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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 Wisconsin

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
Wisconsin
Specific hospitals up to 10
Average payment across these 45 hospitals
$3,150National $3,323 · Wisconsin $3,150
Median hospital
$3,149
Lowest to highest
$2,860–$3,378
Medicare procedures
1,344

45 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
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 52017779$2,86014% below the national average$2,262$24,235
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 52004511$2,88013% below the national average$2,236$12,005
Aspirus Wausau HospitalWausau, WI · CCN 52003028$2,91912% below the national average$2,296$18,436
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 52000217$2,95111% below the national average$2,321$15,051
Mercy Health System CorpJanesville, WI · CCN 52006614$2,97311% below the national average$2,320$24,905
Waukesha Memorial HospitalWaukesha, WI · CCN 52000830$2,98410% below the national average$2,344$42,907
West Allis Memorial HospitalWest Allis, WI · CCN 52013919$3,013About average$2,370$29,041
St Vincent HospitalGreen Bay, WI · CCN 52007532$3,018About average$2,404$12,335
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 52003520$3,026About average$2,386$14,185
St Josephs Community Hospital West BendWest Bend, WI · CCN 52006323$3,043About average$2,402$25,333
Aurora Medical Center - SummitSummit, WI · CCN 52020626$3,058About average$2,417$15,108
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 52013624$3,086About average$2,459$23,360
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 52003322$3,096About average$2,466$17,150
Bellin Memorial HospitalGreen Bay, WI · CCN 52004942$3,096About average$2,466$16,917
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 52021213$3,096About average$2,466$15,924
Marshfield Medical Center - WestonWeston, WI · CCN 52020212$3,096About average$2,466$15,956
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 52021020$3,110About average$2,477$15,538
Oakleaf Surgical HospitalAltoona, WI · CCN 52019626$3,110About average$2,476$19,485
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 52000913$3,114About average$2,473$15,015
Aurora BayCare Medical CenterGreen Bay, WI · CCN 52019312$3,115About average$2,482$23,607
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 52016037$3,118About average$2,477$12,012
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$2,118 outlier payments per case55$3,129About average$2,471$22,842
St Nicholas HospitalSheboygan, WI · CCN 52004419$3,149About average$2,504$20,811
Community Memorial HospitalMenomonee Falls, WI · CCN 52010334$3,152About average$2,511$17,185
Fort Memorial HospitalFort Atkinson, WI · CCN 52007112$3,152About average$2,511$20,097
Aurora Medical CenterGrafton, WI · CCN 52020718$3,152About average$2,501$24,280
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 52009512$3,154About average$2,513$15,182
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 52000428$3,167About average$2,504$16,275
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 52013841$3,221About average$2,557$24,131
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 52008362$3,230About average$2,572$11,674
UnityPoint Health - MeriterMadison, WI · CCN 52008976$3,230About average$2,570$21,589
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098115$3,230About average$2,567$16,588
The Monroe ClinicMonroe, WI · CCN 52002813$3,230About average$2,559$24,167
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 52020825$3,254About average$2,599$8,961
Aurora Lakeland Medical CenterElkhorn, WI · CCN 52010215$3,254About average$2,592$24,996
Froedtert South Inc.Kenosha, WI · CCN 52002118$3,254About average$2,592$27,909
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 52005915$3,254About average$2,592$11,870
Aurora Medical Center KenoshaKenosha, WI · CCN 52018928$3,254About average$2,581$23,199
Ascension All Saints HospitalRacine, WI · CCN 52009619$3,255About average$2,594$15,584
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 52005159$3,256About average$2,590$23,511
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 52007087$3,282About average$2,614$12,414
Marshfield Medical CenterMarshfield, WI · CCN 52003722$3,315About average$2,642$15,890
Aspirus Rhinelander HospitalRhinelander, WI · CCN 52001921$3,316About average$2,633$15,467
Aurora Medical Center Bay AreaMarinette, WI · CCN 52011313$3,331About average$2,654$20,646
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 52008817$3,378About average$2,692$13,905

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.