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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1,805 hospitals reported at least 11 Medicare procedures for this in 2024; showing 551–600. 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
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033	110	$2,476	About average	$1,971	$15,248
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	28	$2,476	About average	$1,973	$12,215
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	105	$2,477	About average	$1,972	$27,927
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	85	$2,478	About average	$1,969	$12,799
UPMC JamesonNew Castle, PA · CCN 390016	31	$2,478	About average	$1,958	$11,696
St Clair HospitalPittsburgh, PA · CCN 390228	34	$2,478	About average	$1,962	$12,819
Nebraska Orthopaedic HospitalOmaha, NE · CCN 280129	25	$2,479	About average	$1,958	$7,375
Citizens Medical CenterVictoria, TX · CCN 450023	39	$2,480	About average	$1,969	$20,846
Laredo Medical CenterLaredo, TX · CCN 450029	14	$2,480	About average	$1,962	$38,790
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	14	$2,480	About average	$1,976	$20,530
Baylor University Medical CenterDallas, TX · CCN 450021	123	$2,480	About average	$1,969	$19,473
HCA Florida Englewood HospitalEnglewood, FL · CCN 100267	22	$2,481	About average	$1,953	$86,482
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 160028	15	$2,481	About average	$1,961	$17,550
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	19	$2,481	About average	$1,955	$50,904
Kansas City Orthopaedic InstituteLeawood, KS · CCN 170188	13	$2,481	About average	$1,977	$21,110
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	17	$2,481	About average	$1,977	$29,682
Providence Medical CenterKansas City, KS · CCN 170146	17	$2,481	About average	$1,977	$22,073
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049	16	$2,481	About average	$1,977	$11,467
Overland Park Regional Medical CenterOverland Park, KS · CCN 170176	31	$2,481	About average	$1,977	$33,204
Saint Luke's East HospitalLees Summit, MO · CCN 260216	54	$2,481	About average	$1,977	$30,411
Saint Lukes North HospitalKansas City, MO · CCN 260062	42	$2,481	About average	$1,977	$30,107
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	87	$2,482	About average	$1,976	$33,987
Research Medical CenterKansas City, MO · CCN 260027	41	$2,482	About average	$1,972	$36,118
Centerpoint Medical CenterIndependence, MO · CCN 260095	27	$2,482	About average	$1,970	$22,259
Hunt Regional Medical CenterGreenville, TX · CCN 450352	23	$2,482	About average	$1,962	$9,932
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	42	$2,482	About average	$1,973	$10,483
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	12	$2,483	About average	$1,978	$10,997
Atrium Health UnionMonroe, NC · CCN 340130	29	$2,483	About average	$1,962	$21,840
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	36	$2,484	About average	$1,963	$31,835
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	99	$2,484	About average	$1,977	$35,324
SSM St Clare Health CenterFenton, MO · CCN 260081	30	$2,484	About average	$1,973	$9,623
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	124	$2,485	About average	$1,976	$17,393
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	89	$2,485	About average	$1,980	$8,116
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	77	$2,486	About average	$1,962	$13,215
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	94	$2,486	About average	$1,970	$10,517
Allegheny General HospitalPittsburgh, PA · CCN 390050	39	$2,486	About average	$1,966	$25,294
Adena Regional Medical CenterChillicothe, OH · CCN 360159	37	$2,487	About average	$1,982	$18,819
Marion General HospitalMarion, OH · CCN 360011	31	$2,487	About average	$1,980	$17,126
Lima Memorial Health SystemLima, OH · CCN 360009	21	$2,487	About average	$1,979	$32,736
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	64	$2,487	About average	$1,978	$15,085
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	12	$2,487	About average	$1,931	$19,715
Onslow Memorial HospitalJacksonville, NC · CCN 340042	33	$2,488	About average	$1,982	$8,992
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	38	$2,488	About average	$1,982	$8,145
Memorial HealthcareOwosso, MI · CCN 230121	23	$2,488	About average	$1,982	$8,752
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	81	$2,488	About average	$1,965	$28,855
Regional Hospital Of ScrantonScranton, PA · CCN 390237	31	$2,489	About average	$1,983	$37,500
St David's South Austin Medical CenterAustin, TX · CCN 450713	166	$2,489	About average	$1,981	$27,630
Atrium Health PinevilleCharlotte, NC · CCN 340098	96	$2,490	About average	$1,970	$29,299
Orthoindy HospitalIndianapolis, IN · CCN 150160	47	$2,490	About average	$1,959	$15,588
UnityPoint Health - MeriterMadison, WI · CCN 520089	13	$2,490	About average	$1,951	$14,772

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.