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 Texas

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 111 hospitals: $3,056National $3,323 · Texas $3,064
Median hospital: $3,056
Lowest to highest: $2,672–$3,334
Medicare procedures: 3,418

111 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
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880	12	$2,672	20% below the national average	$2,023	$26,666
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	11	$2,784	16% below the national average	$2,174	$11,884
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	18	$2,798	16% below the national average	$2,146	$57,706
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	12	$2,803	16% below the national average	$2,177	$82,051
Wadley Regional Medical CenterTexarkana, TX · CCN 450200	18	$2,835	15% below the national average	$2,219	$25,434
University Medical CenterLubbock, TX · CCN 450686	30	$2,843	14% below the national average	$2,225	$30,178
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	22	$2,855	14% below the national average	$2,227	$49,930
Midland Memorial HospitalMidland, TX · CCN 450133	17	$2,861	14% below the national average	$2,251	$25,470
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	51	$2,873	14% below the national average	$2,258	$48,790
Sierra Medical CenterEl Paso, TX · CCN 450668	20	$2,882	13% below the national average	$2,268	$76,366
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	21	$2,888	13% below the national average	$2,278	$15,942
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	11	$2,897	13% below the national average	$2,262	$35,200
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	23	$2,899	13% below the national average	$2,266	$20,969
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	69	$2,900	13% below the national average	$2,289	$47,575
Baptist Medical CenterSan Antonio, TX · CCN 450058	46	$2,923	12% below the national average	$2,312	$84,158
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	32	$2,927	12% below the national average	$2,315	$25,788
Bsa HospitalAmarillo, TX · CCN 450231	47	$2,928	12% below the national average	$2,313	$29,812
St David's South Austin Medical CenterAustin, TX · CCN 450713	21	$2,930	12% below the national average	$2,311	$70,207
Citizens Medical CenterVictoria, TX · CCN 450023	28	$2,933	12% below the national average	$2,310	$16,417
North Austin Medical CenterAustin, TX · CCN 450809	25	$2,956	11% below the national average	$2,327	$62,746
Baylor Scott And White Medical Center UptownDallas, TX · CCN 450422	17	$2,967	11% below the national average	$2,335	$25,760
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	33	$2,979	10% below the national average	$2,324	$56,795
Christus Mother Frances HospitalTyler, TX · CCN 450102	108	$2,980	10% below the national average	$2,366	$50,449
Christus St Michael Health SystemTexarkana, TX · CCN 450801	39	$3,002	About average	$2,392	$26,602
Covenant Medical CenterLubbock, TX · CCN 450040	40	$3,002	About average	$2,392	$61,178
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	17	$3,002	About average	$2,392	$25,049
Methodist HospitalSan Antonio, TX · CCN 450388	87	$3,002	About average	$2,392	$34,396
Peterson Regional Medical CenterKerrville, TX · CCN 450007	22	$3,002	About average	$2,392	$19,474
Woodland Heights Medical CenterLufkin, TX · CCN 450484	11	$3,002	About average	$2,392	$65,642
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	73	$3,002	About average	$2,388	$35,928
University Health SystemSan Antonio, TX · CCN 450213	37	$3,002	About average	$2,388	$19,096
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	23	$3,002	About average	$2,387	$40,280
Connally Memorial Medical CenterFloresville, TX · CCN 450108	22	$3,002	About average	$2,387	$12,302
South Texas Health SystemEdinburg, TX · CCN 450119	18	$3,002	About average	$2,381	$118,151
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	11	$3,002	About average	$2,375	$25,494
Northwest Texas HospitalAmarillo, TX · CCN 450209	15	$3,002	About average	$2,367	$43,906
Resolute Health HospitalNew Braunfels, TX · CCN 670098	19	$3,008	About average	$2,397	$51,916
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	52	$3,014	About average	$2,372	$21,669
Medical City Dallas HospitalDallas, TX · CCN 450647	23	$3,014	About average	$2,373	$61,384
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	83	$3,016	About average	$2,399	$20,034
Parkland Health & Hospital SystemDallas, TX · CCN 450015	26	$3,018	About average	$2,378	$21,221
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	13	$3,018	About average	$2,351	$43,697
De Tar Hospital NavarroVictoria, TX · CCN 450147	16	$3,019	About average	$2,405	$53,709
Laredo Medical CenterLaredo, TX · CCN 450029	21	$3,019	About average	$2,396	$57,743
Methodist Dallas Medical CenterDallas, TX · CCN 450051	28	$3,025	About average	$2,392	$22,567
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	15	$3,038	About average	$2,379	$18,542
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	31	$3,045	About average	$2,426	$36,471
Round Rock Medical CenterRound Rock, TX · CCN 450718	22	$3,045	About average	$2,426	$57,232
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	14	$3,045	About average	$2,426	$33,905
St David's Medical CenterAustin, TX · CCN 450431	22	$3,045	About average	$2,418	$69,171

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.