facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in New York: 123 hospitals compared (APC 5341)

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in New York

What 123 hospitals in New York 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 $24,428 Hospital list price billed
Average allowed $3,796 Medicare's payment + patient's share
Medicare paid $3,011 Average per service
State rank #46 of 49 1 = lowest average payment

Hospitals in New York billed an average of $24,428 for level 1 abdominal/peritoneal/biliary and related procedures, about 6.4 times the average medicare-allowed amount of $3,796. That payment is 14% 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 $3,796Billed $24,428

About 16¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 1 abdominal/peritoneal/biliary and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
New York-Presbyterian HospitalNew York 434 $26,264 $3,886 $3,085
NYU Hospitals CenterNew York 380 $55,839 $3,847 $3,054
Mem Sloan-Kettering Cancer CtrNew York 292 $18,820 $3,915 $3,114
North Shore University HospitalManhasset 192 $21,334 $3,715 $2,939
Long Island Jewish Medical CenterNew Hyde Park 134 $21,424 $3,855 $3,060
Staten Island University HospitalStaten Island 130 $20,439 $3,818 $3,015
Mount Sinai HospitalNew York 123 $21,220 $3,911 $3,111
University HospitalStony Brook 121 $24,927 $3,823 $3,039
White Plains Hospital CtrWhite Plains 114 $36,162 $3,935 $3,135
Maimonides Medical CenterBrooklyn 109 $32,374 $3,919 $3,119
Huntington HospitalHuntington 99 $15,662 $3,597 $2,810
Good Samaritan Hospital Medical CenterWest Islip 80 $19,860 $3,792 $3,006
Strong Memorial HospitalRochester 74 $17,202 $3,629 $2,882
Nyack HospitalNyack 66 $20,606 $3,881 $3,081
St Peter's HospitalAlbany 62 $17,900 $3,621 $2,873
Montefiore Medical CenterBronx 61 $31,377 $3,843 $3,050
Garnet Health Medical CenterGoshen 61 $19,649 $3,819 $3,028
Crouse HospitalSyracuse 60 $12,094 $3,574 $2,825
Glen Cove HospitalGlen Cove 57 $19,271 $3,887 $3,095
Rochester General HospitalRochester 56 $11,356 $3,482 $2,735
Highland HospitalRochester 56 $14,852 $3,564 $2,817
Buffalo General HospitalBuffalo 50 $18,546 $3,668 $2,921
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 50 $25,212 $3,618 $2,832
Mount Sinai WestNew York 49 $19,815 $3,897 $3,105
Peconic Bay Medical CenterRiverhead 49 $17,245 $3,676 $2,885
Healthalliance Hospital Marys Avenue CampusKingston 49 $15,254 $3,741 $2,961
Wynn HospitalUtica 46 $19,611 $3,605 $2,859
Beth Israel Medical CenterNew York 46 $22,728 $3,829 $3,037
St Catherine of Siena HospitalSmithtown 46 $26,570 $3,797 $3,009
St Joseph's Hospital Health CenterSyracuse 44 $18,233 $3,602 $2,853
United Health Services HospsBinghamton 44 $17,533 $3,560 $2,821
Plainview HospitalPlainview 43 $19,957 $3,768 $2,972
South Nassau Communities HospitalOceanside 42 $29,751 $3,898 $3,100
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 42 $10,953 $3,928 $3,130
Lenox Hill HospitalNew York 41 $25,827 $3,839 $3,047
Saratoga HospitalSaratoga Springs 39 $26,351 $3,668 $2,922
University Hospital S U N Y Health Science CenterSyracuse 39 $28,143 $3,668 $2,920
Mercy HospitalBuffalo 39 $13,461 $3,593 $2,848
Mary Imogene Bassett HospitalCooperstown 38 $13,620 $3,928 $3,130
Vassar Brothers Medical CenterPoughkeepsie 37 $14,738 $3,774 $2,991
Long Island Community HospitalPatchogue 36 $74,580 $3,864 $3,079
Putnam Hospital CenterCarmel 36 $20,101 $3,663 $2,858
Northern Westchester HospitalMt Kisco 34 $21,780 $3,605 $2,805
Corning HospitalCorning 34 $16,306 $3,496 $2,751
Albany Medical Center HospitalAlbany 33 $16,271 $3,668 $2,917
New York Hospital Medical Center of QueensNew York 33 $25,185 $3,937 $3,137
Glens Falls HospitalGlens Falls 32 $10,087 $3,668 $2,923
St Charles HospitalPort Jefferson 32 $33,304 $3,864 $3,077
Aurelia Osborn Fox Memorial HospitalOneonta 31 $7,934 $3,928 $3,130
Nicholas H Noyes Memorial HospitalDansville 30 $9,363 $3,668 $2,920
St Francis Hospital, RoslynRoslyn 29 $23,691 $3,898 $3,106
Cornwall HospitalCornwall 29 $19,628 $3,887 $3,096
Westchester Medical CenterValhalla 27 $42,347 $3,802 $2,998
Cayuga Medical Center at IthacaIthaca 26 $15,303 $3,928 $3,130
Olean General HospitalOlean 25 $8,345 $3,829 $3,009
Cortland Regional Medical Center, INCCortland 25 $14,978 $3,928 $3,130
Canton-Potsdam HospitalPotsdam 24 $14,594 $3,929 $3,129
Phelps Memorial Hospital AssnSleepy Hollow 23 $43,679 $3,852 $3,050
Roswell Park Cancer InstituteBuffalo 23 $8,405 $3,668 $2,922
Oneida Healthcare CenterOneida 22 $15,146 $3,668 $2,923
Unity Hospital of RochesterRochester 22 $11,349 $3,535 $2,787
Southside HospitalBay Shore 20 $26,154 $3,738 $2,947
Ellis HospitalSchenectady 20 $16,542 $3,668 $2,921
Samaritan HospitalTroy 20 $12,100 $3,668 $2,923
Auburn Memorial HospitalAuburn 20 $10,077 $3,929 $3,121
Montefiore New Rochelle HospitalNew Rochelle 19 $19,731 $3,937 $3,123
F F Thompson HospitalCanandaigua 18 $10,226 $3,668 $2,923
South Brooklyn HealthBrooklyn 17 $12,504 $3,937 $3,137
UPMC Chautauqua at WcaJamestown 17 $12,968 $3,668 $2,923
Northern Dutchess HospitalRhinebeck 16 $14,393 $3,816 $3,020
Bon Secours Community HospitalPort Jervis 16 $50,206 $3,894 $3,090
Erie County Medical CenterBuffalo 16 $9,194 $3,668 $2,909
New York Community Hospital of Brooklyn, INC.Brooklyn 15 $16,888 $3,937 $3,137
Kenmore Mercy HospitalBuffalo 15 $16,696 $3,668 $2,923
Brooklyn Hospital Center at Downtown CampusBrooklyn 14 $19,681 $3,796 $3,025
Sisters of Charity HospitalBuffalo 14 $10,047 $3,668 $2,923
Flushing Hospital Medical CenterNew York 14 $6,274 $3,937 $3,137
Richmond University Medical CenterStaten Island 13 $18,750 $3,937 $3,137
Good Samaritan Hospital of SuffernSuffern 13 $45,563 $3,937 $3,137
Our Lady of Lourdes Memorial Hospital, INCBinghamton 12 $33,682 $3,425 $2,679
Brookdale Hospital Medical CenterBrooklyn 12 $12,294 $3,937 $3,137
Mercy Medical CenterRockville Centre 12 $26,389 $3,898 $3,106
University Hospital of Brooklyn ( Downstate )Brooklyn 11 $16,866 $3,937 $3,132
St Joseph's Medical CenterYonkers – – – –
Wyoming County Community HospitalWarsaw – – – –
Jamaica Hospital Med CenterJamaica – – – –
Newark-Wayne Community HospitalNewark – – – –
Chenango Memorial Hospital, INCNorwich – – – –
St Mary's Hospital at AmsterdamAmsterdam – – – –
Geneva General HospitalGeneva – – – –
Niagara Falls Memorial Medical CenterNiagara Falls – – – –
United Memorial Medical CenterBatavia – – – –
Adirondack Medical CenterSaranac Lake – – – –
Lincoln Medical & Mental Health CenterBronx – – – –
Mount Vernon HospitalMt Vernon – – – –
Arnot Ogden Medical CenterElmira – – – –
Columbia Memorial HospitalHudson – – – –
Jones Memorial HospitalWellsville – – – –
Jacobi Medical CenterBronx – – – –
Elmhurst Hospital CenterNew York – – – –
St James Mercy HospitalHornell – – – –
Samaritan Medical CenterWatertown – – – –
Mount St Mary's Hospital and Health CenterLewiston – – – –
Metropolitan Hospital CenterNew York – – – –
Kings County Hospital CenterBrooklyn – – – –
Bellevue Hospital CenterNew York – – – –
St Anthony Community HospitalWarwick – – – –
St John's Riverside HospitalYonkers – – – –
Claxton-Hepburn Medical CenterOgdensburg – – – –
Rome Memorial Hospital, INCRome – – – –
Oswego HospitalOswego – – – –
Wyckoff Heights Medical CenterBrooklyn – – – –
Brooks Memorial HospitalDunkirk – – – –
Queens Hospital CenterJamaica – – – –
Harlem Hospital CenterNew York – – – –
Clifton Springs Hospital and ClinicClifton Springs – – – –
Hudson Valley Hospital CenterCortlandt Manor – – – –
Nathan Littauer HospitalGloversville – – – –
St Joseph HospitalBethpage – – – –
Garnet Health Medical Center CatskillsHarris – – – –
St John's Episcopal Hospital at South ShoreFar Rockaway – – – –
Woodhull Medical and Mental Health CenterBrooklyn – – – –
St Barnabas HospitalBronx – – – –
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Lowest and highest allowed amounts in New York

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

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 New York?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 123 hospitals in New York was billed at $24,428 on average, while the average medicare-allowed amount was $3,796, of which Medicare paid $3,011. 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 New York, average charges were 6.4 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.