facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in Texas: 228 hospitals compared (APC 5341)

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

What 228 hospitals in Texas 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 $36,614 Hospital list price billed
Average allowed $3,064 Medicare's payment + patient's share
Medicare paid $2,429 Average per service
State rank #19 of 49 1 = lowest average payment

Hospitals in Texas billed an average of $36,614 for level 1 abdominal/peritoneal/biliary and related procedures, about 12.0 times the average medicare-allowed amount of $3,064. That payment is 8% 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 $3,064Billed $36,614

About 8¢ was paid for every $1 hospitals in Texas billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Tx M D Anderson CtrHouston 181 $18,287 $3,208 $2,554
Methodist Hospital,TheHouston 179 $47,650 $3,126 $2,483
UT Southwestern University HospitalDallas 110 $20,894 $3,091 $2,456
Trinity Mother Frances SystTyler 108 $50,449 $2,980 $2,366
Methodist HospitalSan Antonio 87 $34,396 $3,002 $2,392
Hendrick Health SystemAbilene 84 $48,386 $3,175 $2,529
Scott & White Hospital-Round RockRound Rock 83 $20,034 $3,016 $2,399
Baylor University Medical CenterDallas 74 $18,332 $3,059 $2,430
CHRISTUS Santa Rosa HospitalSan Antonio 73 $35,928 $3,002 $2,388
East Texas Medical CenterTyler 69 $47,575 $2,900 $2,289
Mem Hermann Southwest HospHouston 63 $34,574 $3,089 $2,431
Texas Health Presbyterian Hospital DallasDallas 60 $24,667 $3,072 $2,436
University of Texas Medical Branch GalGalveston 53 $23,630 $3,172 $2,527
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 52 $21,669 $3,014 $2,372
St Lukes Episcopal HospitalHouston 52 $30,447 $3,061 $2,408
Baylor Regional Medical Center at PlanoPlano 52 $21,136 $3,066 $2,433
Texas Health Presbyterian Hospital Flower MoundFlower Mound 52 $26,644 $3,075 $2,440
St Joseph Regional Health CenterBryan 51 $48,790 $2,873 $2,258
Shannon Medical CenterSan Angelo 48 $22,024 $3,055 $2,400
Methodist Sugar Land HospitalSugar Land 48 $50,762 $3,155 $2,503
Bsa HospitalAmarillo 47 $29,812 $2,928 $2,313
Baptist Medical CenterSan Antonio 46 $84,158 $2,923 $2,312
Scott & White Memorial HospitalTemple 44 $18,295 $3,050 $2,407
Mem Hermann Mem City HospHouston 43 $30,507 $3,208 $2,549
Methodist Richardson Medical CenterRichardson 42 $25,147 $3,056 $2,430
Covenant Medical CenterLubbock 40 $61,178 $3,002 $2,392
Longview Regional Medical CenterLongview 39 $63,949 $3,067 $2,439
CHRISTUS St Michael Health SystemTexarkana 39 $26,602 $3,002 $2,392
Baylor Regional Medical Center at GrapevineGrapevine 38 $19,100 $3,123 $2,488
University Health SystemSan Antonio 37 $19,096 $3,002 $2,388
Baylor Scott & White Medical Center - Marble FallsMarble Falls 35 $20,091 $3,215 $2,562
Texas Health Harris Methodist Fort WorthFort Worth 33 $39,206 $3,113 $2,481
Baylor All Saints Medical Center at FwFort Worth 33 $24,102 $3,048 $2,408
Houston Methodist the Woodlands HospitalThe Woodlands 33 $56,795 $2,979 $2,324
Providence Health CenterWaco 32 $29,303 $3,115 $2,482
Texas Health Harris Methodist Hospital Southwest FFort Worth 32 $23,950 $3,123 $2,483
Doctors Hospital at RenaissanceEdinburg 32 $25,788 $2,927 $2,315
Seton Medical Center AustinAustin 31 $36,471 $3,045 $2,426
East Texas Medical Center AthensAthens 31 $31,841 $3,113 $2,479
University Medical CenterLubbock 30 $30,178 $2,843 $2,225
Houston Methodist West HospitalHouston 30 $49,398 $3,208 $2,556
United Regional Hlth Care SystWichita Falls 29 $20,459 $3,052 $2,396
Citizens Medical CenterVictoria 28 $16,417 $2,933 $2,310
Methodist Dallas Medical CenterDallas 28 $22,567 $3,025 $2,392
Houston Methodist Clear Lake HospitalHouston 28 $60,569 $3,208 $2,556
Paris Regional Medical CenterParis 27 $46,445 $3,236 $2,552
Parkland Health and Hospital SystemDallas 26 $21,221 $3,018 $2,378
Methodist Willowbrook HospitalHouston 26 $55,066 $3,208 $2,556
Texas Health Presbyterian Hospital PlanoPlano 25 $25,017 $3,113 $2,481
North Austin Medical CenterAustin 25 $62,746 $2,956 $2,327
Hillcrest Baptist Med CenterWaco 23 $20,969 $2,899 $2,266
Baylor Medical Center at WaxahachieWaxahachie 23 $29,095 $3,123 $2,488
Medical City Dallas HospitalDallas 23 $61,384 $3,014 $2,373
Kingwood Medical CenterKingwood 23 $93,781 $3,208 $2,556
Methodist Stone Oak HospitalSan Antonio 23 $40,280 $3,002 $2,387
Sid Peterson Memorial HospitalKerrville 22 $19,474 $3,002 $2,392
Good Shepherd Medical Center MarshallMarshall 22 $49,930 $2,855 $2,227
Connally Memorial Medical CenterFloresville 22 $12,302 $3,002 $2,387
Columbus Community HospitalColumbus 22 $12,061 $3,224 $2,568
St Davids HospitalAustin 22 $69,171 $3,045 $2,418
Round Rock Medical CenterRound Rock 22 $57,232 $3,045 $2,426
Laredo Medical CenterLaredo 21 $57,743 $3,019 $2,396
Guadalupe Regional Medical CenterSeguin 21 $15,942 $2,888 $2,278
Adventhealth Central TexasKilleen 21 $24,632 $3,158 $2,504
Clear Lake Regional Medical CenterWebster 21 $83,274 $3,208 $2,556
St David's South Austin Medical CenterAustin 21 $70,207 $2,930 $2,311
Sierra Medical CenterEl Paso 20 $76,366 $2,882 $2,268
Resolute Health HospitalNew Braunfels 19 $51,916 $3,008 $2,397
Memorial Hermann Texas Medical CenterHouston 18 $57,706 $2,798 $2,146
South Texas Health SystemEdinburg 18 $118,151 $3,002 $2,381
Wadley Regional Medical CenterTexarkana 18 $25,434 $2,835 $2,219
Lake Pointe Medical CenterRowlett 18 $21,361 $3,114 $2,470
Texas Health Arlington Memorial HospitalArlington 17 $21,822 $3,123 $2,488
Titus Regional Medical CenterMt Pleasant 17 $8,934 $3,215 $2,562
Midland Memorial HospitalMidland 17 $25,470 $2,861 $2,251
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs 17 $52,396 $3,334 $2,657
Mary Shiels HospitalDallas 17 $25,760 $2,967 $2,335
Hill Country Memorial HospitalFredericksburg 17 $25,049 $3,002 $2,392
CHRISTUS HospitalBeaumont 16 $26,545 $3,056 $2,396
Detar Hospital NavarroVictoria 16 $53,709 $3,019 $2,405
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 16 $29,753 $3,123 $2,488
Memorial Hermann NortheastHumble 16 $34,068 $3,208 $2,556
Memorial Hermann Katy HospitalKaty 16 $20,301 $3,208 $2,556
Texas Health Presbyterian Hospital RockwallRockwall 16 $18,549 $3,113 $2,481
Weatherford Regional Medical CenterWeatherford 15 $86,340 $3,123 $2,482
Northwest Texas Hlthcare SystAmarillo 15 $43,906 $3,002 $2,367
Baylor Scott and White Medical Center McKinneyMc Kinney 15 $20,831 $3,113 $2,481
Baylor Scott & White Medical Center- College StatiCollege Station 15 $18,542 $3,038 $2,379
University Medical Center at BrackenridgeAustin 14 $33,905 $3,045 $2,426
Texoma Healthcare SystemDenison 14 $54,030 $3,113 $2,481
Lake Granbury Medical CenterGranbury 14 $89,899 $3,123 $2,488
Patients Medical Center, LtdPasadena 14 $22,594 $3,208 $2,549
North Texas Medical CenterGainesville 13 $13,689 $3,334 $2,657
Conroe Regional Medical CenterConroe 13 $91,286 $3,208 $2,549
Brownwood Regional Medical CenterBrownwood 13 $43,697 $3,018 $2,351
Texas Health Harris Methodist Hospital AllianceFort Worth 13 $43,117 $3,123 $2,488
Jps Health NetworkFort Worth 12 $22,039 $3,123 $2,488
Brazosport Regional Health SystemLake Jackson 12 $17,922 $3,208 $2,556
Baylor Medical Center at IrvingIrving 12 $20,275 $3,113 $2,481
Las Palmas Medical CenterEl Paso 12 $82,050 $2,803 $2,177
Corpus Christi Medical Center,TheCorpus Christi 12 $53,872 $3,127 $2,492
Baylor Surgical Hospital at Fort WorthFort Worth 12 $26,666 $2,672 $2,023
North Hills HospitalNorth Richland Hills 11 $59,001 $3,123 $2,488
CHI St Lukes Health Memorial LufkinLufkin 11 $25,494 $3,002 $2,375
Houston Methodist Baytown HospitalBaytown 11 $39,125 $3,208 $2,556
Woodland Heights Medical CenterLufkin 11 $65,642 $3,002 $2,392
Medical Center of PlanoPlano 11 $68,753 $3,113 $2,481
Tomball Regional HospitalTomball 11 $100,427 $3,208 $2,556
Huguley Health SystemFort Worth 11 $35,200 $2,897 $2,262
Memorial Hermann Sugar Land HospitalSugar Land 11 $38,617 $3,208 $2,556
Lubbock Heart Hospital LpLubbock 11 $11,884 $2,784 $2,174
Texas Health Harris Methodist Hospital SouthlakeSouthlake 11 $37,204 $3,123 $2,488
Providence Memorial HospitalEl Paso – – – –
University Medical Center of El PasoEl Paso – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
Valley Baptist Medical CenterHarlingen – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Rolling Plains Memorial HospitalSweetwater – – – –
CHRISTUS Spohn HospitalBeeville – – – –
Fort Duncan Medical CenterEagle Pass – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Knapp Medical CenterWeslaco – – – –
Medical Center HospitalOdessa – – – –
Ascension Seton SmithvilleSmithville – – – –
Permian Regional Medical Center Andrews County HoAndrews – – – –
Texas Health Harris Methodist Hospital CleburneCleburne – – – –
Val Verde Regional Medical CenterDel Rio – – – –
Grace Medical CenterLubbock – – – –
CHRISTUS Spohn Hospital KlebergKingsville – – – –
Methodist Hospital AtascosaJourdanton – – – –
Mission Regional Medical CenterMission – – – –
East Texas Medical Center JacksonvilleJacksonville – – – –
Memorial HospitalGonzales – – – –
Bellville General HospitalBellville – – – –
Medical City DecaturDecatur – – – –
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos – – – –
Harris County Hospital DistrictHouston – – – –
Texas Health Presbyterian Hospital KaufmanKaufman – – – –
Oakbend Medical CenterRichmond – – – –
Mem Hermann Baptist HospitalBeaumont – – – –
Huntsville Memorial HospitalHuntsville – – – –
Texas Health Harris Methodist Hospital StephenvillStephenville – – – –
Hunt Regional Medical CenterGreenville – – – –
Childress Regional Medical CenterChildress – – – –
Dallas Medical CenterDallas – – – –
CHI St Lukes Health Memorial LivingstonLivingston – – – –
Parkview Regional HospitalMexia – – – –
Medical Center of McKinneyMcKinney – – – –
Texas Health Harris Methodist Hospital AzleAzle – – – –
Navarro Regional HospitalCorsicana – – – –
Glen Rose Medical CenterGlen Rose – – – –
Matagorda General HospitalBay City – – – –
Etmc HendersonHenderson – – – –
Nacogdoches Memorial HospitalNacogdoches – – – –
The Medical Center of Southeast TexasPort Arthur – – – –
Covenant Hospital PlainviewPlainview – – – –
Palo Pinto General HospitalMineral Wells – – – –
CHRISTUS Jasper Memorial HospitalJasper – – – –
Wilbarger General HospitalVernon – – – –
Cuero Community HospitalCuero – – – –
Denton Regional Medical CenterDenton – – – –
Houston Northwest Medical CenterHouston – – – –
Doctors Hospital of LaredoLaredo – – – –
West Houston Medical CenterHouston – – – –
Scenic Mountain Medical CenterBig Spring – – – –
Nacogdoches Medical CenterNacogdoches – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Odessa Regional HospitalOdessa – – – –
Valley Regional Medical CenterBrownsville – – – –
Medical Center of LewisvilleLewisville – – – –
Plaza Medical Center of Fort WorthFort Worth – – – –
Medical Center of ArlingtonArlington – – – –
White Rock Medical CenterDallas – – – –
Dallas Regional Medical CenterMesquite – – – –
El Campo Memorial HospitalEl Campo – – – –
Rio Grande Regional HospitalMcAllen – – – –
Methodist Charlton Medical CenterDallas – – – –
Baylor Medical Center at CarrolltonCarrollton – – – –
Denton Community HospitalDenton – – – –
Palestine Regional Medical CenterPalestine – – – –
Tops Surgical Specialty HospitalHouston – – – –
Las Colinas Medical CenterIrving – – – –
Kell West Regional HospitalWichita Falls – – – –
CHRISTUS Spohn Hospital AliceAlice – – – –
Ennis Regional Medical CenterEnnis – – – –
Texas Health Presbyterian Hospital AllenAllen – – – –
Baylor Heart and Vascular HospitalDallas – – – –
Baylor Medical Center at FriscoFrisco – – – –
Sugar Land Surgical Hospital LLPSugar Land – – – –
St Luke's the Woodlands HospitalConroe – – – –
Seton Southwest HospitalAustin – – – –
Seton Northwest HospitalAustin – – – –
Usmd Hospital at Arlington L PArlington – – – –
Baylor Surgical Hospital at las ColinasIrving – – – –
Quail Creek Surgical HospitalAmarillo – – – –
Baylor Medical Center at Trophy ClubRoanoke – – – –
Centennial Medical CenterFrisco – – – –
Texas Health Center for Diagnostics & Surgery PlanPlano – – – –
The Heart Hospital Baylor DentonDenton – – – –
Memorial Hermann Surgical Hospital KingwoodKingwood – – – –
Houston Physicians' HospitalWebster – – – –
Methodist Mansfield Medical CenterMansfield – – – –
Seton Medical Center WilliamsonRound Rock – – – –
Cedar Park Regional Medical CenterCedar Park – – – –
Sierra Providence East Medical CenterEl Paso – – – –
North Central Surgical Center LLPDallas – – – –
St Luke's Sugar Land HospitalSugar Land – – – –
Foundation Surgical Hospital of San AntonioSan Antonio – – – –
Seton Medical Center HaysKyle – – – –
Texas Regional Medical Center at SunnyvaleSunnyvale – – – –
Methodist McKinney HospitalMcKinney – – – –
St Luke's Hospital at the VintageHouston – – – –
Baylor Scott and White Surgical Hospital at ShermaSherman – – – –
Seton Medical Center Harker HeightsHarker Heights – – – –
Ad Hospital East, LLCHouston – – – –
Medical City AllianceFort Worth – – – –
HCA Houston Healthcare PearlandPearland – – – –
Baytown Medical Center LpBaytown – – – –
Legent Orthopedic + SpineSan Antonio – – – –
The Hospitals of Providence Transmountain CampusEl Paso – – – –
Baylor Scott & White Medical Center PflugervillePflugerville – – – –
Baylor Scott & White Medical Center - BudaBuda – – – –
Methodist Southlake Medical CenterSouthlake – – – –
Baylor Scott & White Medical Center- AustinAustin – – – –
Texas Health Hospital FriscoFrisco – – – –
Townsen Memorial HospitalHumble – – – –
North Houston Surgical Hospital LLCSpring – – – –
Texas Health Hospital MansfieldMansfield – – – –
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Lowest and highest allowed amounts in Texas

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 Texas?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 228 hospitals in Texas was billed at $36,614 on average, while the average medicare-allowed amount was $3,064, of which Medicare paid $2,429. 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 Texas, average charges were 12.0 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.