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 New Jersey

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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New Jersey

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Average payment across these 48 hospitals: $3,658National $3,323 · New Jersey $3,658
Median hospital: $3,622
Lowest to highest: $3,113–$3,937
Medicare procedures: 2,241

48 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
Cooper University HospitalCamden, NJ · CCN 310014	111	$3,113	About average	$2,460	$18,095
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	44	$3,447	About average	$2,686	$22,079
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	36	$3,462	About average	$2,722	$68,446
West Jersey HospitalVoorhees, NJ · CCN 310022	38	$3,470	About average	$2,728	$42,086
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	38	$3,477	About average	$2,770	$33,727
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 310029	22	$3,491	About average	$2,741	$52,953
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	24	$3,502	About average	$2,766	$33,141
Ahs Hospital CorpHackettstown, NJ · CCN 310115	29	$3,529	About average	$2,786	$18,622
Monmouth Medical CenterLong Branch, NJ · CCN 310075	47	$3,543	About average	$2,794	$19,502
Hunterdon Medical CenterFlemington, NJ · CCN 310005	23	$3,543	About average	$2,822	$13,892
Clara Maass Medical CenterBelleville, NJ · CCN 310009	18	$3,552	About average	$2,796	$20,695
Jefferson Stratford HospitalStratford, NJ · CCN 310086	105	$3,577	About average	$2,841	$22,542
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	45	$3,584	About average	$2,847	$40,360
Community Medical CenterToms River, NJ · CCN 310041	85	$3,588	About average	$2,849	$15,371
CentraState Medical CenterFreehold, NJ · CCN 310111	34	$3,594	About average	$2,846	$14,071
Trinitas Regional Medical CenterElizabeth, NJ · CCN 310027	21	$3,598	About average	$2,862	$27,180
Riverview Medical CenterRed Bank, NJ · CCN 310034	50	$3,609	About average	$2,860	$19,524
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	34	$3,622	About average	$2,886	$33,236
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	63	$3,622	About average	$2,886	$15,149
Monmouth Medical Center-Southern CampusLakewood, NJ · CCN 310084	12	$3,622	About average	$2,886	$15,022
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	16	$3,622	About average	$2,886	$24,916
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	28	$3,622	About average	$2,886	$25,400
Shore Medical CenterSomers Point, NJ · CCN 310047	20	$3,622	About average	$2,886	$28,045
Virtua Willingboro HospitalWillingboro, NJ · CCN 310061	15	$3,622	About average	$2,886	$50,003
Ocean Medical CenterBrick, NJ · CCN 310052	81	$3,622	About average	$2,883	$19,950
Inspira Medical Center VinelandVineland, NJ · CCN 310032	47	$3,622	About average	$2,881	$21,919
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	43	$3,622	About average	$2,880	$21,942
Newton Medical CenterNewton, NJ · CCN 310028	37	$3,622	About average	$2,877	$45,611
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	25	$3,622	About average	$2,871	$22,524
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	117	$3,628	About average	$2,888	$21,328
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	85	$3,633	About average	$2,888	$19,198
JFK University Medical CenterEdison, NJ · CCN 310108	32	$3,670	10% above the national average	$2,924	$19,947
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	26	$3,670	10% above the national average	$2,924	$15,484
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	14	$3,716	12% above the national average	$2,961	$21,980
Saint Michael's Medical CenterNewark, NJ · CCN 310096	17	$3,716	12% above the national average	$2,961	$37,510
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	15	$3,716	12% above the national average	$2,943	$21,847
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	14	$3,727	12% above the national average	$2,899	$36,659
Morristown Medical CenterMorristown, NJ · CCN 310015	154	$3,754	13% above the national average	$2,991	$22,121
Chilton Medical CenterPompton Plains, NJ · CCN 310017	29	$3,786	14% above the national average	$2,995	$35,206
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	36	$3,807	15% above the national average	$3,011	$41,620
Overlook Medical CenterSummit, NJ · CCN 310051	120	$3,868	16% above the national average	$3,074	$19,601
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	29	$3,894	17% above the national average	$3,098	$22,102
The University HospitalNewark, NJ · CCN 310119	11	$3,894	17% above the national average	$3,075	$24,576
Hackensack University Medical CenterHackensack, NJ · CCN 310001	114	$3,910	18% above the national average	$3,106	$19,619
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	73	$3,910	18% above the national average	$3,113	$50,642
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	14	$3,937	18% above the national average	$3,137	$37,803
Holy Name Medical CenterTeaneck, NJ · CCN 310008	55	$3,937	18% above the national average	$3,137	$17,982
Valley HospitalParamus, NJ · CCN 310012	95	$3,937	18% above the national average	$3,135	$20,482

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.