Outpatient / APC 5341
APC 5341 · 1,731 hospitals · 72,608 services
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
Hospital outpatient departments billed Medicare for 72,608 services in APC 5341 in 2024. They charged an average of $27,311; Medicare allowed $3,317 — a ratio of 8.2 to 1 — and paid $2,631 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $5,290 to $157,724 across hospitals.
- 1Average charge $27,311
- 2Medicare allowed $3,317
- 3Reporting hospitals 1,731
- 4Services 72,608
By state
The average charge for this service was highest in Nevada ($56,586) and lowest in Rhode Island ($11,383). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 406 | $56,586 | $3,661 |
| Florida | 4,463 | $44,520 | $3,099 |
| California | 6,263 | $40,834 | $4,363 |
| Arizona | 1,503 | $38,454 | $3,389 |
| Texas | 4,104 | $36,800 | $3,062 |
| Alabama | 802 | $34,501 | $2,834 |
| Colorado | 1,129 | $32,494 | $3,317 |
| Georgia | 1,873 | $31,338 | $3,035 |
| South Carolina | 1,385 | $31,272 | $2,941 |
| Indiana | 1,540 | $28,440 | $3,113 |
| Virginia | 2,545 | $28,082 | $3,081 |
| New Mexico | 385 | $28,006 | $3,093 |
| Louisiana | 1,005 | $26,962 | $2,897 |
| District of Columbia | 299 | $26,944 | $3,508 |
| Pennsylvania | 4,430 | $26,443 | $3,214 |
| Oklahoma | 932 | $25,722 | $2,960 |
| Washington | 1,443 | $25,639 | $3,551 |
| New Jersey | 2,291 | $25,232 | $3,658 |
| Kentucky | 913 | $24,959 | $2,957 |
| Alaska | 139 | $24,614 | $3,706 |
| Illinois | 3,066 | $24,301 | $3,239 |
| West Virginia | 469 | $24,089 | $2,939 |
| Tennessee | 1,607 | $24,028 | $2,898 |
| New York | 4,771 | $23,948 | $3,795 |
| Ohio | 2,818 | $23,822 | $2,931 |
| New Hampshire | 508 | $23,079 | $3,393 |
| Wyoming | 168 | $22,574 | $3,415 |
| Kansas | 840 | $22,022 | $2,993 |
| Mississippi | 736 | $21,580 | $2,841 |
| North Carolina | 2,594 | $20,873 | $3,057 |
| Missouri | 1,390 | $20,738 | $3,030 |
| Arkansas | 831 | $20,216 | $2,915 |
| Oregon | 734 | $19,615 | $3,658 |
| Maine | 329 | $19,264 | $3,160 |
| Wisconsin | 1,427 | $18,872 | $3,151 |
| Connecticut | 853 | $18,755 | $3,838 |
| Michigan | 2,155 | $18,321 | $3,052 |
| Nebraska | 633 | $18,275 | $3,078 |
| Hawaii | 243 | $17,761 | $3,979 |
| Idaho | 401 | $17,727 | $3,147 |
| Iowa | 1,024 | $16,991 | $3,005 |
| South Dakota | 520 | $16,943 | $3,294 |
| Delaware | 345 | $16,648 | $3,450 |
| Montana | 358 | $16,580 | $3,259 |
| Utah | 685 | $16,340 | $3,046 |
| Minnesota | 1,348 | $16,281 | $3,324 |
| Massachusetts | 2,933 | $14,301 | $3,685 |
| Vermont | 332 | $13,972 | $1,696 |
| North Dakota | 385 | $12,202 | $3,290 |
| Rhode Island | 246 | $11,383 | $3,485 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| 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 |
| HCA Florida St Lucie Hospital 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 Behavioral 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 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| 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 Inc 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 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.