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 501–550. 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
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	13	$2,466	About average	$1,964	$16,625
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	14	$2,466	About average	$1,964	$12,416
Medical Center HospitalOdessa, TX · CCN 450132	25	$2,466	About average	$1,964	$13,910
Northwest Texas HospitalAmarillo, TX · CCN 450209	15	$2,466	About average	$1,964	$40,305
Rio Grande Regional HospitalMcallen, TX · CCN 450711	11	$2,466	About average	$1,964	$42,635
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 450033	13	$2,466	About average	$1,964	$52,246
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	67	$2,466	About average	$1,963	$33,173
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	28	$2,466	About average	$1,962	$24,138
Covenant Medical CenterLubbock, TX · CCN 450040	53	$2,466	About average	$1,961	$46,728
University Health SystemSan Antonio, TX · CCN 450213	42	$2,466	About average	$1,959	$17,129
Peterson Regional Medical CenterKerrville, TX · CCN 450007	20	$2,466	About average	$1,959	$12,099
Doctors Hospital Of LaredoLaredo, TX · CCN 450643	15	$2,466	About average	$1,958	$42,134
High Point Regional Health SystemHigh Point, NC · CCN 340004	34	$2,466	About average	$1,952	$13,274
Covenant Childrens HospitalLubbock, TX · CCN 453306	17	$2,466	About average	$1,956	$23,449
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	50	$2,466	About average	$1,950	$34,733
Karmanos Cancer CenterDetroit, MI · CCN 230297	109	$2,466	About average	$1,957	$10,631
Cox Medical Center BransonBranson, MO · CCN 260094	22	$2,466	About average	$1,946	$13,596
Surgical Institute Of ReadingWyomissing, PA · CCN 390316	28	$2,467	About average	$1,955	$10,554
UNC Health NashRocky Mount, NC · CCN 340147	24	$2,467	About average	$1,956	$15,001
UPMC MemorialYork, PA · CCN 390101	20	$2,468	About average	$1,956	$16,503
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	82	$2,468	About average	$1,950	$8,782
Blount Memorial HospitalMaryville, TN · CCN 440011	42	$2,469	About average	$1,967	$15,612
St Luke's Regional Medical CenterBoise, ID · CCN 130006	193	$2,470	About average	$1,963	$14,420
Presbyterian HospitalAlbuquerque, NM · CCN 320021	89	$2,470	About average	$1,954	$10,800
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	76	$2,471	About average	$1,954	$30,586
Resolute Health HospitalNew Braunfels, TX · CCN 670098	15	$2,471	About average	$1,969	$33,369
Columbus Community HospitalColumbus, TX · CCN 450370	15	$2,471	About average	$1,969	$9,057
Good Samaritan HospitalCincinnati, OH · CCN 360134	77	$2,471	About average	$1,969	$10,767
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	31	$2,471	About average	$1,969	$21,428
Bethesda NorthCincinnati, OH · CCN 360179	109	$2,471	About average	$1,968	$11,168
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	40	$2,471	About average	$1,968	$19,281
Mercy Health - West HospitalCincinnati, OH · CCN 360234	28	$2,471	About average	$1,965	$22,377
Trinity Health Livingston HospitalHowell, MI · CCN 230069	16	$2,471	About average	$1,944	$13,693
AdventHealth TampaTampa, FL · CCN 100173	20	$2,471	About average	$1,945	$38,877
Mayo ClinicJacksonville, FL · CCN 100151	362	$2,472	About average	$1,960	$20,385
Chesapeake General HospitalChesapeake, VA · CCN 490120	43	$2,472	About average	$1,970	$18,385
John Randolph Medical CenterHopewell, VA · CCN 490020	35	$2,472	About average	$1,964	$47,626
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	40	$2,473	About average	$1,963	$45,184
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	37	$2,473	About average	$1,970	$18,541
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	14	$2,473	About average	$1,970	$18,144
Haywood Regional Medical CenterClyde, NC · CCN 340184	23	$2,473	About average	$1,966	$23,096
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	224	$2,474	About average	$1,963	$19,080
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	48	$2,474	About average	$1,971	$18,929
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	72	$2,474	About average	$1,965	$22,517
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	82	$2,474	About average	$1,958	$29,908
Mountain View HospitalIdaho Falls, ID · CCN 130065	37	$2,474	About average	$1,971	$8,681
Memorial Medical CenterLas Cruces, NM · CCN 320018	34	$2,474	About average	$1,972	$25,589
Lovelace Regional Hospital - RoswellRoswell, NM · CCN 320086	17	$2,475	About average	$1,956	$29,191
Piedmont Newton HospitalCovington, GA · CCN 110018	13	$2,475	About average	$1,939	$13,891
Borgess Medical CenterKalamazoo, MI · CCN 230117	47	$2,475	About average	$1,971	$16,074

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.