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 Pennsylvania

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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Average payment across these 90 hospitals: $3,213National $3,323 · Pennsylvania $3,214
Median hospital: $3,157
Lowest to highest: $2,253–$3,646
Medicare procedures: 4,216

90 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
UPMC MemorialYork, PA · CCN 390101	58	$2,253	32% below the national average	$1,788	$23,090
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	43	$2,645	20% below the national average	$2,096	$55,923
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	28	$2,717	18% below the national average	$2,165	$19,840
Jefferson HospitalJefferson Hills, PA · CCN 390265	16	$2,782	16% below the national average	$2,153	$18,512
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	16	$2,795	16% below the national average	$2,157	$27,510
Geisinger-Community Medical CenterScranton, PA · CCN 390001	84	$2,978	10% below the national average	$2,354	$46,700
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	24	$2,988	10% below the national average	$2,352	$21,492
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	14	$3,006	About average	$2,358	$30,153
UPMC CarlisleCarlisle, PA · CCN 390058	22	$3,019	About average	$2,374	$29,868
Regional Hospital Of ScrantonScranton, PA · CCN 390237	36	$3,022	About average	$2,394	$36,240
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	43	$3,033	About average	$2,405	$39,745
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	23	$3,049	About average	$2,429	$31,531
Allegheny General HospitalPittsburgh, PA · CCN 390050	25	$3,090	About average	$2,462	$23,486
Forbes HospitalMonroeville, PA · CCN 390267	19	$3,090	About average	$2,462	$23,167
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	18	$3,090	About average	$2,462	$12,266
The Washington HospitalWashington, PA · CCN 390042	16	$3,090	About average	$2,462	$15,962
UPMC JamesonNew Castle, PA · CCN 390016	15	$3,090	About average	$2,462	$15,299
UPMC MercyPittsburgh, PA · CCN 390028	27	$3,090	About average	$2,462	$23,766
UPMC NorthwestSeneca, PA · CCN 390091	14	$3,090	About average	$2,462	$8,725
UPMC St MargaretPittsburgh, PA · CCN 390102	17	$3,090	About average	$2,462	$38,537
UPMC PassavantPittsburgh, PA · CCN 390107	40	$3,090	About average	$2,462	$33,924
Uniontown HospitalUniontown, PA · CCN 390041	46	$3,090	About average	$2,461	$9,497
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	13	$3,090	About average	$2,459	$25,644
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	54	$3,090	About average	$2,459	$30,076
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	73	$3,090	About average	$2,458	$44,004
UPMC EastMonroeville, PA · CCN 390328	49	$3,090	About average	$2,458	$24,139
West Penn HospitalPittsburgh, PA · CCN 390090	11	$3,090	About average	$2,457	$37,129
Ahn Wexford HospitalWexford, PA · CCN 390334	17	$3,090	About average	$2,456	$25,228
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	25	$3,090	About average	$2,456	$15,156
St Clair HospitalPittsburgh, PA · CCN 390228	42	$3,090	About average	$2,456	$16,691
UPMC WilliamsportWilliamsport, PA · CCN 390045	34	$3,090	About average	$2,455	$22,064
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	35	$3,090	About average	$2,452	$26,430
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 390062	11	$3,090	About average	$2,450	$16,337
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	17	$3,091	About average	$2,440	$18,670
Geisinger Medical CenterDanville, PA · CCN 390006	57	$3,091	About average	$2,463	$49,068
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	15	$3,095	About average	$2,453	$22,988
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	164	$3,100	About average	$2,468	$19,097
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	100	$3,103	About average	$2,460	$39,499
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	32	$3,105	About average	$2,474	$37,868
Pottstown HospitalPottstown, PA · CCN 390123	22	$3,128	About average	$2,458	$17,495
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	11	$3,132	About average	$2,496	$31,227
Temple University HospitalPhiladelphia, PA · CCN 390027	67	$3,133	About average	$2,449	$44,613
Reading HospitalWest Reading, PA · CCN 390044	77	$3,140	About average	$2,497	$18,287
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	23	$3,153	About average	$2,512	$38,118
Penn State Health St. JosephReading, PA · CCN 390096	21	$3,155	About average	$2,513	$29,801
Lancaster General HospitalLancaster, PA · CCN 390100	86	$3,159	About average	$2,503	$19,996
Robert Packer HospitalSayre, PA · CCN 390079	53	$3,178	About average	$2,529	$18,307
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	13	$3,188	About average	$2,540	$37,534
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	32	$3,199	About average	$2,529	$20,657
Jefferson Abington HospitalAbington, PA · CCN 390231	86	$3,226	About average	$2,562	$15,486

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.