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 601–650. 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
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	28	$2,490	About average	$1,975	$9,410
The Miriam HospitalProvidence, RI · CCN 410012	22	$2,490	About average	$1,984	$9,469
Caromont Regional Medical CenterGastonia, NC · CCN 340032	65	$2,491	About average	$1,972	$12,956
McLaren Central MichiganMount Pleasant, MI · CCN 230080	16	$2,491	About average	$1,985	$9,756
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	44	$2,491	About average	$1,976	$9,344
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	33	$2,492	About average	$1,969	$13,541
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	16	$2,493	About average	$1,986	$17,608
HCA Florida West HospitalPensacola, FL · CCN 100231	51	$2,494	About average	$1,967	$40,409
Jefferson HospitalJefferson Hills, PA · CCN 390265	35	$2,494	About average	$1,984	$22,818
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	58	$2,495	About average	$1,973	$11,547
Jackson-Madison County General HospitalJackson, TN · CCN 440002	140	$2,495	About average	$1,976	$11,225
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	20	$2,496	About average	$1,975	$18,375
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	406	$2,496	About average	$1,979	$19,462
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	44	$2,496	About average	$1,964	$13,381
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	20	$2,497	About average	$1,989	$52,410
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	87	$2,497	About average	$1,985	$12,493
Ashtabula County Medical CenterAshtabula, OH · CCN 360125	45	$2,498	About average	$1,972	$10,769
Orlando Health South Lake HospitalClermont, FL · CCN 100051	27	$2,498	About average	$1,974	$32,800
Rex HospitalRaleigh, NC · CCN 340114	34	$2,498	About average	$1,978	$12,236
Northwest Specialty HospitalPost Falls, ID · CCN 130066	19	$2,500	About average	$1,960	$17,378
Munson Healthcare Otsego Memorial HospitalGaylord, MI · CCN 230133	14	$2,500	About average	$1,961	$8,198
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	84	$2,501	About average	$1,980	$14,077
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	23	$2,501	About average	$1,974	$36,206
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	16	$2,501	About average	$1,993	$34,452
North Austin Medical CenterAustin, TX · CCN 450809	57	$2,501	About average	$1,992	$36,188
Alton Memorial HospitalAlton, IL · CCN 140002	21	$2,501	About average	$1,989	$13,752
St David's Medical CenterAustin, TX · CCN 450431	47	$2,501	About average	$1,991	$54,053
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	90	$2,501	About average	$1,984	$19,010
Ascension Seton HaysKyle, TX · CCN 670056	13	$2,501	About average	$1,978	$20,694
Prisma Health Laurens County HospitalClinton, SC · CCN 420038	17	$2,502	About average	$1,968	$29,014
UNM HospitalAlbuquerque, NM · CCN 320001	156	$2,502	About average	$1,988	$9,972
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	32	$2,502	About average	$1,980	$45,950
Beaumont Hospital, TroyTroy, MI · CCN 230269	187	$2,502	About average	$1,986	$17,344
McLaren OaklandPontiac, MI · CCN 230207	19	$2,503	About average	$1,994	$8,711
McLaren Port HuronPort Huron, MI · CCN 230216	19	$2,503	About average	$1,994	$7,106
Deaconess Henderson HospitalHenderson, KY · CCN 180056	21	$2,503	About average	$1,994	$14,826
Forbes HospitalMonroeville, PA · CCN 390267	44	$2,503	About average	$1,993	$24,294
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	55	$2,504	About average	$1,986	$14,778
Franciscan Health LafayetteLafayette, IN · CCN 150109	70	$2,504	About average	$1,985	$25,761
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	48	$2,504	About average	$1,985	$28,610
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	71	$2,504	About average	$1,990	$27,646
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	34	$2,505	About average	$1,983	$15,845
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	51	$2,506	About average	$1,988	$15,065
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	16	$2,506	About average	$1,984	$13,481
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	32	$2,506	About average	$1,986	$22,821
West Penn HospitalPittsburgh, PA · CCN 390090	65	$2,507	About average	$1,991	$30,409
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	19	$2,507	About average	$1,967	$26,212
St Lukes HospitalChesterfield, MO · CCN 260179	94	$2,508	About average	$1,991	$13,453
Baylor Scott & White Medical Center At IrvingIrving, TX · CCN 450079	42	$2,509	About average	$1,988	$18,442
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	32	$2,509	About average	$1,999	$16,832

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.