facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in California: 253 hospitals compared (APC 5341)

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in California

What 253 hospitals in California charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.

APC 5341 Outpatient 2024 Medicare data
Average charge $41,013 Hospital list price billed
Average allowed $4,368 Medicare's payment + patient's share
Medicare paid $3,470 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $41,013 for level 1 abdominal/peritoneal/biliary and related procedures, about 9.4 times the average medicare-allowed amount of $4,368. That payment is 31% above the U.S. average 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 $4,368Billed $41,013

About 11¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 1 abdominal/peritoneal/biliary and related procedures

Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 232 $69,927 $4,599 $3,662
UCSF Medical CenterSan Francisco 200 $30,401 $4,854 $3,862
Eisenhower Memorial HospitalRancho Mirage 161 $27,641 $4,211 $3,346
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 159 $24,496 $4,197 $3,336
University of California Davis Medical CenterSacramento 137 $40,039 $4,312 $3,434
Cedars-Sinai Medical CenterLos Angeles 137 $82,093 $4,254 $3,386
University of California San Diego Medical CenterSan Diego 133 $27,191 $4,158 $3,309
Saint Agnes Medical CenterFresno 96 $20,838 $4,041 $3,207
Scripps Green HospitalLa Jolla 95 $47,334 $4,146 $3,282
City of Hope Natl Medical CtrDuarte 89 $38,596 $4,254 $3,387
UCI Health-OrangeOrange 89 $30,709 $4,206 $3,350
Hoag Memorial Hospital PresbyterianNewport Beach 79 $29,543 $4,253 $3,389
Torrance Memorial Medical CenterTorrance 78 $37,709 $4,210 $3,342
Los Alamitos Medical CenterLos Alamitos 76 $80,367 $4,166 $3,287
El Camino HospitalMountain View 71 $53,294 $4,872 $3,878
Glendale Adventist Medical CtrGlendale 70 $45,679 $4,254 $3,384
St Joseph HospitalEureka 69 $44,112 $4,253 $3,390
Community Memorial Hospital - VenturaVentura 69 $32,462 $4,254 $3,382
USC University HospitalLos Angeles 69 $37,509 $4,069 $3,236
Enloe Medical CenterChico 68 $48,051 $4,253 $3,389
Kaweah Delta Medical CenterVisalia 68 $26,856 $4,204 $3,334
Marinhealth Medical CenterGreenbrae 68 $66,088 $4,794 $3,812
Clovis Community Medical CenterClovis 66 $24,274 $4,221 $3,363
Sonora Community HospitalSonora 63 $40,744 $4,555 $3,628
Scripps Memorial Hospital - EncinitasEncinitas 63 $39,473 $4,254 $3,384
Loma Linda University Medical CenterLoma Linda 60 $41,450 $4,218 $3,356
Santa Barbara Cottage HospitalSanta Barbara 60 $36,541 $4,556 $3,625
Sutter Medical Center of Santa RosaSanta Rosa 58 $28,177 $4,555 $3,616
Los Robles Hospital & Medical CenterThousand Oaks 58 $67,013 $4,253 $3,389
Santa Rosa Memorial HospitalSanta Rosa 56 $54,871 $4,845 $3,857
UCLA Medical CenterLos Angeles 55 $24,651 $4,192 $3,327
Sutter Surgical Hospital - North ValleyYuba City 55 $24,432 $4,217 $3,348
Sharp Memorial HospitalSan Diego 53 $28,733 $4,149 $3,290
Community Regional Medical CenterFresno 52 $21,580 $4,215 $3,346
Marian Medical CenterSanta Maria 52 $29,192 $4,254 $3,385
Mercy Medical Center ReddingRedding 52 $33,090 $4,254 $3,384
Good Samaritan HospitalSan Jose 49 $75,827 $4,872 $3,878
Salinas Valley Memorial HospitalSalinas 48 $42,986 $4,872 $3,882
Adventist Health BakersfieldBakersfield 48 $50,293 $4,183 $3,314
Peninsula Medical CenterBurlingame 47 $24,425 $4,945 $3,935
Mercy General HospitalSacramento 47 $41,113 $4,344 $3,437
Santa Clara Valley Medical CenterSan Jose 47 $26,372 $4,820 $3,836
San Francisco General HospitalSan Francisco 46 $50,626 $4,756 $3,764
Mission Hospital Regional Med CenterMission Viejo 44 $29,288 $4,253 $3,389
St Johns Regional Medical CenterOxnard 43 $27,334 $4,253 $3,389
Northbay Medical CenterFairfield 41 $133,241 $4,978 $3,959
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 40 $25,731 $4,847 $3,842
Sutter Auburn Faith HospitalAuburn 40 $22,215 $4,418 $3,520
Saint John's Health CenterSanta Monica 39 $14,757 $4,253 $3,389
Huntington Memorial HospitalPasadena 38 $37,656 $4,254 $3,387
Grossmont HospitalLa Mesa 37 $42,383 $4,254 $3,383
Sequoia HospitalRedwood City 37 $46,444 $4,872 $3,882
Sutter Roseville Medical CenterRoseville 37 $25,528 $4,419 $3,513
Mercy San Juan Medical CenterCarmichael 37 $39,341 $4,325 $3,425
Verdugo Hills HospitalGlendale 36 $35,982 $4,253 $3,388
Sharp Chula Vista Medical CenterChula Vista 36 $23,545 $4,253 $3,388
PIH Health Hospital-WhittierWhittier 35 $30,529 $4,254 $3,379
Ukiah Valley Medical Center/Hospital DUkiah 35 $29,443 $4,555 $3,630
Community Hospital of the Monterey PeninsulaMonterey 34 $20,673 $4,872 $3,882
St Jude Medical CenterFullerton 34 $25,010 $4,253 $3,388
Palomar Medical Center PowayPoway 34 $34,089 $3,257 $2,390
St Joseph HospitalOrange 33 $23,884 $4,253 $3,389
Sierra View District HospitalPorterville 33 $21,869 $4,151 $3,273
Doctors Medical CenterModesto 33 $73,223 $4,151 $3,281
Alta Bates Summit Medical CenterOakland 32 $36,835 $4,804 $3,822
Hanford Community Medical CenterHanford 32 $28,648 $3,934 $3,133
Dominican HospitalSanta Cruz 32 $29,044 $4,533 $3,611
Pomona Valley Hospital Medical CenterPomona 31 $40,622 $4,254 $3,380
Providence Saint Joseph Medical CtrBurbank 31 $33,219 $4,253 $3,389
Providence Little Company of Mary Med Ctr TorranceTorrance 31 $27,651 $4,254 $3,378
Pioneers Memorial Healthcare DistrictBrawley 29 $13,070 $4,254 $3,382
French Hospital Medical CenterSan Luis Obispo 28 $31,420 $4,253 $3,389
Mercy HospitalBakersfield 28 $37,106 $4,254 $3,374
Mercy Medical Ctr MercedMerced 28 $41,881 $4,132 $3,268
Sierra Vista Regional Medical CenterSan Luis Obispo 28 $52,583 $4,254 $3,386
Foothill Presbyterian HospitalGlendora 28 $20,345 $4,254 $3,382
St Elizabeth Community HospitalRed Bluff 26 $48,086 $4,416 $3,490
Scripps Mercy HospitalSan Diego 26 $41,442 $4,253 $3,389
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 26 $30,476 $4,622 $3,683
Stanford Health Care Tri-ValleyPleasanton 25 $55,123 $4,872 $3,882
Southwest Healthcare SystemMurrieta 25 $40,133 $4,253 $3,389
Woodland Memorial HospitalWoodland 24 $35,823 $4,419 $3,516
Scripps Memorial Hospital la JollaLa Jolla 24 $65,352 $4,253 $3,389
Eden Medical CenterCastro Valley 24 $21,966 $4,804 $3,820
John Muir Medical Center - Concord CampusConcord 24 $70,441 $4,817 $3,822
Bakersfield Memorial HospitalBakersfield 23 $36,770 $4,253 $3,389
Washington HospitalFremont 23 $26,409 $4,872 $3,882
Henry Mayo Newhall Memorial HospitalValencia 23 $47,656 $4,254 $3,381
White Memorial Medical CenterLos Angeles 21 $60,397 $4,254 $3,383
Sutter General HospitalSacramento 21 $27,218 $4,845 $3,860
Good Samaritan HospitalLos Angeles 21 $35,252 $4,254 $3,385
Orange Coast Memorial Medical CenterFountain Valley 21 $43,863 $4,253 $3,389
Adventist Health TulareTulare 21 $24,932 $4,253 $3,389
Antelope Valley Hospital Med CenterLancaster 20 $25,710 $4,253 $3,389
St Josephs Med Center of StocktonStockton 20 $54,195 $4,746 $3,779
Novato Community HospitalNovato 20 $29,304 $4,832 $3,830
Rideout Memorial HospitalMarysville 20 $37,504 $4,555 $3,630
Los Angeles General Medical CenterLos Angeles 19 $23,403 $4,254 $3,379
Downey Regional Medical CenterDowney 19 $26,319 $4,076 $3,179
San Ramon Regional Medical CtrSan Ramon 19 $68,477 $4,817 $3,838
Mad River Community HospitalArcata 18 $26,236 $4,254 $3,378
San Antonio Community HospitalUpland 18 $40,501 $4,254 $3,380
Contra Costa Regional Medical CenterMartinez 18 $18,490 $4,817 $3,825
Lodi Memorial HospitalLodi 18 $64,599 $4,152 $3,267
Long Beach Memorial Medical CenterLong Beach 18 $32,031 $4,254 $3,375
Memorial Medical CenterModesto 18 $38,444 $4,253 $3,389
Riverside Community HospitalRiverside 17 $91,007 $4,254 $3,378
Hollywood Presbyterian Medical CenterLos Angeles 17 $28,087 $4,253 $3,389
Marshall Medical Center (1-Rh)Placerville 17 $37,912 $4,418 $3,520
Oroville HospitalOroville 16 $15,530 $4,253 $3,389
Lompoc Healthcare DistrictLompoc 16 $24,887 $4,254 $3,377
Emanuel Medical Center INCTurlock 16 $111,004 $4,346 $3,463
Redlands Community HospitalRedlands 16 $41,103 $4,253 $3,389
Highland HospitalOakland 16 $23,327 $4,804 $3,828
Saddleback Memorial Medical CenterLaguna Hills 16 $43,071 $4,114 $3,250
St Helena HospitalDeer Park 15 $100,815 $4,440 $3,525
Watsonville Community HospitalWatsonville 15 $80,006 $4,622 $3,683
Desert Regional Medical CenterPalm Springs 15 $108,643 $4,254 $3,384
St Mary Medical CenterApple Valley 15 $30,149 $4,253 $3,389
Barton Memorial HospitalSouth Lake Tahoe 15 $69,172 $4,418 $3,520
Hemet Valley Medical CenterHemet 15 $27,084 $4,096 $3,226
Sutter Coast HospitalCrescent City 15 $22,854 $4,555 $3,630
Sutter Davis HospitalDavis 15 $30,714 $4,418 $3,520
Shasta Regional Medical CenterRedding 15 $73,785 $4,254 $3,376
Glendale Mem Hospital & Hlth CenterGlendale 14 $36,467 $4,254 $3,375
Sutter Solano Medical CenterVallejo 14 $27,168 $4,978 $3,965
Palomar Medical CenterEscondido 14 $46,308 $2,077 $1,197
USC Arcadia HospitalArcadia 14 $23,252 $3,769 $2,905
Corona Regional Medical CenterCorona 14 $62,300 $4,254 $3,375
Queen of the Valley Medical CenterNapa 13 $49,124 $4,845 $3,860
Northridge Hospital Medical CenterNorthridge 13 $33,200 $4,023 $3,120
Tri-City Medical CenterOceanside 13 $36,393 $4,254 $3,384
Sierra Nevada Memorial HospitalGrass Valley 13 $25,570 $4,418 $3,520
Palmdale Regional Medical CenterLancaster 13 $116,291 $4,254 $3,374
Sutter Tracy Community HospitalTracy 13 $40,055 $4,345 $3,462
John Muir Medical Center - Walnut Creek CampusWalnut Creek 12 $76,556 $4,817 $3,838
Natividad Medical CenterSalinas 12 $25,533 $4,602 $3,623
Lac/Harbor-UCLA Med CenterTorrance 12 $78,952 $4,254 $3,373
Emanate Health Inter-Community HospitalCovina 12 $21,750 $4,253 $3,389
Chinese HospitalSan Francisco 12 $25,041 $4,946 $3,920
West Hills Hospital & Medical CenterWest Hills 12 $138,348 $4,254 $3,384
Methodist Hospital of SacramentoSacramento 12 $60,160 $4,198 $3,344
Centinela Hospital Medical CenterInglewood 12 $46,419 $4,254 $3,386
Providence Tarzana Medical CenterTarzana 12 $37,741 $4,254 $3,373
Valley Presbyterian HospitalVan Nuys 11 $16,746 $4,254 $3,372
St Bernardine Medical CenterSan Bernardino 11 $33,514 $4,254 $3,372
Mercy Hospital of FolsomFolsom 11 $62,167 $4,419 $3,503
Temecula Valley HospitalTemecula 11 $35,068 $4,253 $3,389
St Rose HospitalHayward – – – –
California Pacific Medical Ctr-Davies Campus HospSan Francisco – – – –
Sutter Amador HospitalJackson – – – –
Paradise Valley HospitalNational City – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
El Centro Regional Medical CenterEl Centro – – – –
San Gorgonio Memorial HospitalBanning – – – –
California Pacific Medical Ctr - St. Luke's CampusSan Francisco – – – –
Oak Valley District HospitalOakdale – – – –
Kaiser Foundation Hospital - South San FranciscoMillbrae – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Providence Little Co of Mary Med Ctr San PedroLos Angeles – – – –
Community Hospital of San BernardinoSan Bernardino – – – –
Sonoma Valley HospitalSonoma – – – –
Community and Mission Hospital of Huntington ParkHuntington Park – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
Saint Francis Medical CenterLynwood – – – –
San Mateo Medical CenterSan Mateo – – – –
Doctors Hospital of MantecaManteca – – – –
Dameron HospitalStockton – – – –
Regional Medical Center of San JoseSan Jose – – – –
San Gabriel Valley Medical CenterSan Gabriel – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Petaluma Valley HospitalPetaluma – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
Saint Francis Memorial HospitalSan Francisco – – – –
Encino Hospital Medical CenterEncino – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
St Mary Medical CenterLong Beach – – – –
Alameda HospitalAlameda – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
Arrowhead Regional Medical CenterColton – – – –
Good Samaritan HospitalBakersfield – – – –
Providence Holy Cross Medical CenterMission Hills – – – –
Hi-Desert Medical CenterJoshua Tree – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Seton Medical CenterDaly City – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
Barstow Community HospitalBarstow – – – –
Alta Bates Summit Medical Center - Alta Bates CampBerkeley – – – –
Kern Medical CenterBakersfield – – – –
Goleta Valley Cottage HospitalSanta Barbara – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Palo Verde HospitalBlythe – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
West Anaheim Medical CenterAnaheim – – – –
Memorial Hospital of GardenaGardena – – – –
Kaiser Foundation HospitalSan Rafael – – – –
Kaiser Foundation Hospital Fremont/HaywardHayward – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Victor Valley Community HospitalVictorville – – – –
Sutter Delta Medical CenterAntioch – – – –
Memorial Hospital los BanosLos Banos – – – –
John F Kennedy Memorial HospIndio – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
La Palma Intercommunity HospBuena Park – – – –
Lakewood Regional Medical CenterLakewood – – – –
San Dimas Community HospitalSan Dimas – – – –
UCI Health-Placentia LindaPlacentia – – – –
Kaiser Foundation Hospital-San JoseSan Jose – – – –
Delano Regional Medical CenterDelano – – – –
Twin Cities Community HospitalTempleton – – – –
East los Angeles Doctors HospitalLos Angeles – – – –
USC Kenneth Norris Jr Cancer HospitalLos Angeles – – – –
Los Angeles Community HospitalLos Angeles – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Menifee Valley Medical CenterSun City – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
Kaiser Foundation Hospital-Santa RosaSanta Rosa – – – –
Desert Valley HospitalVictorville – – – –
Kaiser Foundation Hospital - FresnoFresno – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Stanislaus Surgical HospitalModesto – – – –
Whittier Hospital Medical CenterWhittier – – – –
Monterey Park HospitalMonterey Park – – – –
Garfield Medical CenterMonterey Park – – – –
Marina del Rey HospitalMarina del Rey – – – –
Orange County Global Medical CenterSanta Ana – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Sherman Oaks HospitalSherman Oaks – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Coast Plaza HospitalNorwalk – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
College Medical CenterLong Beach – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
Martin Luther King, Jr. Community HospitalLos Angeles – – – –
Casa Colina HospitalPomona – – – –
Anaheim Community Hospital, LLCAnaheim – – – –
Kaiser Foundation Hospital - San MarcosSan Marcos – – – –
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Palomar Medical CenterEscondido, CA$2,077
Palomar Medical Center PowayPoway, CA$3,257
USC Arcadia HospitalArcadia, CA$3,769
Hanford Community Medical CenterHanford, CA$3,934
Northridge Hospital Medical CenterNorthridge, CA$4,023

Highest

Northbay Medical CenterFairfield, CA$4,978
Sutter Solano Medical CenterVallejo, CA$4,978
Chinese HospitalSan Francisco, CA$4,946
Peninsula Medical CenterBurlingame, CA$4,945
Good Samaritan HospitalSan Jose, CA$4,872

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Alaska · $3,716 Connecticut · $3,837 Hawaii · $3,982 Massachusetts · $3,684 Nevada · $3,666 New Jersey · $3,658 New York · $3,796 Oregon · $3,671

Questions

How much does level 1 abdominal/peritoneal/biliary and related procedures cost in California?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 253 hospitals in California was billed at $41,013 on average, while the average medicare-allowed amount was $4,368, of which Medicare paid $3,470. Your own cost depends on your insurance, deductible and the hospital.

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 California, average charges were 9.4 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.