Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Pennsylvania
What 119 hospitals in Pennsylvania charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$26,679
Hospital list price billed
Average allowed
$3,214
Medicare's payment + patient's share
Medicare paid
$2,553
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $26,679 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.3 times the average medicare-allowed amount of $3,214. That payment is 3% 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 $3,214Billed $26,679
About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 261 | $29,173 | $3,331 | $2,643 |
| Hospital of the Univ of PaPhiladelphia | 206 | $37,798 | $3,428 | $2,725 |
| Thomas Jefferson University HospitalPhiladelphia | 188 | $21,340 | $3,272 | $2,599 |
| UPMC Pinnacle HospitalsHarrisburg | 164 | $19,097 | $3,100 | $2,468 |
| St Luke's Hospital BethlehemBethlehem | 116 | $38,262 | $3,351 | $2,663 |
| Chester County HospitalWest Chester | 101 | $22,379 | $3,338 | $2,658 |
| St Luke's Hospital - Anderson CampusEaston | 100 | $39,499 | $3,103 | $2,460 |
| Milton S Hershey Medical CenterHershey | 87 | $29,121 | $3,227 | $2,565 |
| Lancaster General HospitalLancaster | 86 | $19,996 | $3,158 | $2,503 |
| Abington Memorial HospitalAbington | 86 | $15,486 | $3,226 | $2,562 |
| Geisinger-Community Medical CenterScranton | 84 | $46,700 | $2,978 | $2,354 |
| Main Line Hospital PaoliPaoli | 79 | $13,991 | $3,316 | $2,642 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 78 | $12,614 | $3,338 | $2,657 |
| Reading Hospital and Med CtrWest Reading | 77 | $18,287 | $3,140 | $2,497 |
| Riddle Memorial HospitalMedia | 76 | $14,846 | $3,326 | $2,639 |
| Penn Presbyterian Medical CenterPhiladelphia | 76 | $38,626 | $3,449 | $2,741 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 75 | $24,292 | $3,486 | $2,777 |
| UPMC Presbyterian ShadysidePittsburgh | 73 | $44,004 | $3,090 | $2,458 |
| York HospitalYork | 71 | $20,534 | $3,256 | $2,592 |
| Temple University HospitalPhiladelphia | 67 | $44,613 | $3,133 | $2,449 |
| Jefferson Health- NortheastPhiladelphia | 67 | $15,060 | $3,324 | $2,648 |
| UPMC MemorialYork | 58 | $23,090 | $2,253 | $1,788 |
| Main Line Hospital LankenauWynnewood | 58 | $18,305 | $3,263 | $2,586 |
| Geisinger Medical CenterDanville | 57 | $49,068 | $3,091 | $2,463 |
| Fox Chase Cancer CenterPhiladelphia | 55 | $32,611 | $3,361 | $2,677 |
| Doylestown HospitalDoylestown | 55 | $20,365 | $3,338 | $2,653 |
| Evangelical Community HospitalLewisburg | 54 | $30,076 | $3,090 | $2,459 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 54 | $14,123 | $3,246 | $2,583 |
| Robert Packer HospitalSayre | 53 | $18,307 | $3,178 | $2,529 |
| Albert Einstein Medical CenterPhiladelphia | 50 | $13,635 | $3,308 | $2,622 |
| UPMC EastMonroeville | 49 | $24,139 | $3,090 | $2,458 |
| Mount Nittany Medical CenterState College | 48 | $23,551 | $3,491 | $2,782 |
| Uniontown HospitalUniontown | 46 | $9,497 | $3,090 | $2,461 |
| Hamot Medical CenterErie | 44 | $30,680 | $3,646 | $2,903 |
| Wilkes-Barre General HospitalWilkes-Barre | 43 | $39,745 | $3,033 | $2,405 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 43 | $55,923 | $2,645 | $2,096 |
| St Clair Memorial HospitalPittsburgh | 42 | $16,691 | $3,090 | $2,456 |
| Easton HospitalEaston | 41 | $47,769 | $3,323 | $2,634 |
| Dubois Regional Medical CenterDubois | 40 | $11,639 | $3,310 | $2,632 |
| UPMC PassavantPittsburgh | 40 | $33,924 | $3,090 | $2,462 |
| Mercy Hospital ScrantonScranton | 36 | $36,240 | $3,022 | $2,394 |
| Bloomsburg HospitalBloomsburg | 35 | $26,430 | $3,090 | $2,452 |
| Conemaugh Valley Memorial HospitalJohnstown | 35 | $13,351 | $3,309 | $2,634 |
| Williamsport Hospital & Medical CenterWilliamsport | 34 | $22,064 | $3,090 | $2,455 |
| St Mary Medical CenterLanghorne | 34 | $24,146 | $3,337 | $2,659 |
| Lansdale HospitalLansdale | 33 | $14,531 | $3,246 | $2,586 |
| Altoona Regional Health SystemAltoona | 33 | $22,738 | $3,309 | $2,637 |
| Phoenixville HospitalPhoenixville | 33 | $21,258 | $3,263 | $2,579 |
| St Luke's Quakertown HospitalQuakertown | 32 | $27,571 | $3,254 | $2,576 |
| Good Samaritan HospitalLebanon | 32 | $20,657 | $3,199 | $2,529 |
| Pocono Medical CenterEast Stroudsburg | 32 | $33,712 | $3,374 | $2,687 |
| Ephrata Community HospitalEphrata | 32 | $37,868 | $3,105 | $2,474 |
| Lewistown HospitalLewistown | 28 | $19,840 | $2,717 | $2,165 |
| Hanover HospitalHanover | 28 | $27,586 | $3,256 | $2,595 |
| UPMC MercyPittsburgh | 27 | $23,766 | $3,090 | $2,462 |
| Grand View HospitalSellersville | 27 | $17,868 | $3,338 | $2,659 |
| Chambersburg HospitalChambersburg | 26 | $25,624 | $3,452 | $2,741 |
| Allegheny General HospitalPittsburgh | 25 | $23,486 | $3,090 | $2,462 |
| Excela Health Westmoreland Regional HospitalGreensburg | 25 | $15,156 | $3,090 | $2,456 |
| St Luke's Hospital - Monroe CampusStroudsburg | 24 | $46,774 | $3,277 | $2,611 |
| Lehigh Valley Hospital - Dickson CityDickson City | 24 | $21,492 | $2,988 | $2,352 |
| Meadville Medical CenterMeadville | 23 | $12,515 | $3,310 | $2,629 |
| St Luke's Hospital - Carbon CampusLehighton | 23 | $38,118 | $3,153 | $2,512 |
| Penn State Health Lancaster Medical CenterLancaster | 23 | $31,531 | $3,049 | $2,429 |
| Carlisle Regional Medical CtrCarlisle | 22 | $29,868 | $3,019 | $2,374 |
| Pottstown Memorial Med CenterPottstown | 22 | $17,495 | $3,128 | $2,458 |
| St Joseph Medical CenterReading | 21 | $29,801 | $3,155 | $2,513 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 19 | $23,167 | $3,090 | $2,462 |
| Chestnut Hill HospitalPhiladelphia | 18 | $49,225 | $3,227 | $2,544 |
| Holy Redeemer Hosp and Med CtrJenkintown | 18 | $17,490 | $3,246 | $2,575 |
| Butler Health SystemButler | 18 | $12,266 | $3,090 | $2,462 |
| Crozer Chester Medical CenterChester | 18 | $28,773 | $3,361 | $2,678 |
| UPMC St MargaretPittsburgh | 17 | $38,537 | $3,090 | $2,462 |
| Latrobe Area HospitalLatrobe | 17 | $18,670 | $3,090 | $2,440 |
| AHN Wexford HospitalWexford | 17 | $25,228 | $3,090 | $2,456 |
| Washington Hospital, theWashington | 16 | $15,962 | $3,090 | $2,462 |
| Jefferson Regional Medical CenterClairton | 16 | $18,512 | $2,782 | $2,153 |
| Penn State Health Hampden Medical CenterEnola | 16 | $27,510 | $2,795 | $2,157 |
| Jameson Memorial HospitalNew Castle | 15 | $15,299 | $3,090 | $2,462 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 15 | $22,988 | $3,095 | $2,453 |
| Saint Vincent Health CenterErie | 14 | $41,792 | $3,646 | $2,905 |
| Northwest Medical CenterOil City | 14 | $8,725 | $3,090 | $2,462 |
| Geisinger St. Luke's HospitalOrwigsburg | 14 | $30,153 | $3,006 | $2,358 |
| St Luke's Miners Memorial HospitalCoaldale | 13 | $37,534 | $3,188 | $2,540 |
| Hazleton General HospitalHazleton | 13 | $25,644 | $3,090 | $2,459 |
| Holy Spirit HospitalCamp Hill | 11 | $31,227 | $3,132 | $2,496 |
| Nason HospitalRoaring Spring | 11 | $16,337 | $3,090 | $2,450 |
| West Penn HospitalPittsburgh | 11 | $37,129 | $3,090 | $2,457 |
| Wayne Memorial HospitalHonesdale | 11 | $16,508 | $3,319 | $2,645 |
| Mercy Health SystemConshohocken | 11 | $36,619 | $3,361 | $2,678 |
| Indiana Regional Medical CenterIndiana | 11 | $20,237 | $3,315 | $2,629 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Allegheny Valley HospitalNatrona Heights | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| Somerset HospitalSomerset | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Gettysburg HospitalGettysburg | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Lower Bucks HospitalBristol | – | – | – | – |
| Clarion HospitalClarion | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| Mercy Suburban HospitalNorristown | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Waynesboro HospitalWaynesboro | – | – | – | – |
| Warren General HospitalWarren | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Canonsburg General HospitalCanonsburg | – | – | – | – |
| ACMH HospitalKittanning | – | – | – | – |
| UPMC HorizonGreenville | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Punxsutawney Area HospitalPunxsutawney | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Excela Health Frick HospitalMt Pleasant | – | – | – | – |
| Grove City Medical CenterGrove City | – | – | – | – |
| Surgical Institute of ReadingWyomissing | – | – | – | – |
| Geisinger Medical Center MuncyMuncy | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| UPMC MemorialYork, PA | $2,253 |
|---|---|
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $2,645 |
| Lewistown HospitalLewistown, PA | $2,717 |
| Jefferson Regional Medical CenterClairton, PA | $2,782 |
| Penn State Health Hampden Medical CenterEnola, PA | $2,795 |
Highest
| Hamot Medical CenterErie, PA | $3,646 |
|---|---|
| Saint Vincent Health CenterErie, PA | $3,646 |
| Mount Nittany Medical CenterState College, PA | $3,491 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $3,486 |
| Chambersburg HospitalChambersburg, PA | $3,452 |
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 Pennsylvania?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 119 hospitals in Pennsylvania was billed at $26,679 on average, while the average medicare-allowed amount was $3,214, of which Medicare paid $2,553. 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 Pennsylvania, average charges were 8.3 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.