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 Michigan

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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Michigan

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Average payment across these 52 hospitals: $3,050National $3,323 · Michigan $3,050
Median hospital: $3,053
Lowest to highest: $2,457–$3,309
Medicare procedures: 1,939

52 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Spectrum HealthGrand Rapids, MI · CCN 230038	94	$2,457	26% below the national average	$1,930	$10,736
Hillsdale HospitalHillsdale, MI · CCN 230037	12	$2,814	15% below the national average	$2,201	$9,650
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	21	$2,819	15% below the national average	$2,200	$28,336
Karmanos Cancer CenterDetroit, MI · CCN 230297	11	$2,826	15% below the national average	$2,207	$8,108
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	26	$2,850	14% below the national average	$2,252	$20,604
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	22	$2,869	14% below the national average	$2,241	$28,640
Edward W Sparrow HospitalLansing, MI · CCN 230230	33	$2,941	11% below the national average	$2,326	$24,359
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	27	$2,957	11% below the national average	$2,336	$25,347
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	81	$2,966	11% below the national average	$2,351	$10,224
Henry Ford Health St John HospitalDetroit, MI · CCN 230165 · +$2,291 outlier payments per case	24	$2,987	10% below the national average	$2,359	$30,794
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	47	$3,008	About average	$2,388	$14,495
Henry Ford Health HospitalDetroit, MI · CCN 230053	81	$3,013	About average	$2,395	$10,817
Borgess Medical CenterKalamazoo, MI · CCN 230117	26	$3,014	About average	$2,401	$24,033
Holland HospitalHolland, MI · CCN 230072	11	$3,014	About average	$2,401	$9,912
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	16	$3,014	About average	$2,394	$25,424
Corewell Health Zeeland HospitalZeeland, MI · CCN 230003	15	$3,014	About average	$2,383	$15,140
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	22	$3,015	About average	$2,402	$19,124
Oaklawn HospitalMarshall, MI · CCN 230217	11	$3,018	About average	$2,405	$38,576
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	12	$3,029	About average	$2,413	$12,405
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	44	$3,029	About average	$2,408	$9,990
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	85	$3,031	About average	$2,403	$11,016
Henry Ford Allegiance HealthJackson, MI · CCN 230092	46	$3,036	About average	$2,408	$14,338
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	26	$3,044	About average	$2,418	$25,076
University Of Michigan Health - WestWyoming, MI · CCN 230236	46	$3,046	About average	$2,418	$14,035
McLaren Port HuronPort Huron, MI · CCN 230216	18	$3,047	About average	$2,428	$9,949
McLaren MacombMount Clemens, MI · CCN 230227	25	$3,047	About average	$2,420	$19,770
Beaumont Hospital, TroyTroy, MI · CCN 230269	79	$3,058	About average	$2,426	$24,151
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	108	$3,061	About average	$2,426	$25,809
Covenant Medical CenterSaginaw, MI · CCN 230070	43	$3,083	About average	$2,455	$16,733
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	49	$3,084	About average	$2,452	$25,325
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	39	$3,084	About average	$2,452	$20,603
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	18	$3,085	About average	$2,429	$15,090
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	61	$3,089	About average	$2,461	$19,804
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	28	$3,089	About average	$2,461	$31,606
McLaren Greater LansingLansing, MI · CCN 230167	31	$3,089	About average	$2,461	$12,890
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	11	$3,089	About average	$2,461	$14,522
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	14	$3,093	About average	$2,430	$9,195
McLaren FlintFlint, MI · CCN 230141	41	$3,129	About average	$2,461	$14,930
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	116	$3,165	About average	$2,515	$15,580
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	58	$3,172	About average	$2,509	$22,541
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	34	$3,186	About average	$2,523	$23,268
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	55	$3,200	About average	$2,546	$19,358
Hurley Medical CenterFlint, MI · CCN 230132	20	$3,206	About average	$2,545	$24,096
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 230239	14	$3,228	About average	$2,572	$11,447
Munson Medical CenterTraverse City, MI · CCN 230097	50	$3,228	About average	$2,572	$13,246
Dickinson County Memorial HospitalIron Mountain, MI · CCN 230055	28	$3,228	About average	$2,571	$12,428
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	33	$3,249	About average	$2,588	$11,364
McLaren Northern MichiganPetoskey, MI · CCN 230105	22	$3,249	About average	$2,585	$14,943
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	37	$3,249	About average	$2,583	$10,168
Chelsea HospitalChelsea, MI · CCN 230259	23	$3,253	About average	$2,584	$27,364

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.