facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in Florida: 163 hospitals compared (APC 5341)

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

What 163 hospitals in Florida 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 $42,191 Hospital list price billed
Average allowed $3,098 Medicare's payment + patient's share
Medicare paid $2,460 Average per service
State rank #22 of 49 1 = lowest average payment

Hospitals in Florida billed an average of $42,191 for level 1 abdominal/peritoneal/biliary and related procedures, about 13.6 times the average medicare-allowed amount of $3,098. That payment is 7% below 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 $3,098Billed $42,191

About 7¢ was paid for every $1 hospitals in Florida billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Sarasota Memorial HospitalSarasota 195 $31,609 $3,108 $2,470
Adventhealth OrlandoOrlando 193 $42,935 $3,108 $2,469
Mayo ClinicJacksonville 193 $17,119 $2,949 $2,335
Indian River Medical CenterVero Beach 136 $21,168 $3,122 $2,487
Naples Community HospitalNaples 132 $25,260 $3,134 $2,487
Baptist Medical CenterJacksonville 116 $25,270 $3,091 $2,453
H Lee Moffitt Cancer CenterTampa 110 $11,183 $3,083 $2,451
Shands Hospital at the University of FloridaGainesville 90 $28,706 $3,106 $2,469
Adventhealth OcalaOcala 85 $76,081 $3,134 $2,496
Tampa General HospitalTampa 85 $67,814 $3,112 $2,473
Boca Raton Regional HospitalBoca Raton 78 $33,390 $3,134 $2,497
Adventhealth Daytona BeachDaytona Beach 75 $31,549 $3,101 $2,460
Lee Memorial HospitalFort Myers 72 $42,625 $2,899 $2,310
Sarasota Memorial Hospital - VeniceNorth Venice 69 $32,093 $3,134 $2,497
Morton Plant HospitalClearwater 67 $24,995 $3,134 $2,493
Orlando Regional HealthcareOrlando 64 $61,535 $3,056 $2,418
Baptist Medical Center - NassauFernandina Beach 61 $33,546 $3,134 $2,496
Cleveland Clinic HospitalWeston 60 $22,848 $3,134 $2,497
North Florida Regional Medical CenterGainesville 59 $92,197 $3,134 $2,497
Martin Memorial Health SystemsStuart 57 $30,339 $3,090 $2,449
St Anthony's HospitalSt Petersburg 57 $18,971 $3,091 $2,450
Jupiter Medical CenterJupiter 56 $18,492 $3,089 $2,452
Baptist Medical Center BeachesJacksonville Beach 55 $27,158 $3,134 $2,497
Baptist HospitalPensacola 54 $58,457 $3,088 $2,448
Univ of Miami Hosp & ClinicsMiami 51 $35,566 $3,134 $2,497
Delray Medical CenterDelray Beach 51 $66,322 $2,938 $2,299
Leesburg Regional Medical CenterLeesburg 50 $28,166 $3,088 $2,447
Doctors Hospital of SarasotaSarasota 49 $96,159 $3,134 $2,489
Adventhealth New Smyrna BeachNew Smyrna Beach 48 $19,512 $3,134 $2,497
Gulf Coast Medical Center Lee HealthFort Myers 48 $43,386 $3,134 $2,495
Halifax Health Medical CenterDaytona Beach 47 $24,821 $3,081 $2,436
Jackson Health SystemMiami 47 $13,942 $3,132 $2,494
Sacred Heart HospitalPensacola 47 $40,325 $3,081 $2,444
Cape Canaveral HospitalCocoa Beach 44 $44,355 $3,134 $2,497
Ocala Regional Medical CenterOcala 44 $85,935 $3,134 $2,490
Physicians Regional Medical Center - Pine RidgeNaples 44 $58,518 $3,134 $2,497
Baptist Hospital of Miami INCMiami 43 $41,349 $3,076 $2,434
Lakeland Regional Medical CenterLakeland 42 $23,767 $3,074 $2,437
Cape Coral HospitalCape Coral 42 $56,223 $3,134 $2,493
Mease Countryside HospitalSafety Harbor 42 $29,960 $3,092 $2,455
Tallahassee Memorial HealthcareTallahassee 41 $29,718 $3,134 $2,496
West Florida HospitalPensacola 41 $95,587 $3,073 $2,431
Villages Regional Hospital theLady Lake 41 $23,022 $3,081 $2,443
Lakewood Ranch Medical CenterBradenton 41 $94,363 $3,134 $2,496
South Miami HospitalMiami 40 $43,656 $3,009 $2,365
Mount Sinai Medical CenterMiami Beach 39 $24,691 $3,134 $2,494
Ascension St Vincent's Clay CountyMiddleburg 38 $51,758 $3,134 $2,497
Holmes Regional Medical CenterMelbourne 37 $37,117 $3,134 $2,486
Florida Hospital DelandDeland 33 $34,953 $3,058 $2,416
Flagler HospitalSt Augustine 33 $30,030 $3,276 $2,578
Shands Jacksonville Medical CenterJacksonville 31 $46,421 $3,134 $2,491
St Joseph's HospitalTampa 30 $35,293 $3,134 $2,491
Wuesthoff Medical Center - MelbourneMelbourne 30 $45,753 $3,134 $2,497
Bethesda Memorial HospitalBoynton Beach 29 $40,897 $3,134 $2,487
St Vincent's Medical CenterJacksonville 28 $58,143 $3,045 $2,408
Citrus Memorial HospitalInverness 26 $86,969 $3,134 $2,480
Adventhealth TampaTampa 26 $49,655 $3,134 $2,497
Holy Cross Hospital INCFort Lauderdale 25 $35,491 $3,134 $2,497
Gulf Coast Medical CenterPanama City 25 $64,040 $3,134 $2,480
Sacred Heart Hospital on the Emerald CoastMiramar Beach 22 $28,915 $3,134 $2,488
Parrish Medical CenterTitusville 21 $29,903 $3,134 $2,495
Adventhealth SebringSebring 21 $34,964 $3,134 $2,496
Adventhealth Wesley ChapelWesley Chapel 20 $92,603 $3,134 $2,497
Fort Walton Beach Medical CenterFort Walton Beach 19 $157,724 $3,134 $2,497
Manatee Memorial HospitalBradenton 18 $89,276 $3,134 $2,497
Twin Cities HospitalNiceville 18 $93,243 $3,134 $2,506
Sebastian River Medical CenterSebastian 18 $59,887 $2,995 $2,358
Good Samaritan Medical CenterWest Palm Beach 18 $57,596 $2,856 $2,219
Orlando Health Rockledge HospitalRockledge 17 $101,755 $2,996 $2,350
St Lucie Medical CenterPort St Lucie 16 $139,668 $3,134 $2,497
St Cloud Regional Medical CenterSt Cloud 16 $75,511 $3,134 $2,497
Jfk Medical CenterAtlantis 15 $89,706 $3,134 $2,497
Jackson HospitalMarianna 15 $7,148 $3,357 $2,661
St Luke's HospitalJacksonville 15 $57,592 $2,811 $2,159
Adventhealth Palm CoastPalm Coast 14 $28,507 $3,134 $2,497
Orange Park Medical CenterOrange Park 14 $51,419 $2,955 $2,319
South Bay HospitalGreater Sun Center 14 $73,284 $3,134 $2,497
Oak Hill HospitalBrooksville 14 $142,122 $3,134 $2,494
Memorial Hospital WestHollywood 14 $39,313 $3,134 $2,497
Winter Haven HospitalWinter Haven 13 $29,415 $3,134 $2,497
Florida Hospital Fish MemorialOrange City 13 $20,956 $3,134 $2,497
Northwest Medical CenterPompano Beach 13 $100,739 $3,134 $2,497
Tampa General Hospital Crystal RiverCrystal River 13 $74,734 $3,134 $2,497
Florida Hospital WatermanEustis 12 $20,317 $3,134 $2,497
Largo Medical CenterLargo 12 $107,011 $3,134 $2,497
Coral Springs Medical CenterPompano Beach 12 $20,649 $3,134 $2,497
Adventhealth Port CharlottePort Charlotte 11 $100,774 $2,963 $2,361
Bay Medical CenterPanama City – – – –
North Shore Medical CenterMiami – – – –
Health CentralOcoee – – – –
Bayfront Medical Center INCSt Petersburg – – – –
Memorial Regional HospitalHollywood – – – –
Broward General Medical CenterFort Lauderdale – – – –
Mease Hospital DunedinDunedin – – – –
Florida Hospital ZephyrhillsZephyrhills – – – –
Shorepoint Health Punta GordaPunta Gorda – – – –
Palm Springs General HospitalHialeah – – – –
South Lake HospitalClermont – – – –
Hialeah HospitalHialeah – – – –
Adventhealth North PinellasTarpon Springs – – – –
Morton Plant North Bay HospitalNew Port Richey – – – –
University Community Hospital at CarrollwoodTampa – – – –
Brooksville Regional HospitalBrooksville – – – –
North Broward Medical CenterPompano Beach – – – –
Lake Wales Medical CenterLake Wales – – – –
Lehigh Regional Medical CenterLehigh Acres – – – –
Osceola Regional Medical CenterKissimmee – – – –
Bartow Regional Medical CenterBartow – – – –
North Okaloosa Medical CenterCrestview – – – –
Santa Rosa Medical CenterMilton – – – –
Homestead HospitalHomestead – – – –
Palms of Pasadena HospitalSt Petersburg – – – –
Aventura Hospital & Med CenterMiami – – – –
South Florida Baptist HospitalPlant City – – – –
Heart of Florida Reg Med CtrDavenport – – – –
Lower Keys Medical CenterKey West – – – –
Lake City Medical CenterLake City – – – –
Central Florida Regional HospitalSanford – – – –
Plantation General HospitalPlantation – – – –
Desoto Memorial HospitalArcadia – – – –
Palm Beach Gardens Medical CenterPalm Beach Gardens – – – –
HCA Florida Memorial HospitalJacksonville – – – –
St Petersburg General HospitalSt Petersburg – – – –
Larkin Community HospitalSouth Miami – – – –
Coral Gables HospitalCoral Gables – – – –
Palmetto General HospitalHialeah – – – –
HCA Florida Trinity HospitalNew Port Richey – – – –
Imperial Point Medical CenterFort Lauderdale – – – –
Memorial Hospital of TampaTampa – – – –
Kendall Regional Medical CenterMiami – – – –
Adventhealth Dade CityDade City – – – –
Blake Medical CenterBradenton – – – –
University Hospital & Medical CenterTamarac – – – –
Westside Regional Medical CenterPlantation – – – –
Memorial Hospital PembrokeHollywood – – – –
Putnam Community Medical CtrPalatka – – – –
Fawcett Memorial HospitalPort Charlotte – – – –
Brandon Regional HospitalBrandon – – – –
HCA Florida Lawnwood HospitalFort Pierce – – – –
Raulerson HospitalOkeechobee – – – –
Capital Regional Medical CenterTallahassee – – – –
Regional Medical Center Bayonet PointHudson – – – –
Gulf Breeze HospitalGulf Breeze – – – –
Englewood Community HospitalEnglewood – – – –
West Boca Medical CenterBoca Raton – – – –
Palms West HospitalLoxahatchee – – – –
Wellington Regional Medical CenterWellington – – – –
Keralty HospitalMiami – – – –
Memorial Hospital MiramarMiramar – – – –
Doctors Hospital INCCoral Gables – – – –
Sacred Heart Hospital on the GulfPort St Joe – – – –
West Kendall Baptist HospitalMiami – – – –
Viera HospitalMelbourne – – – –
Palm Bay HospitalPalm Bay – – – –
HCA Florida Poinciana HospitalKissimmee – – – –
Oviedo Medical CenterOviedo – – – –
Halifax Health /UF Health Medical Center of DeltonDeltona – – – –
Ucf Lake Nona HospitalOrlando – – – –
HCA Florida University HospitalDavie – – – –
Ascension St Vincent's St Johns CountySt. Johns – – – –
Baycare Hospital Wesley ChapelWesley Chapel – – – –
Adventhealth Palm Coast ParkwayPalm Coast – – – –
Adventhealth RiverviewRiverview – – – –
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Lowest and highest allowed amounts in Florida

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

St Luke's HospitalJacksonville, FL$2,811
Good Samaritan Medical CenterWest Palm Beach, FL$2,856
Lee Memorial HospitalFort Myers, FL$2,899
Delray Medical CenterDelray Beach, FL$2,938
Mayo ClinicJacksonville, FL$2,949

Highest

Jackson HospitalMarianna, FL$3,357
Flagler HospitalSt Augustine, FL$3,276
Citrus Memorial HospitalInverness, FL$3,134
Gulf Coast Medical CenterPanama City, FL$3,134
Holmes Regional Medical CenterMelbourne, FL$3,134

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

Questions

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

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 163 hospitals in Florida was billed at $42,191 on average, while the average medicare-allowed amount was $3,098, of which Medicare paid $2,460. 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 Florida, average charges were 13.6 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.