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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 New York

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
New York
Specific hospitals up to 10
Average payment across these 81 hospitals
$3,789National $3,323 · New York $3,796
Median hospital
$3,816
Lowest to highest
$3,425–$3,937
Medicare procedures
4,229

81 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 33001112$3,425About average$2,679$33,682
Rochester General HospitalRochester, NY · CCN 33012556$3,482About average$2,735$11,356
Corning HospitalCorning, NY · CCN 33027734$3,496About average$2,751$16,306
Unity HospitalRochester, NY · CCN 33022622$3,535About average$2,787$11,349
United Health Services Hospitals, IncBinghamton, NY · CCN 33039444$3,560About average$2,821$17,533
Highland HospitalRochester, NY · CCN 33016456$3,564About average$2,817$14,852
Crouse HospitalSyracuse, NY · CCN 33020360$3,574About average$2,825$12,094
Mercy Hospital Of BuffaloBuffalo, NY · CCN 33027939$3,593About average$2,848$13,461
Huntington HospitalHuntington, NY · CCN 33004599$3,597About average$2,810$15,662
St Joseph's Hospital Health CenterSyracuse, NY · CCN 33014044$3,602About average$2,853$18,233
Wynn HospitalUtica, NY · CCN 33004446$3,605About average$2,859$19,611
Northern Westchester HospitalMount Kisco, NY · CCN 33016234$3,605About average$2,805$21,780
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 33018550$3,618About average$2,832$25,212
St Peter's HospitalAlbany, NY · CCN 33005762$3,621About average$2,873$17,900
Strong Memorial HospitalRochester, NY · CCN 33028574$3,629About average$2,882$17,202
Putnam Hospital CenterCarmel, NY · CCN 33027336$3,66310% above the national average$2,858$20,101
Glens Falls HospitalGlens Falls, NY · CCN 33019132$3,66810% above the national average$2,923$10,087
Kenmore Mercy HospitalKenmore, NY · CCN 33010215$3,66810% above the national average$2,923$16,696
Oneida Health HospitalOneida, NY · CCN 33011522$3,66810% above the national average$2,923$15,146
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 33018020$3,66810% above the national average$2,923$12,100
Sisters Of Charity HospitalBuffalo, NY · CCN 33007814$3,66810% above the national average$2,923$10,047
UPMC ChautauquaJamestown, NY · CCN 33023917$3,66810% above the national average$2,923$12,968
F F Thompson HospitalCanandaigua, NY · CCN 33007418$3,66810% above the national average$2,923$10,226
Saratoga HospitalSaratoga Springs, NY · CCN 33022239$3,66810% above the national average$2,922$26,351
Kaleida HealthBuffalo, NY · CCN 33000550$3,66810% above the national average$2,921$18,546
Ellis HospitalSchenectady, NY · CCN 33015320$3,66810% above the national average$2,921$16,542
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$2,190 outlier payments per case39$3,66810% above the national average$2,920$28,143
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 33023830$3,66810% above the national average$2,920$9,363
Albany Medical Center HospitalAlbany, NY · CCN 33001333$3,66810% above the national average$2,917$16,271
Erie County Medical CenterBuffalo, NY · CCN 33021916$3,66810% above the national average$2,909$9,194
Peconic Bay Medical CenterRiverhead, NY · CCN 33010749$3,67611% above the national average$2,885$17,245
North Shore University HospitalManhasset, NY · CCN 330106192$3,71512% above the national average$2,939$21,334
Southside HospitalBay Shore, NY · CCN 33004320$3,73812% above the national average$2,947$26,154
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 33022449$3,74113% above the national average$2,961$15,254
Plainview HospitalPlainview, NY · CCN 33033143$3,76813% above the national average$2,972$19,957
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 33002337$3,77414% above the national average$2,991$14,738
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028680$3,79214% above the national average$3,006$19,860
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 33005614$3,79614% above the national average$3,025$19,681
St Catherine Of Siena HospitalSmithtown, NY · CCN 33040146$3,79714% above the national average$3,009$26,570
Westchester Medical CenterValhalla, NY · CCN 33023427$3,80214% above the national average$2,998$42,347
Northern Dutchess HospitalRhinebeck, NY · CCN 33004916$3,81615% above the national average$3,020$14,393
Staten Island University HospitalStaten Island, NY · CCN 330160130$3,81815% above the national average$3,015$20,439
Garnet Health Medical CenterMiddletown, NY · CCN 33012661$3,81915% above the national average$3,028$19,649
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393121$3,82315% above the national average$3,039$24,927
Olean General HospitalOlean, NY · CCN 33010325$3,82915% above the national average$3,009$8,345
Mount Sinai Beth IsraelNew York, NY · CCN 33016946$3,82915% above the national average$3,037$22,728
Lenox Hill HospitalNew York, NY · CCN 33011941$3,83916% above the national average$3,047$25,827
Montefiore Medical CenterBronx, NY · CCN 33005961$3,84316% above the national average$3,050$31,377
Nyu Langone HospitalsNew York, NY · CCN 330214 · +$270 outlier payments per case380$3,84716% above the national average$3,054$55,839
Phelps HospitalSleepy Hollow, NY · CCN 33026123$3,85216% above the national average$3,050$43,679

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.