Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
What 596 hospitals in the U.S. charged and were paid for level 2 abdominal/peritoneal/biliary and related procedures (APC 5342), from 2024 Medicare claims.
Average charge
–
Hospital list price billed
Average allowed
–
Medicare's payment + patient's share
Medicare paid
–
Average per service
Volume
–
Medicare services
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.
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 6 | – | – | – – – |
| Arizona | 14 | – | – | – – – |
| Arkansas | 14 | – | – | – – – |
| California | 63 | – | – | – – – |
| Colorado | 8 | – | – | – – – |
| Connecticut | 6 | – | – | – – – |
| Delaware | 3 | – | – | – – – |
| Florida | 35 | – | – | – – – |
| Georgia | 20 | – | – | – – – |
| Idaho | 4 | – | – | – – – |
| Illinois | 18 | – | – | – – – |
| Indiana | 11 | – | – | – – – |
| Iowa | 3 | – | – | – – – |
| Kansas | 9 | – | – | – – – |
| Kentucky | 7 | – | – | – – – |
| Louisiana | 6 | – | – | – – – |
| Maine | 1 | – | – | – |
| Massachusetts | 16 | – | – | – – – |
| Michigan | 22 | – | – | – – – |
| Minnesota | 8 | – | – | – – – |
| Mississippi | 3 | – | – | – – – |
| Missouri | 11 | – | – | – – – |
| Montana | 4 | – | – | – – – |
| Nebraska | 1 | – | – | – |
| Nevada | 4 | – | – | – – – |
| New Hampshire | 2 | – | – | – – – |
| New Jersey | 27 | – | – | – – – |
| New Mexico | 4 | – | – | – – – |
| New York | 35 | – | – | – – – |
| North Carolina | 14 | – | – | – – – |
| North Dakota | 4 | – | – | – – – |
| Ohio | 26 | – | – | – – – |
| Oklahoma | 8 | – | – | – – – |
| Oregon | 12 | – | – | – – – |
| Pennsylvania | 32 | – | – | – – – |
| Rhode Island | 1 | – | – | – |
| South Carolina | 15 | – | – | – – – |
| South Dakota | 5 | – | – | – – – |
| Tennessee | 10 | – | – | – – – |
| Texas | 33 | – | – | – – – |
| Utah | 3 | – | – | – – – |
| Vermont | 1 | – | – | – |
| Virginia | 23 | – | – | – – – |
| Washington | 19 | – | – | – – – |
| West Virginia | 7 | – | – | – – – |
| Wisconsin | 13 | – | – | – – – |
| Wyoming | 2 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Helen Keller Memorial HospitalSheffield, AL | – | – | – |
| Baptist Medical Center SouthMontgomery, AL | – | – | – |
| East Alabama Medical Center and SnfOpelika, AL | – | – | – |
| Huntsville HospitalHuntsville, AL | – | – | – |
| Northeast Alabama Regional Med CenterAnniston, AL | – | – | – |
| D C H Regional Medical CenterTuscaloosa, AL | – | – | – |
| Tucson Medical CenterTucson, AZ | – | – | – |
| Verde Valley Medical CenterCottonwood, AZ | – | – | – |
| Carondelet St Josephs HospitalTucson, AZ | – | – | – |
| Yavapai Regional Medical CenterPrescott, AZ | – | – | – |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | – | – | – |
| Banner Boswell Medical CenterSun City, AZ | – | – | – |
| Havasu Regional Medical CenterLake Havasu City, AZ | – | – | – |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | – | – | – |
| Banner Baywood Medical CenterMesa, AZ | – | – | – |
Questions
How much does level 2 abdominal/peritoneal/biliary and related procedures cost in the U.S.?
In 2024 Medicare data, level 2 abdominal/peritoneal/biliary and related procedures (APC 5342) at 596 hospitals in the U.S. was billed at – on average, while the average medicare-allowed amount was –. 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. 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.