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 North Carolina

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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North Carolina

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Average payment across these 58 hospitals: $3,058National $3,323 · North Carolina $3,058
Median hospital: $3,059
Lowest to highest: $2,796–$3,525
Medicare procedures: 2,478

58 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
Onslow Memorial HospitalJacksonville, NC · CCN 340042	12	$2,796	16% below the national average	$2,141	$19,412
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	26	$2,872	14% below the national average	$2,250	$19,588
Northern Regional HospitalMount Airy, NC · CCN 340003	25	$2,915	12% below the national average	$2,295	$6,426
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	28	$2,925	12% below the national average	$2,312	$26,930
Harris Regional HospitalSylva, NC · CCN 340016	58	$2,928	12% below the national average	$2,315	$33,214
Catawba Valley Medical CenterHickory, NC · CCN 340143	24	$2,956	11% below the national average	$2,335	$24,465
Frye Regional Medical CenterHickory, NC · CCN 340116	23	$2,970	11% below the national average	$2,336	$41,060
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	35	$2,973	11% below the national average	$2,330	$14,619
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	84	$2,975	10% below the national average	$2,357	$20,791
Ecu Health Medical CenterGreenville, NC · CCN 340040	140	$2,977	10% below the national average	$2,364	$15,786
Rex HospitalRaleigh, NC · CCN 340114	73	$2,979	10% below the national average	$2,344	$17,339
Alamance Regional Medical CenterBurlington, NC · CCN 340070	33	$2,987	10% below the national average	$2,364	$8,072
Johnston HealthSmithfield, NC · CCN 340090	23	$3,004	About average	$2,372	$21,094
Haywood Regional Medical CenterClyde, NC · CCN 340184	30	$3,011	About average	$2,399	$25,535
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	40	$3,011	About average	$2,399	$22,473
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	15	$3,011	About average	$2,399	$29,489
Maria Parham Medical CenterHenderson, NC · CCN 340132	18	$3,011	About average	$2,399	$27,317
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	28	$3,011	About average	$2,397	$23,029
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	92	$3,011	About average	$2,396	$19,968
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	20	$3,011	About average	$2,362	$21,628
Atrium Health ClevelandShelby, NC · CCN 340021	32	$3,016	About average	$2,389	$25,245
Duke University HospitalDurham, NC · CCN 340030	178	$3,017	About average	$2,387	$16,742
Atrium Health UnionMonroe, NC · CCN 340130	30	$3,026	About average	$2,392	$24,467
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	32	$3,031	About average	$2,399	$47,255
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	67	$3,033	About average	$2,409	$20,557
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	71	$3,040	About average	$2,406	$16,668
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047 · +$1,162 outlier payments per case	46	$3,044	About average	$2,402	$43,165
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	82	$3,049	About average	$2,412	$29,686
Central Carolina HospitalSanford, NC · CCN 340020	19	$3,059	About average	$2,437	$43,466
UNC Health NashRocky Mount, NC · CCN 340147	30	$3,059	About average	$2,437	$17,771
Wilson Medical CenterWilson, NC · CCN 340126	18	$3,059	About average	$2,430	$58,520
High Point Regional Health SystemHigh Point, NC · CCN 340004	41	$3,074	About average	$2,449	$13,887
Duke Regional HospitalDurham, NC · CCN 340155	55	$3,075	About average	$2,441	$22,421
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	92	$3,082	About average	$2,447	$15,092
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	82	$3,104	About average	$2,471	$13,758
Randolph HospitalAsheboro, NC · CCN 340123	13	$3,104	About average	$2,458	$24,030
Atrium Health PinevilleCharlotte, NC · CCN 340098	41	$3,109	About average	$2,477	$30,297
Atrium Health University CityCharlotte, NC · CCN 340166	16	$3,109	About average	$2,477	$22,485
Caromont Regional Medical CenterGastonia, NC · CCN 340032	18	$3,109	About average	$2,477	$22,452
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	24	$3,109	About average	$2,477	$38,400
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	27	$3,109	About average	$2,477	$27,551
Atrium Health LincolnLincolnton, NC · CCN 340145	18	$3,109	About average	$2,474	$22,462
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	39	$3,109	About average	$2,472	$18,211
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	15	$3,109	About average	$2,464	$5,989
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	36	$3,115	About average	$2,482	$23,313
WakeMed, Cary HospitalCary, NC · CCN 340173	40	$3,115	About average	$2,480	$25,779
North Carolina Specialty HospitalDurham, NC · CCN 340049	14	$3,121	About average	$2,486	$8,898
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	112	$3,133	About average	$2,474	$18,735
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 340148	75	$3,153	About average	$2,513	$11,569
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	46	$3,154	About average	$2,509	$12,306

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.