Outpatient procedure · APC 5073 · Surgery or procedure

Level 3 Excision/Biopsy/Incision and Drainage

In 2024, Medicare and patients paid an average of $2,697 per procedure at 1,817 hospitals. Half of hospitals averaged between $2,447 and $2,771.

National figures, 2024

Average payment per case: $2,697
Typical range (middle half of hospitals): $2,447–$2,771
Medicare’s share: $2,14179% of the payment
Average billed charge: $21,053
Hospitals reporting: 1,817127,975 procedures

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Year of care

1,805 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 3 Excision/Biopsy/Incision and Drainage by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Central Vermont Medical CenterBarre, VT · CCN 470001	55	$984	63% below the national average	$408	$11,662
Regional One HealthMemphis, TN · CCN 440152	69	$1,124	58% below the national average	$893	$7,156
Swedish HospitalChicago, IL · CCN 140114	173	$1,226	55% below the national average	$974	$15,216
Novant Health Thomasville Medical CenterThomasville, NC · CCN 340085	45	$1,243	54% below the national average	$991	$12,543
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	21	$1,293	52% below the national average	$732	$7,601
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	50	$1,315	51% below the national average	$1,047	$12,260
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	225	$1,476	45% below the national average	$908	$11,933
MetroHealth SystemCleveland, OH · CCN 360059	60	$1,588	41% below the national average	$1,095	$16,962
Stonewall Jackson Memorial Hospital CompanyWeston, WV · CCN 510038	19	$1,588	41% below the national average	$1,266	$9,246
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	19	$1,590	41% below the national average	$1,267	$9,992
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	128	$1,607	40% below the national average	$1,276	$14,631
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	16	$1,613	40% below the national average	$1,285	$6,489
Marietta Memorial HospitalMarietta, OH · CCN 360147	92	$1,670	38% below the national average	$1,189	$18,050
University Of Mississippi Medical CenterJackson, MS · CCN 250001	118	$1,679	38% below the national average	$1,331	$17,562
O U Medical CenterOklahoma City, OK · CCN 370093	228	$1,695	37% below the national average	$1,343	$26,902
Townsen Memorial HospitalHumble, TX · CCN 670266	12	$1,713	36% below the national average	$1,365	$49,867
AdventHealth AvistaLouisville, CO · CCN 060103	28	$1,720	36% below the national average	$1,370	$14,139
Rutland Regional Medical CenterRutland, VT · CCN 470005	53	$1,763	35% below the national average	$1,202	$15,531
Lee Memorial HospitalFort Myers, FL · CCN 100012	252	$1,777	34% below the national average	$1,414	$23,803
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	118	$1,797	33% below the national average	$1,424	$13,198
University Of Texas Health Science Center At TylerTyler, TX · CCN 450690	23	$1,823	32% below the national average	$1,433	$12,474
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	136	$1,874	30% below the national average	$1,488	$18,013
University Medical Center Of El PasoEl Paso, TX · CCN 450024	26	$1,878	30% below the national average	$1,481	$15,773
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	28	$1,880	30% below the national average	$1,298	$11,597
Wynn HospitalUtica, NY · CCN 330044	39	$1,885	30% below the national average	$1,485	$10,395
Camc Greenbrier Valley Medical Center, IncRonceverte, WV · CCN 510002	11	$1,913	29% below the national average	$1,518	$17,155
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	231	$1,923	29% below the national average	$1,530	$14,568
Memorial HospitalFremont, OH · CCN 360156	12	$1,942	28% below the national average	$1,449	$10,283
Cullman Regional Medical CenterCullman, AL · CCN 010035	23	$1,942	28% below the national average	$1,511	$6,989
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	18	$1,945	28% below the national average	$1,528	$11,298
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	36	$1,961	27% below the national average	$1,560	$22,721
Athens Limestone HospitalAthens, AL · CCN 010079	24	$1,977	27% below the national average	$1,575	$12,427
Baptist Memorial Hospital TiptonCovington, TN · CCN 440131	83	$1,981	27% below the national average	$1,572	$5,537
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	35	$2,002	26% below the national average	$1,595	$13,244
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	77	$2,008	26% below the national average	$1,594	$33,262
Memorial Hospital At GulfportGulfport, MS · CCN 250019	88	$2,022	25% below the national average	$1,593	$21,387
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	36	$2,041	24% below the national average	$1,627	$16,553
Kettering Health DaytonDayton, OH · CCN 360133	47	$2,043	24% below the national average	$1,628	$22,128
Memorial HealthLawton, OK · CCN 370056	65	$2,057	24% below the national average	$1,639	$11,055
Gettysburg HospitalGettysburg, PA · CCN 390065	19	$2,063	23% below the national average	$1,644	$13,156
St Marys Medical CenterHuntington, WV · CCN 510007	56	$2,066	23% below the national average	$1,627	$14,800
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	13	$2,079	23% below the national average	$1,656	$7,954
Piedmont Medical CenterRock Hill, SC · CCN 420002	43	$2,086	23% below the national average	$1,564	$32,696
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	13	$2,106	22% below the national average	$1,618	$34,360
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	21	$2,107	22% below the national average	$1,679	$12,853
Baptist Memorial Hospital-Oktibbeha CountyStarkville, MS · CCN 250050	11	$2,109	22% below the national average	$1,681	$7,032
Womans HospitalBaton Rouge, LA · CCN 190128	23	$2,110	22% below the national average	$1,665	$9,850
St Francis HospitalMemphis, TN · CCN 440183	28	$2,127	21% below the national average	$1,639	$39,659
West Boca Medical CenterBoca Raton, FL · CCN 100268	19	$2,142	21% below the national average	$1,619	$32,871
Ochsner Rush HospitalMeridian, MS · CCN 250069	18	$2,143	21% below the national average	$1,665	$8,442

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 106,922 procedures at 1,860 hospitals · 2021: 123,022 procedures at 1,948 hospitals · 2022: 122,225 procedures at 1,903 hospitals · 2023: 125,802 procedures at 1,885 hospitals · 2024: 127,975 procedures at 1,817 hospitals

View data as a table

National average payment and billed charge for Level 3 Excision/Biopsy/Incision and Drainage
Year of care	Average payment	Average billed charge
2020	$2,301	$17K
2021	$2,361	$17K
2022	$2,398	$18K
2023	$2,541	$20K
2024	$2,697	$21K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 3 Excision/Biopsy/Incision and Drainage, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	5	382	$1,465	$1,293–$1,763
Mississippi	25	1,268	$2,267	$2,270–$2,367
Tennessee	38	2,526	$2,308	$2,275–$2,432
West Virginia	17	869	$2,309	$2,192–$2,377
Oklahoma	29	1,799	$2,315	$2,319–$2,448
Alabama	28	1,158	$2,326	$2,291–$2,366
Maine	11	456	$2,354	$2,391–$2,641
Louisiana	31	1,608	$2,364	$2,329–$2,393
Ohio	85	5,215	$2,383	$2,374–$2,487
South Carolina	36	2,756	$2,407	$2,374–$2,451
Arkansas	21	2,489	$2,409	$2,397–$2,567
Kentucky	33	1,789	$2,415	$2,379–$2,461
Missouri	43	2,634	$2,442	$2,415–$2,529
Iowa	22	1,352	$2,447	$2,399–$2,544
Nebraska	17	972	$2,459	$2,376–$2,622
Kansas	29	2,199	$2,467	$2,426–$2,598
Michigan	58	3,218	$2,475	$2,426–$2,532
North Carolina	51	3,802	$2,479	$2,441–$2,552
Georgia	51	3,560	$2,501	$2,419–$2,613
Virginia	49	3,965	$2,525	$2,436–$2,652
Florida	112	9,136	$2,534	$2,548–$2,574
Utah	10	1,090	$2,538	$2,507–$2,545
Indiana	57	2,874	$2,539	$2,533–$2,589
New Mexico	11	535	$2,543	$2,445–$2,583
Texas	140	10,063	$2,547	$2,466–$2,565
Illinois	75	4,835	$2,553	$2,568–$2,698
Pennsylvania	96	6,023	$2,581	$2,503–$2,689
Wisconsin	46	2,828	$2,589	$2,542–$2,651
Idaho	14	848	$2,601	$2,557–$2,670
South Dakota	11	1,117	$2,678	$2,656–$2,834
North Dakota	6	719	$2,693	$2,652–$2,781
Colorado	37	1,949	$2,693	$2,674–$2,705
Rhode Island	6	256	$2,698	$2,533–$2,847
Montana	10	674	$2,710	$2,620–$2,822
New Hampshire	10	740	$2,742	$2,714–$2,775
Arizona	39	3,094	$2,755	$2,771–$2,771
Minnesota	38	3,594	$2,766	$2,640–$2,790
Delaware	5	389	$2,804	$2,818–$2,851
Wyoming	5	115	$2,806	$2,798–$2,853
District of Columbia	4	388	$2,850	$2,804–$2,865
Washington	36	2,835	$2,906	$2,851–$2,941
Nevada	13	549	$2,993	$2,909–$3,043
New Jersey	40	2,402	$3,013	$2,960–$3,037
Massachusetts	44	4,841	$3,020	$2,992–$3,052
Alaska	5	196	$3,026	$2,933–$3,084
Oregon	22	1,322	$3,054	$2,916–$3,000
Connecticut	20	1,467	$3,085	$2,999–$3,174
New York	79	8,038	$3,127	$2,981–$3,183
Hawaii	9	290	$3,259	$3,259–$3,332
California	138	10,751	$3,587	$3,467–$3,705

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.