Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
What 2,693 hospitals in the U.S. charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$26,986
Hospital list price billed
Average allowed
$3,323
Medicare's payment + patient's share
Medicare paid
$2,636
Average per service
Volume
67,672
Medicare services
Hospitals in the U.S. billed an average of $26,986 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.1 times the average medicare-allowed amount of $3,323.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $3,323Billed $26,986
About 12¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Northwestern Medical CenterSt Albans, VT | $1,302 |
|---|---|
| Central Vermont Medical CenterGraniteville-East Barre, VT | $1,575 |
| Fletcher Allen Hospital of VermontBurlington, VT | $1,614 |
| Marietta Memorial HospitalMarietta, OH | $1,738 |
| Rutland Regional Medical CenterRutland, VT | $1,930 |
| Brattleboro Memorial HospitalBrattleboro, VT | $2,087 |
| Southwestern Vermont Medical CenterBennington, VT | $2,143 |
| UPMC MemorialYork, PA | $2,253 |
| University of Arkansas Medical SciencesLittle Rock, AR | $2,272 |
| University of Mississippi Medical Center- GrenadaGrenada, MS | $2,392 |
Highest
| Northbay Medical CenterFairfield, CA | $4,978 |
|---|---|
| Peninsula Medical CenterBurlingame, CA | $4,945 |
| Good Samaritan HospitalSan Jose, CA | $4,872 |
| El Camino HospitalMountain View, CA | $4,872 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $4,872 |
| Washington HospitalFremont, CA | $4,872 |
| Sequoia HospitalRedwood City, CA | $4,872 |
| Stanford Health Care Tri-ValleyPleasanton, CA | $4,872 |
| Salinas Valley Memorial HospitalSalinas, CA | $4,872 |
| UCSF Medical CenterSan Francisco, CA | $4,854 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 53 | $36,476 | $2,827 | $2,347 – $3,151 |
| Alaska | 6 | $23,256 | $3,716 | $3,571 – $3,824 |
| Arizona | 48 | $38,468 | $3,391 | $3,118 – $3,632 |
| Arkansas | 35 | $20,305 | $2,914 | $2,272 – $3,178 |
| California | 253 | $41,013 | $4,368 | $2,077 – $4,978 |
| Colorado | 46 | $32,965 | $3,316 | $3,180 – $3,528 |
| Connecticut | 25 | $18,619 | $3,837 | $3,608 – $4,134 |
| Delaware | 6 | $16,648 | $3,450 | $3,348 – $3,471 |
| Florida | 163 | $42,191 | $3,098 | $2,811 – $3,357 |
| Georgia | 84 | $31,200 | $3,034 | $2,650 – $3,290 |
| Hawaii | 11 | $17,781 | $3,982 | $3,830 – $4,262 |
| Idaho | 15 | $17,315 | $3,149 | $2,907 – $3,349 |
| Illinois | 107 | $23,952 | $3,239 | $2,879 – $3,424 |
| Indiana | 74 | $27,677 | $3,111 | $2,933 – $3,347 |
| Iowa | 31 | $16,624 | $3,003 | $2,883 – $3,317 |
| Kansas | 39 | $21,795 | $2,989 | $2,866 – $3,237 |
| Kentucky | 55 | $25,325 | $2,971 | $2,704 – $3,201 |
| Louisiana | 62 | $28,279 | $2,897 | $2,584 – $2,995 |
| Maine | 17 | $18,932 | $3,169 | $2,969 – $3,292 |
| Massachusetts | 53 | $14,337 | $3,684 | $3,550 – $3,902 |
| Michigan | 85 | $17,642 | $3,050 | $2,457 – $3,309 |
| Minnesota | 45 | $16,248 | $3,325 | $2,699 – $3,546 |
| Mississippi | 42 | $19,729 | $2,832 | $2,392 – $3,102 |
| Missouri | 62 | $20,115 | $3,030 | $2,807 – $3,298 |
| Montana | 10 | $16,257 | $3,263 | $3,082 – $3,410 |
| Nebraska | 20 | $18,048 | $3,079 | $2,812 – $3,358 |
| Nevada | 18 | $54,207 | $3,666 | $3,338 – $4,014 |
| New Hampshire | 13 | $22,893 | $3,393 | $3,300 – $3,534 |
| New Jersey | 59 | $24,996 | $3,658 | $3,113 – $3,937 |
| New Mexico | 21 | $27,327 | $3,102 | $2,954 – $3,364 |
| New York | 123 | $24,428 | $3,796 | $3,425 – $3,937 |
| North Carolina | 79 | $20,977 | $3,058 | $2,796 – $3,525 |
| North Dakota | 6 | $12,202 | $3,290 | $3,201 – $3,474 |
| Ohio | 112 | $23,560 | $2,933 | $1,591 – $3,325 |
| Oklahoma | 52 | $25,586 | $2,960 | $2,549 – $3,213 |
| Oregon | 31 | $19,472 | $3,671 | $3,115 – $4,499 |
| Pennsylvania | 119 | $26,679 | $3,214 | $2,253 – $3,646 |
| Rhode Island | 9 | $11,223 | $3,484 | $3,398 – $3,511 |
| South Carolina | 50 | $31,292 | $2,936 | $2,178 – $3,266 |
| South Dakota | 14 | $17,019 | $3,292 | $3,181 – $3,474 |
| Tennessee | 66 | $23,651 | $2,900 | $2,355 – $3,174 |
| Texas | 228 | $36,614 | $3,064 | $2,672 – $3,334 |
| Utah | 31 | $15,965 | $3,049 | $2,770 – $3,319 |
| Vermont | 6 | $13,972 | $1,696 | $1,302 – $2,143 |
| Virginia | 67 | $27,725 | $3,080 | $2,725 – $3,371 |
| Washington | 46 | $25,297 | $3,554 | $3,228 – $3,847 |
| West Virginia | 23 | $23,565 | $2,941 | $2,822 – $3,156 |
| Wisconsin | 58 | $18,933 | $3,150 | $2,860 – $3,378 |
| Wyoming | 10 | $22,784 | $3,414 | $2,953 – $3,474 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 434 | $26,264 | $3,886 |
| NYU Hospitals CenterNew York, NY | 380 | $55,839 | $3,847 |
| Massachusetts General HospitalBoston, MA | 357 | $22,664 | $3,691 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 292 | $18,820 | $3,915 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 284 | $17,185 | $3,427 |
| Lehigh Valley HospitalAllentown, PA | 261 | $29,173 | $3,331 |
| Brigham and Women's HosptialBoston, MA | 253 | $16,303 | $3,593 |
| Stanford HospitalPalo Alto, CA | 232 | $69,927 | $4,599 |
| Evanston HospitalEvanston, IL | 206 | $14,824 | $3,231 |
| Hospital of the Univ of PaPhiladelphia, PA | 206 | $37,798 | $3,428 |
| UCSF Medical CenterSan Francisco, CA | 200 | $30,401 | $4,854 |
| Cape Cod HospitalHyannis, MA | 196 | $12,332 | $3,700 |
| Sarasota Memorial HospitalSarasota, FL | 195 | $31,609 | $3,108 |
| Christiana Care Health Services, INC.Newark, DE | 193 | $10,690 | $3,462 |
| Adventhealth OrlandoOrlando, FL | 193 | $42,935 | $3,108 |
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in the U.S.?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 2,693 hospitals in the U.S. was billed at $26,986 on average, while the average medicare-allowed amount was $3,323, of which Medicare paid $2,636. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 1 abdominal/peritoneal/biliary and related procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($4,368), Hawaii ($3,982), Connecticut ($3,837) and lowest in Vermont ($1,696), Alabama ($2,827), Mississippi ($2,832).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in the U.S., average charges were 8.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.