Level 1 Abdominal/peritoneal/biliary and Related Procedures — what U.S. hospitals charge
APC 5341 · Hospital outpatient visit · 1,731 U.S. hospitals publish a price
Cheapest quarter
under $16,909
Typical charge
$23,252
Dearest quarter
over $33,915
Actually paid
$3,294
The middle U.S. hospital bills $23,252 for Level 1 Abdominal/peritoneal/biliary and Related Procedures. The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $3,294 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 1 Abdominal/peritoneal/biliary and Related Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Rhode Island | 7 | $11,005 | $8,223 – $18,156 |
| North Dakota | 6 | $11,653 | $7,385 – $17,135 |
| Massachusetts | 45 | $12,332 | $6,232 – $43,361 |
| Idaho | 13 | $14,031 | $9,971 – $44,059 |
| Vermont | 6 | $14,357 | $10,738 – $17,836 |
| South Dakota | 11 | $15,017 | $10,523 – $20,709 |
| Michigan | 52 | $15,360 | $8,108 – $38,576 |
| Montana | 8 | $16,412 | $8,542 – $35,045 |
| Minnesota | 32 | $16,611 | $7,472 – $22,887 |
| Mississippi | 22 | $16,966 | $7,295 – $63,572 |
| Connecticut | 22 | $16,983 | $8,937 – $34,440 |
| Iowa | 21 | $17,068 | $11,863 – $28,978 |
| Wisconsin | 45 | $17,150 | $8,961 – $42,907 |
| Nebraska | 16 | $17,161 | $10,329 – $38,026 |
| Hawaii | 7 | $17,197 | $11,329 – $25,334 |
| Missouri | 36 | $17,901 | $9,594 – $77,756 |
| Utah | 14 | $18,043 | $10,666 – $47,755 |
| Kansas | 22 | $18,304 | $6,693 – $62,172 |
| New York | 83 | $18,750 | $6,274 – $74,580 |
| Maine | 11 | $19,796 | $12,474 – $29,149 |
| Oregon | 22 | $19,812 | $12,062 – $51,532 |
| Alaska | 5 | $20,483 | $11,177 – $43,192 |
| Arkansas | 25 | $20,580 | $9,435 – $60,154 |
| North Carolina | 58 | $21,361 | $5,989 – $58,520 |
| Kentucky | 25 | $21,437 | $13,040 – $50,132 |
| New Hampshire | 12 | $21,631 | $13,113 – $38,024 |
| Ohio | 75 | $21,764 | $8,927 – $51,534 |
| Louisiana | 30 | $21,819 | $7,068 – $73,385 |
| West Virginia | 15 | $21,838 | $7,650 – $37,788 |
| New Jersey | 48 | $22,090 | $13,892 – $68,446 |
| Wyoming | 9 | $22,153 | $12,907 – $30,901 |
| Virginia | 53 | $22,905 | $10,784 – $104,765 |
| Delaware | 6 | $23,222 | $10,690 – $35,831 |
| Pennsylvania | 91 | $23,551 | $8,725 – $55,923 |
| Washington | 37 | $24,574 | $12,532 – $60,051 |
| Oklahoma | 29 | $24,762 | $9,490 – $96,546 |
| Illinois | 65 | $25,013 | $12,197 – $57,281 |
| Indiana | 48 | $25,104 | $12,101 – $80,937 |
| District of Columbia | 4 | $25,385 | $19,664 – $41,010 |
| South Carolina | 36 | $25,420 | $13,487 – $92,639 |
| Tennessee | 36 | $25,764 | $5,290 – $59,179 |
| Alabama | 24 | $25,975 | $8,785 – $102,597 |
| Colorado | 34 | $29,011 | $10,080 – $107,723 |
| Georgia | 53 | $30,006 | $11,024 – $87,536 |
| New Mexico | 12 | $30,075 | $10,855 – $76,595 |
| Texas | 112 | $30,477 | $8,934 – $118,151 |
| California | 148 | $36,430 | $13,070 – $138,348 |
| Arizona | 38 | $40,017 | $13,516 – $108,575 |
| Florida | 87 | $40,897 | $7,148 – $157,724 |
| Nevada | 15 | $54,264 | $25,565 – $98,583 |
Where Level 1 Abdominal/peritoneal/biliary and Related Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Cumberland Medical Center
Crossville, TN |
$5,290 | $3,050 |
|
Novant Health Rowan Medical Center
Salisbury, NC |
$5,989 | $3,109 |
|
Mount Auburn Hospital
Cambridge, MA |
$6,232 | $3,716 |
|
Flushing Hospital Medical Center
Flushing, NY |
$6,274 | $3,937 |
|
Northern Regional Hospital
Mount Airy, NC |
$6,426 | $2,915 |
|
Beth Israel Deaconess Hospital - Milton
Milton, MA |
$6,654 | $3,716 |
|
Kansas Medical Center Llc
Andover, KS |
$6,693 | $2,866 |
|
West Calcasieu Cameron Hospital
Sulphur, LA |
$7,068 | $2,906 |
|
Jackson Hospital
Marianna, FL |
$7,148 | $3,357 |
|
South Shore Hospital
South Weymouth, MA |
$7,188 | $3,678 |
|
Northeast Hospital Corporation
Beverly, MA |
$7,239 | $3,716 |
|
South Central Reg Med Ctr
Laurel, MS |
$7,295 | $3,026 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Hca Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL |
$157,724 | $3,134 |
|
Hca Florida Oak Hill Hospital
Brooksville, FL |
$142,122 | $3,134 |
|
St Lucie Medical Center
Port Saint Lucie, FL |
$139,668 | $3,134 |
|
Ucla West Valley Medical Center
West Hills, CA |
$138,348 | $4,254 |
|
Northbay Medical Center
Fairfield, CA |
$133,241 | $4,978 |
|
South Texas Health System
Edinburg, TX |
$118,151 | $3,002 |
|
Palmdale Regional Medical Center
Palmdale, CA |
$116,291 | $4,254 |
|
Emanuel Medical Center
Turlock, CA |
$111,004 | $4,346 |
|
Desert Regional Medical Center
Palm Springs, CA |
$108,643 | $4,254 |
|
St Joseph's Hospital
Tucson, AZ |
$108,575 | $3,243 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$107,723 | $3,293 |
|
Hca Florida Largo Hospital
Largo, FL |
$107,011 | $3,134 |
Questions people ask
What do U.S. hospitals charge for Level 1 Abdominal/peritoneal/biliary and Related Procedures?
Across 1,731 U.S. hospitals, the middle charge for Level 1 Abdominal/peritoneal/biliary and Related Procedures is $23,252. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $16,909 and the dearest quarter over $33,915.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 1 Abdominal/peritoneal/biliary and Related Procedures, the hospitals in the dearest tenth charge about 4.1x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $3,294 is roughly what Medicare actually paid per case, against an average charge of $26,986. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5341: “Level 1 Abdominal/Peritoneal/Biliary and Related Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.