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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 Tennessee

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
Tennessee
Specific hospitals up to 10
Average payment across these 36 hospitals
$2,900National $3,323 · Tennessee $2,900
Median hospital
$2,864
Lowest to highest
$2,355–$3,174
Medicare procedures
1,428

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
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 44022818$2,35529% below the national average$1,761$51,460
St Francis HospitalMemphis, TN · CCN 44018327$2,57822% below the national average$1,977$59,179
Baptist Memorial Hospital Union CityUnion City, TN · CCN 44013013$2,76317% below the national average$2,173$9,796
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 44003424$2,78116% below the national average$2,201$8,548
Parkwest Medical CenterKnoxville, TN · CCN 44017390$2,80316% below the national average$2,221$7,809
University Health System, IncKnoxville, TN · CCN 44001582$2,80616% below the national average$2,223$11,597
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 44001713$2,81015% below the national average$2,196$50,942
Vanderbilt University Medical CenterNashville, TN · CCN 440039 · +$648 outlier payments per case139$2,81515% below the national average$2,234$29,280
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 44001233$2,82915% below the national average$2,222$37,572
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 44003016$2,84115% below the national average$2,261$7,682
Methodist Hospitals Of MemphisMemphis, TN · CCN 44004977$2,85114% below the national average$2,255$27,482
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 44012525$2,85314% below the national average$2,273$8,205
Physicians Regional Medical CenterPowell, TN · CCN 44012032$2,85314% below the national average$2,271$25,054
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 44005613$2,85314% below the national average$2,269$22,154
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 44013220$2,85314% below the national average$2,264$14,169
Hardin Medical CenterSavannah, TN · CCN 44010912$2,85314% below the national average$2,264$13,470
Affiliate Of Vitruvian HealthCleveland, TN · CCN 44018527$2,86214% below the national average$2,255$52,514
Franklin Woods Community HospitalJohnson City, TN · CCN 44018427$2,86414% below the national average$2,261$37,020
Maury Regional HospitalColumbia, TN · CCN 44007325$2,86414% below the national average$2,282$26,474
Indian Path Community HospitalKingsport, TN · CCN 44017618$2,87014% below the national average$2,287$39,036
Blount Memorial HospitalMaryville, TN · CCN 44001123$2,91312% below the national average$2,302$22,157
Baptist Memorial HospitalMemphis, TN · CCN 440048102$2,91812% below the national average$2,318$19,850
Erlanger Medical CenterChattanooga, TN · CCN 44010445$2,92612% below the national average$2,324$17,630
Memorial Healthcare System, IncChattanooga, TN · CCN 440091114$2,92812% below the national average$2,326$18,076
Tristar Centennial Medical CenterNashville, TN · CCN 44016124$2,98110% below the national average$2,375$42,376
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 44019413$2,98110% below the national average$2,375$54,342
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 44000312$2,98110% below the national average$2,375$34,774
Tristar Summit Medical CenterHermitage, TN · CCN 44015012$2,98110% below the national average$2,375$41,011
Williamson Medical CenterFranklin, TN · CCN 44002934$2,98110% below the national average$2,374$30,976
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 44005329$2,98110% below the national average$2,373$30,009
Ascension Saint Thomas HospitalNashville, TN · CCN 44008252$2,98110% below the national average$2,361$30,422
Johnson City Medical CenterJohnson City, TN · CCN 44006313$3,006About average$2,395$22,223
Cumberland Medical CenterCrossville, TN · CCN 44000945$3,050About average$2,427$5,290
Jackson-Madison County General HospitalJackson, TN · CCN 44000298$3,103About average$2,464$13,585
Vanderbilt Clarksville HospitalClarksville, TN · CCN 44003536$3,114About average$2,469$41,599
Cookeville Regional Medical CenterCookeville, TN · CCN 44005945$3,174About average$2,529$14,389

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.