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 701–750. 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
Springfield Regional Medical CenterSpringfield, OH · CCN 360086	13	$2,530	About average	$2,016	$17,632
Mount Carmel East & WestColumbus, OH · CCN 360035	32	$2,530	About average	$2,008	$20,931
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	59	$2,531	About average	$2,009	$21,042
Vidant Roanoke Chowan HospitalAhoskie, NC · CCN 340099	18	$2,531	About average	$1,993	$9,041
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	33	$2,531	About average	$2,013	$11,384
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	36	$2,531	About average	$2,005	$17,362
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	69	$2,531	About average	$2,009	$14,200
UF Health Shands HospitalGainesville, FL · CCN 100113	122	$2,532	About average	$2,012	$24,420
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	174	$2,532	About average	$2,004	$27,221
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	15	$2,532	About average	$2,018	$26,665
McLaren Lapeer RegionLapeer, MI · CCN 230193	25	$2,532	About average	$2,018	$9,163
Mymichigan Medical Center SaginawSaginaw, MI · CCN 230077	16	$2,532	About average	$2,018	$10,914
McLaren Bay RegionBay City, MI · CCN 230041	52	$2,532	About average	$2,017	$7,226
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	61	$2,532	About average	$2,017	$11,634
Good Samaritan HospitalVincennes, IN · CCN 150042	44	$2,533	About average	$2,018	$15,363
Terre Haute Regional HospitalTerre Haute, IN · CCN 150046	34	$2,533	About average	$2,018	$23,660
FHN Memorial HospitalFreeport, IL · CCN 140160	11	$2,533	About average	$2,018	$16,856
The Women's HospitalNewburgh, IN · CCN 150149	16	$2,533	About average	$2,018	$15,486
Baptist Health FloydNew Albany, IN · CCN 150044	72	$2,533	About average	$2,018	$20,618
Norton Clark HospitalJeffersonville, IN · CCN 150009	16	$2,533	About average	$2,014	$15,798
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	52	$2,533	About average	$2,013	$16,223
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	14	$2,533	About average	$2,011	$12,161
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	42	$2,533	About average	$2,014	$16,443
Marion Communtiy HospitalOcala, FL · CCN 100212	51	$2,534	About average	$2,011	$59,055
Community Hospital NorthIndianapolis, IN · CCN 150169	125	$2,534	About average	$2,010	$17,659
Merit Health River RegionVicksburg, MS · CCN 250031	12	$2,535	About average	$2,019	$32,414
Range Regional Health ServicesHibbing, MN · CCN 240040	24	$2,535	About average	$2,020	$11,953
South Miami HospitalMiami, FL · CCN 100154	51	$2,536	About average	$2,008	$20,113
Community Hospital EastIndianapolis, IN · CCN 150074	103	$2,536	About average	$2,013	$15,141
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	100	$2,537	About average	$2,014	$13,405
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	73	$2,537	About average	$2,016	$19,178
Henry Ford Allegiance HealthJackson, MI · CCN 230092	79	$2,537	About average	$2,020	$12,085
Ascension ProvidenceWaco, TX · CCN 450042	56	$2,537	About average	$2,017	$16,156
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	34	$2,537	About average	$2,014	$10,625
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	57	$2,538	About average	$2,015	$54,439
Ahn Wexford HospitalWexford, PA · CCN 390334	27	$2,538	About average	$2,022	$28,047
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	16	$2,538	About average	$2,022	$11,379
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	16	$2,538	About average	$2,022	$16,180
Heritage Valley BeaverBeaver, PA · CCN 390036	24	$2,538	About average	$2,022	$11,975
Uniontown HospitalUniontown, PA · CCN 390041	31	$2,538	About average	$2,022	$9,586
UPMC EastMonroeville, PA · CCN 390328	29	$2,538	About average	$2,022	$30,177
UPMC NorthwestSeneca, PA · CCN 390091	21	$2,538	About average	$2,022	$15,321
UPMC PassavantPittsburgh, PA · CCN 390107	22	$2,538	About average	$2,022	$23,219
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	91	$2,538	About average	$2,022	$36,540
UPMC St MargaretPittsburgh, PA · CCN 390102	16	$2,538	About average	$2,022	$23,133
UPMC WilliamsportWilliamsport, PA · CCN 390045	61	$2,538	About average	$2,022	$22,160
The Washington HospitalWashington, PA · CCN 390042	25	$2,538	About average	$2,020	$9,117
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	16	$2,538	About average	$2,020	$18,483
Houston Methodist HospitalHouston, TX · CCN 450358	179	$2,538	About average	$2,005	$37,969
Allegheny Valley HospitalNatrona, PA · CCN 390032	13	$2,538	About average	$2,017	$15,971

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.