Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Ohio
What 112 hospitals in Ohio charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$23,560
Hospital list price billed
Average allowed
$2,933
Medicare's payment + patient's share
Medicare paid
$2,322
Average per service
State rank
#7 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $23,560 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.0 times the average medicare-allowed amount of $2,933. That payment is 12% 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 $2,933Billed $23,560
About 12¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland | 144 | $19,671 | $2,878 | $2,280 |
| Hillcrest HospitalCleveland | 134 | $16,775 | $2,945 | $2,342 |
| Christ HospitalCincinnati | 98 | $20,795 | $3,004 | $2,393 |
| Miami Valley HospitalDayton | 95 | $35,008 | $2,876 | $2,257 |
| Cleveland Clinic Avon HospitalAvon | 91 | $15,056 | $2,902 | $2,302 |
| Ohio State University HospitalsColumbus | 84 | $28,718 | $3,061 | $2,436 |
| Good Samaritan HospitalCincinnati | 80 | $13,076 | $2,979 | $2,367 |
| Fairview HospitalCleveland | 76 | $16,846 | $2,830 | $2,224 |
| Toledo Hospital theToledo | 75 | $28,210 | $2,985 | $2,363 |
| Aultman HospitalCanton | 73 | $14,994 | $2,924 | $2,327 |
| Bethesda North HospitalCincinnati | 71 | $17,269 | $3,009 | $2,397 |
| University Hospitals Ahuja Medical CenterBeachwood | 61 | $16,720 | $2,954 | $2,349 |
| Mercy St Vincent Medical CenterToledo | 57 | $51,534 | $3,089 | $2,460 |
| Riverside Methodist HospitalColumbus | 56 | $33,555 | $3,050 | $2,421 |
| West Chester Medical CenterWest Chester | 56 | $19,912 | $2,925 | $2,311 |
| St Rita's Medical CenterLima | 50 | $33,765 | $2,912 | $2,302 |
| Cleveland Clinic - Akron GeneralAkron | 46 | $20,225 | $2,944 | $2,346 |
| University Hospital, INCCincinnati | 45 | $29,344 | $3,010 | $2,399 |
| Medina HospitalMedina | 43 | $17,615 | $2,953 | $2,353 |
| Mount Carmel HealthColumbus | 40 | $18,000 | $3,094 | $2,460 |
| Firelands Community HospitalSandusky | 38 | $15,070 | $2,944 | $2,346 |
| Blanchard Valley Health AssnFindlay | 38 | $12,855 | $2,952 | $2,352 |
| Parma Community General HospitalParma | 37 | $20,230 | $2,894 | $2,294 |
| Wood County HospitalBowling Green | 35 | $14,337 | $2,887 | $2,285 |
| Marietta Memorial HospitalMarietta | 35 | $27,181 | $1,738 | $1,139 |
| Fairfield Medical CenterLancaster | 33 | $31,499 | $3,094 | $2,463 |
| Grant Medical CenterColumbus | 32 | $35,270 | $2,940 | $2,311 |
| St John Medical CenterWestlake | 32 | $20,174 | $2,954 | $2,350 |
| Southern Ohio Medical CenterPortsmouth | 30 | $33,509 | $2,904 | $2,261 |
| Union HospitalDover | 30 | $15,158 | $2,944 | $2,346 |
| Arthur G James Cancer HospitalColumbus | 30 | $12,947 | $3,094 | $2,464 |
| Kettering Medical CenterKettering | 29 | $40,803 | $3,105 | $2,474 |
| Southwest General Health CenterMiddleburg Heights | 29 | $23,484 | $2,892 | $2,298 |
| Dublin Methodist HospitalDublin | 28 | $33,429 | $3,094 | $2,462 |
| Genesis Healthcare SystemZanesville | 25 | $20,515 | $3,000 | $2,385 |
| University Hospitals of ClevelandCleveland | 25 | $20,045 | $2,953 | $2,353 |
| Ohiohealth Mansfield HospitalMansfield | 24 | $27,428 | $3,028 | $2,410 |
| Marion General HospitalMarion | 22 | $21,069 | $3,028 | $2,413 |
| Marymount HospitalGarfield Heights | 22 | $22,542 | $2,857 | $2,253 |
| Summa Health System - Akron CampusAkron | 21 | $22,349 | $2,832 | $2,234 |
| Atrium Medical CenterMiddletown | 20 | $24,184 | $2,884 | $2,273 |
| Metrohealth SystemCleveland | 19 | $18,513 | $1,591 | $991 |
| Mercy Medical CenterCanton | 19 | $19,138 | $2,944 | $2,346 |
| Kettering Health DaytonDayton | 19 | $33,901 | $3,029 | $2,401 |
| University Hospitals - Elyria Medical CenterElyria | 19 | $24,914 | $2,844 | $2,243 |
| Adena Regional Medical CenterChillicothe | 19 | $37,050 | $3,028 | $2,413 |
| Mercy Hospital ClermontBatavia | 19 | $19,323 | $2,883 | $2,264 |
| Memorial Hospital of Union CountyMarysville | 18 | $44,078 | $2,831 | $2,191 |
| Lake Hospital SystemPainesville | 18 | $24,379 | $2,954 | $2,343 |
| Kettering Medical Center - SycamoreMiamisburg | 18 | $38,871 | $2,968 | $2,336 |
| Lima Memorial Health SystemLima | 17 | $39,002 | $2,744 | $2,129 |
| Wooster Community HospitalWooster | 17 | $8,927 | $2,960 | $2,347 |
| Holzer Medical CenterGallipolis | 17 | $21,609 | $2,944 | $2,341 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 17 | $29,551 | $3,009 | $2,397 |
| Ashtabula County Medical CenterAshtabula | 16 | $22,658 | $2,996 | $2,355 |
| Mercy Regional Medical CenterLorain | 16 | $26,288 | $2,953 | $2,353 |
| Surgical Hospital at SouthwoodsYoungstown | 16 | $20,101 | $2,797 | $2,196 |
| Samaritan Hospital - Peoples HospitalAshland | 15 | $21,632 | $2,944 | $2,346 |
| UH Regional HospitalsRichmond Heights | 15 | $24,914 | $2,953 | $2,353 |
| Licking Memorial HospitalNewark | 15 | $18,929 | $3,094 | $2,465 |
| Doctors HospitalColumbus | 14 | $33,720 | $3,055 | $2,429 |
| Memorial HospitalFremont | 14 | $18,917 | $2,616 | $2,016 |
| University of Toledo Medical CenterToledo | 13 | $38,404 | $3,025 | $2,405 |
| Mercy Hospital FairfieldFairfield | 13 | $29,164 | $3,009 | $2,397 |
| University Hospitals Portage Medical CenterRavenna | 13 | $18,985 | $2,944 | $2,346 |
| Mary Rutan HospitalBellefontaine | 13 | $31,780 | $3,325 | $2,650 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 13 | $15,413 | $2,944 | $2,346 |
| Community Hospitals and Wellness CentersBryan | 12 | $13,783 | $3,092 | $2,463 |
| South Pointe HospitalWarrensville Heights | 12 | $18,005 | $2,953 | $2,353 |
| Southeastern Ohio Regional Medical CenterCambridge | 12 | $21,764 | $3,153 | $2,512 |
| Fisher Titus Memorial HospitalNorwalk | 11 | $17,896 | $2,959 | $2,358 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 11 | $45,164 | $3,009 | $2,397 |
| Summa Western Reserve HospitalCuyahoga Falls | 11 | $38,593 | $2,944 | $2,346 |
| Berger HospitalCircleville | 11 | $31,946 | $3,094 | $2,448 |
| Grady Memorial HospitalDelaware | 11 | $42,154 | $3,094 | $2,465 |
| Mercy Hospital AndersonCincinnati | – | – | – | – |
| Mount Carmel St Ann's HospitalWesterville | – | – | – | – |
| Wilson Memorial HospitalSidney | – | – | – | – |
| O'bleness Memorial HospitalAthens | – | – | – | – |
| Jewish Hospital, LLCCincinnati | – | – | – | – |
| Grand Lake Health SystemSt Marys | – | – | – | – |
| Knox Community HospitalMt Vernon | – | – | – | – |
| Wayne HospitalGreenville | – | – | – | – |
| McCullough-Hyde Memorial HospitalOxford | – | – | – | – |
| Trumbull Memorial HospitalWarren | – | – | – | – |
| Mercer County Joint Township Community HospitalColdwater | – | – | – | – |
| St Elizabeth Health CenterYoungstown | – | – | – | – |
| Van Wert County HospitalVan Wert | – | – | – | – |
| East Ohio Regional HospitalMartins Ferry | – | – | – | – |
| Euclid HospitalEuclid | – | – | – | – |
| Springfield Regional Medical CenterSpringfield | – | – | – | – |
| Lutheran HospitalCleveland | – | – | – | – |
| Mercy Hospital of TiffinTiffin | – | – | – | – |
| Bellevue HospitalBellevue | – | – | – | – |
| Coshocton County Memorial HospitalCoshocton | – | – | – | – |
| Alliance Community HospitalAlliance | – | – | – | – |
| Joel Pomerene Memorial HospitalMillersburg | – | – | – | – |
| St Joseph Health CenterWarren | – | – | – | – |
| Upper Valley Medical CenterTroy | – | – | – | – |
| Trihealth Clinton Regional HospitalWilmington | – | – | – | – |
| Salem Community HospitalSalem | – | – | – | – |
| Madison County Hospital INCLondon | – | – | – | – |
| Bay Park Community HospitalOregon | – | – | – | – |
| Mercy Hospital of DefianceDefiance | – | – | – | – |
| St Elizabeth Boardman Health CenterYoungstown | – | – | – | – |
| Ohio Valley Medical Center, LLCSpringfield | – | – | – | – |
| Soin Medical CenterBeaver Creek | – | – | – | – |
| Kings Daughters Medical Center OhioPortsmouth | – | – | – | – |
| Avita OntarioOntario | – | – | – | – |
| Lake Health Beachwood Medical CenterBeachwood | – | – | – | – |
| Kettering Health TroyTroy | – | – | – | – |
| Mercy Health Kings Mills Hospital LLCMason | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $1,591 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $1,738 |
| Memorial HospitalFremont, OH | $2,616 |
| Lima Memorial Health SystemLima, OH | $2,744 |
| Surgical Hospital at SouthwoodsYoungstown, OH | $2,797 |
Highest
| Mary Rutan HospitalBellefontaine, OH | $3,325 |
|---|---|
| Southeastern Ohio Regional Medical CenterCambridge, OH | $3,153 |
| Kettering Medical CenterKettering, OH | $3,105 |
| Berger HospitalCircleville, OH | $3,094 |
| Mount Carmel HealthColumbus, OH | $3,094 |
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 Ohio?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 112 hospitals in Ohio was billed at $23,560 on average, while the average medicare-allowed amount was $2,933, of which Medicare paid $2,322. 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 Ohio, average charges were 8.0 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.