters' Medical CenterAshland, KY · CCN 18000937$2,94711% below the national average$2,343$24,048
University Of Louisville HospitalLouisville, KY · CCN 18014120$2,98110% below the national average$2,375$18,626
Uofl Health - Shelbyville HospitalShelbyville, KY · CCN 18001614$2,98110% below the national average$2,375$13,040
Baptist Health LouisvilleLouisville, KY · CCN 18013060$2,98110% below the national average$2,375$34,845
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 18004035$2,98110% below the national average$2,373$21,437
Baptist Health HardinElizabethtown, KY · CCN 18001236$2,98110% below the national average$2,372$43,340
St Elizabeth FlorenceFlorence, KY · CCN 18004516$3,009About average$2,393$17,966
Owensboro Health Regional HospitalOwensboro, KY · CCN 18003833$3,124About average$2,473$22,401
Pikeville Medical CenterPikeville, KY · CCN 18004456$3,142About average$2,498$19,887
Mercy Health - Lourdes HospitalPaducah, KY · CCN 18010214$3,165About average$2,518$31,208
Baptist Health PaducahPaducah, KY · CCN 18010411$3,165About average$2,517$38,653
T J Samson Community HospitalGlasgow, KY · CCN 18001718$3,174About average$2,529$14,768
St Claire Regional Medical CenterMorehead, KY · CCN 18001819$3,189About average$2,535$16,704
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 18009326$3,201About average$2,543$50,132

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.