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 Massachusetts

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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Average payment across these 45 hospitals: $3,684National $3,323 · Massachusetts $3,684
Median hospital: $3,716
Lowest to highest: $3,550–$3,902
Medicare procedures: 2,898

45 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Baystate Noble HospitalWestfield, MA · CCN 220065	20	$3,550	About average	$2,785	$10,074
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	18	$3,551	About average	$2,796	$9,857
St Vincent HospitalWorcester, MA · CCN 220176	21	$3,575	About average	$2,819	$43,094
Brigham And Women's HospitalBoston, MA · CCN 220110	253	$3,593	About average	$2,855	$16,303
Good Samaritan Medical CenterBrockton, MA · CCN 220111	26	$3,605	About average	$2,840	$17,905
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	27	$3,606	About average	$2,845	$17,622
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086 · +$718 outlier payments per case	155	$3,620	About average	$2,883	$16,941
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	80	$3,642	About average	$2,886	$17,511
North Shore Medical Center -Salem, MA · CCN 220035	44	$3,648	About average	$2,893	$15,731
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	104	$3,659	10% above the national average	$2,902	$16,323
Southcoast Hospitals GroupFall River, MA · CCN 220074	73	$3,675	11% above the national average	$2,913	$17,059
South Shore HospitalSouth Weymouth, MA · CCN 220100	127	$3,678	11% above the national average	$2,922	$7,188
Baystate Medical CenterSpringfield, MA · CCN 220077	105	$3,680	11% above the national average	$2,932	$8,162
Massachusetts General HospitalBoston, MA · CCN 220071 · +$154 outlier payments per case	357	$3,691	11% above the national average	$2,935	$22,664
Newton-Wellesley HospitalNewton, MA · CCN 220101	141	$3,695	11% above the national average	$2,928	$13,015
Cape Cod HospitalHyannis, MA · CCN 220012	196	$3,700	11% above the national average	$2,945	$12,332
Anna Jaques HospitalNewburyport, MA · CCN 220029	36	$3,716	12% above the national average	$2,960	$9,934
Baystate Wing HospitalPalmer, MA · CCN 220030	23	$3,716	12% above the national average	$2,960	$8,948
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	43	$3,716	12% above the national average	$2,960	$16,332
Boston Medical CenterBoston, MA · CCN 220031	31	$3,716	12% above the national average	$2,960	$9,403
Emerson Hospital -W Concord, MA · CCN 220084	38	$3,716	12% above the national average	$2,960	$9,359
Heywood Hospital -Gardner, MA · CCN 220095	25	$3,716	12% above the national average	$2,960	$13,624
Holyoke Medical CenterHolyoke, MA · CCN 220024	35	$3,716	12% above the national average	$2,960	$12,199
Lowell General HospitalLowell, MA · CCN 220063	36	$3,716	12% above the national average	$2,960	$11,537
Northeast Hospital CorporationBeverly, MA · CCN 220033	44	$3,716	12% above the national average	$2,960	$7,239
Saint Anne's HospitalFall River, MA · CCN 220020	44	$3,716	12% above the national average	$2,960	$13,174
Tufts Medical CenterBoston, MA · CCN 220116	43	$3,716	12% above the national average	$2,960	$15,086
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	11	$3,716	12% above the national average	$2,960	$8,887
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	67	$3,716	12% above the national average	$2,960	$7,761
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	193	$3,716	12% above the national average	$2,960	$8,454
Marlborough HospitalMarlborough, MA · CCN 220049	16	$3,716	12% above the national average	$2,960	$15,010
MelroseWakefield HealthcareMelrose, MA · CCN 220070	14	$3,716	12% above the national average	$2,960	$13,772
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	12	$3,716	12% above the national average	$2,960	$11,570
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	52	$3,716	12% above the national average	$2,960	$20,367
Holy Family HospitalMethuen, MA · CCN 220080	19	$3,716	12% above the national average	$2,960	$12,478
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	42	$3,716	12% above the national average	$2,959	$6,654
Milford Regional Medical CenterMilford, MA · CCN 220090	35	$3,716	12% above the national average	$2,959	$10,509
Brown University Health Morton HospitalTaunton, MA · CCN 220073	35	$3,716	12% above the national average	$2,958	$7,813
Mount Auburn HospitalCambridge, MA · CCN 220002	47	$3,716	12% above the national average	$2,956	$6,232
Falmouth HospitalFalmouth, MA · CCN 220135	45	$3,716	12% above the national average	$2,955	$16,663
Winchester HospitalWinchester, MA · CCN 220105	30	$3,716	12% above the national average	$2,955	$10,085
Mercy Medical CenterSpringfield, MA · CCN 220066	34	$3,716	12% above the national average	$2,951	$8,189
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	39	$3,716	12% above the national average	$2,949	$9,307
MetroWest Medical CenterFramingham, MA · CCN 220175	11	$3,716	12% above the national average	$2,943	$43,361
Berkshire Medical CenterPittsfield, MA · CCN 220046	51	$3,902	17% above the national average	$3,109	$25,113

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.