facebook tracking Level 2 Abdominal/Peritoneal/Biliary and Related Procedures cost in Texas: 33 hospitals compared (APC 5342)

Level 2 Abdominal/Peritoneal/Biliary and Related Procedures in Texas

What 33 hospitals in Texas charged and were paid for level 2 abdominal/peritoneal/biliary and related procedures (APC 5342), from 2024 Medicare claims.

APC 5342 Outpatient 2024 Medicare data
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.

Texas hospitals: level 2 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
Sid Peterson Memorial HospitalKerrville – – – –
Covenant Medical CenterLubbock – – – –
Providence Health CenterWaco – – – –
Scott & White Memorial HospitalTemple – – – –
Baptist Medical CenterSan Antonio – – – –
Memorial Hermann Texas Medical CenterHouston – – – –
Univ of Tx M D Anderson CtrHouston – – – –
East Texas Medical CenterTyler – – – –
Trinity Mother Frances SystTyler – – – –
Texas Health Harris Methodist Fort WorthFort Worth – – – –
Mem Hermann Southwest HospHouston – – – –
University Health SystemSan Antonio – – – –
CHRISTUS Santa Rosa HospitalSan Antonio – – – –
Methodist Hospital,TheHouston – – – –
Methodist HospitalSan Antonio – – – –
Mary Shiels HospitalDallas – – – –
Houston Methodist Baytown HospitalBaytown – – – –
Texas Health Presbyterian Hospital DallasDallas – – – –
Methodist Richardson Medical CenterRichardson – – – –
Baylor Regional Medical Center at GrapevineGrapevine – – – –
Palo Pinto General HospitalMineral Wells – – – –
Shannon Medical CenterSan Angelo – – – –
Hill Country Memorial HospitalFredericksburg – – – –
Nacogdoches Medical CenterNacogdoches – – – –
Memorial Hermann NortheastHumble – – – –
Dallas Regional Medical CenterMesquite – – – –
Texas Health Presbyterian Hospital PlanoPlano – – – –
Texas Health Harris Methodist Hospital Southwest FFort Worth – – – –
North Austin Medical CenterAustin – – – –
Baylor Medical Center at FriscoFrisco – – – –
Texas Health Presbyterian Hospital Flower MoundFlower Mound – – – –
Medical City AllianceFort Worth – – – –
Texas Health Hospital MansfieldMansfield – – – –
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Level 2 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Questions

How much does level 2 abdominal/peritoneal/biliary and related procedures cost in Texas?

In 2024 Medicare data, level 2 abdominal/peritoneal/biliary and related procedures (APC 5342) at 33 hospitals in Texas 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.