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 451–500. 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
Lewisgale Medical CenterSalem, VA · CCN 490048	29	$2,446	About average	$1,949	$54,815
Carilion Medical CenterRoanoke, VA · CCN 490024	92	$2,446	About average	$1,945	$18,859
Johnston Memorial HospitalAbingdon, VA · CCN 490053	16	$2,446	About average	$1,939	$20,208
Methodist HospitalSan Antonio, TX · CCN 450388	140	$2,447	About average	$1,942	$35,611
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	107	$2,447	About average	$1,941	$13,484
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	107	$2,448	About average	$1,944	$21,093
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	32	$2,448	About average	$1,951	$15,889
McBride Orthopedic HospitalOklahoma City, OK · CCN 370222	20	$2,448	About average	$1,951	$7,619
Surgical Hospital Of OklahomaOklahoma City, OK · CCN 370201	11	$2,448	About average	$1,951	$11,236
Tristar Summit Medical CenterHermitage, TN · CCN 440150	34	$2,448	About average	$1,951	$29,854
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	19	$2,448	About average	$1,951	$27,462
Williamson Medical CenterFranklin, TN · CCN 440029	25	$2,448	About average	$1,951	$14,300
Baptist Health LagrangeLa Grange, KY · CCN 180138	44	$2,448	About average	$1,949	$29,492
Baptist Health LouisvilleLouisville, KY · CCN 180130	126	$2,448	About average	$1,947	$29,090
Community Hospital, LLCOklahoma City, OK · CCN 370203	33	$2,448	About average	$1,945	$19,861
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	54	$2,448	About average	$1,951	$16,295
University Of Kansas HospitalKansas City, KS · CCN 170040	1,121	$2,449	About average	$1,947	$27,233
Edward W Sparrow HospitalLansing, MI · CCN 230230	58	$2,450	About average	$1,952	$14,609
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	88	$2,450	About average	$1,947	$26,291
St Lukes HospitalCedar Rapids, IA · CCN 160045	25	$2,451	About average	$1,943	$12,507
Prisma Health Baptist Easley HospitalEasley, SC · CCN 420015	12	$2,451	About average	$1,953	$19,627
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 420033	15	$2,451	About average	$1,953	$18,178
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	48	$2,451	About average	$1,930	$8,475
Johnson City Medical CenterJohnson City, TN · CCN 440063	102	$2,451	About average	$1,948	$31,955
Atrium Health University CityCharlotte, NC · CCN 340166	20	$2,452	About average	$1,933	$26,070
Trident Medical CenterCharleston, SC · CCN 420079	68	$2,452	About average	$1,953	$35,850
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	28	$2,452	About average	$1,950	$17,023
Frye Regional Medical CenterHickory, NC · CCN 340116	27	$2,452	About average	$1,938	$25,714
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	12	$2,454	About average	$1,920	$17,369
Johnston HealthSmithfield, NC · CCN 340090	54	$2,454	About average	$1,926	$13,824
Northwest Health - PorterValparaiso, IN · CCN 150035	50	$2,454	About average	$1,937	$31,175
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	33	$2,454	About average	$1,945	$30,913
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	82	$2,454	About average	$1,950	$25,432
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	48	$2,455	About average	$1,948	$22,071
JPS Health NetworkFort Worth, TX · CCN 450039	33	$2,457	About average	$1,939	$16,791
ProMedica Toledo HospitalToledo, OH · CCN 360068	190	$2,457	About average	$1,942	$20,073
Sovah Health DanvilleDanville, VA · CCN 490075	31	$2,460	About average	$1,940	$22,112
Christus St Frances Cabrini HospitalAlexandria, LA · CCN 190019	54	$2,460	About average	$1,956	$20,354
Rapides Regional Medical CenterAlexandria, LA · CCN 190026	37	$2,460	About average	$1,950	$22,878
Round Rock Medical CenterRound Rock, TX · CCN 450718	49	$2,460	About average	$1,952	$41,011
Nkc HealthNorth Kansas City, MO · CCN 260096	74	$2,461	About average	$1,956	$16,312
Saint Joseph EastLexington, KY · CCN 180143	12	$2,461	About average	$1,961	$14,294
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	412	$2,461	About average	$1,954	$20,226
Intermountain Medical CenterMurray, UT · CCN 460010	72	$2,461	About average	$1,944	$13,463
Grady Memorial HospitalDelaware, OH · CCN 360210	25	$2,461	About average	$1,941	$20,107
Carle Health Proctor HospitalPeoria, IL · CCN 140013	16	$2,462	About average	$1,961	$28,993
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	33	$2,463	About average	$1,962	$16,052
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041	47	$2,463	About average	$1,957	$33,375
Beloit Health SystemBeloit, WI · CCN 520100	24	$2,464	About average	$1,963	$8,119
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	21	$2,465	About average	$1,962	$14,168

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.