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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 Missouri

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
Missouri
Specific hospitals up to 10
Average payment across these 36 hospitals
$3,030National $3,323 · Missouri $3,030
Median hospital
$3,023
Lowest to highest
$2,807–$3,298
Medicare procedures
1,255

36 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
Cox Medical CentersSpringfield, MO · CCN 26004051$2,80716% below the national average$2,227$19,185
Freeman Health System - Freeman WestJoplin, MO · CCN 26013730$2,85114% below the national average$2,249$25,278
Mercy Hospital SpringfieldSpringfield, MO · CCN 26006558$2,87913% below the national average$2,294$19,600
Boone Hospital CenterColumbia, MO · CCN 26006838$2,88313% below the national average$2,279$19,777
University Of Missouri Health CareColumbia, MO · CCN 26014159$2,89113% below the national average$2,295$20,693
Mercy Hospital JoplinJoplin, MO · CCN 26000116$2,90912% below the national average$2,318$21,458
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 26010527$2,91212% below the national average$2,320$18,307
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 26009122$2,91512% below the national average$2,299$11,733
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 26001117$2,92812% below the national average$2,333$21,922
Mercy Hospital SouthSaint Louis, MO · CCN 26007722$3,002About average$2,367$9,594
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108131$3,006About average$2,390$15,154
St Lukes HospitalChesterfield, MO · CCN 26017973$3,012About average$2,386$15,973
Centerpoint Medical CenterIndependence, MO · CCN 26009516$3,021About average$2,407$74,387
Saint Luke's East HospitalLees Summit, MO · CCN 26021619$3,021About average$2,407$15,479
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 26013818$3,021About average$2,407$32,156
Lee's Summit Medical CenterLees Summit, MO · CCN 26019012$3,021About average$2,407$39,040
Nkc HealthNorth Kansas City, MO · CCN 26009646$3,021About average$2,406$20,120
Research Medical CenterKansas City, MO · CCN 26002721$3,022About average$2,398$77,756
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 26010414$3,024About average$2,409$14,107
SSM St Clare Health CenterFenton, MO · CCN 26008123$3,024About average$2,409$15,826
Barnes Jewish HospitalSaint Louis, MO · CCN 260032112$3,030About average$2,407$16,184
Mercy Hospital St LouisSaint Louis, MO · CCN 26002067$3,050About average$2,421$11,850
Mercy Hospital JeffersonCrystal City, MO · CCN 26002313$3,079About average$2,453$13,555
Mercy Hospital WashingtonWashington, MO · CCN 26005222$3,079About average$2,453$9,843
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020021$3,079About average$2,453$12,598
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 26016223$3,079About average$2,441$14,469
Lake Regional Health SystemOsage Beach, MO · CCN 26018626$3,116About average$2,482$13,240
Citizens Memorial HospitalBolivar, MO · CCN 26019517$3,116About average$2,480$20,026
Mercy Hospital SoutheastCape Girardeau, MO · CCN 26011036$3,165About average$2,522$27,705
Saint Francis Medical CenterCape Girardeau, MO · CCN 26018344$3,165About average$2,522$28,878
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 26000653$3,205About average$2,544$15,348
Golden Valley Memorial HospitalClinton, MO · CCN 26017514$3,235About average$2,601$17,495
Bothwell Regional Health CenterSedalia, MO · CCN 26000921$3,236About average$2,573$10,840
Parkland Health CenterFarmington, MO · CCN 26016324$3,298About average$2,627$17,228
Phelps County Regional Medical CenterRolla, MO · CCN 26001734$3,298About average$2,627$27,237
Hannibal Regional HospitalHannibal, MO · CCN 26002515$3,298About average$2,627$49,377

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.