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 751–800. 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
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	38	$2,538	About average	$2,017	$28,755
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	51	$2,538	About average	$2,008	$27,296
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	15	$2,539	About average	$2,023	$16,070
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	60	$2,540	About average	$2,017	$21,626
Carteret General HospitalMorehead City, NC · CCN 340142	19	$2,541	About average	$2,002	$15,336
Memorial HospitalMarysville, OH · CCN 360092	11	$2,541	About average	$2,025	$19,476
Fairfield Medical CenterLancaster, OH · CCN 360072	34	$2,541	About average	$2,023	$13,584
Grant Medical CenterColumbus, OH · CCN 360017	53	$2,541	About average	$2,021	$22,588
Mount Carmel St Ann'sWesterville, OH · CCN 360012	22	$2,541	About average	$2,019	$16,763
Reid HealthRichmond, IN · CCN 150048	57	$2,542	About average	$2,006	$17,273
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	110	$2,542	About average	$2,021	$13,124
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	12	$2,542	About average	$1,989	$20,823
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	16	$2,543	About average	$2,026	$20,057
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	17	$2,543	About average	$2,026	$14,300
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	18	$2,543	About average	$2,024	$19,734
Northside HospitalAtlanta, GA · CCN 110161	218	$2,543	About average	$2,017	$36,998
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	67	$2,543	About average	$2,019	$30,382
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	353	$2,545	About average	$2,021	$18,341
Duke University HospitalDurham, NC · CCN 340030 · +$130 outlier payments per case	568	$2,545	About average	$2,025	$20,390
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	99	$2,545	About average	$2,019	$25,640
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	59	$2,545	About average	$2,028	$16,727
American Fork HospitalAmerican Fork, UT · CCN 460023	19	$2,545	About average	$2,028	$17,428
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	13	$2,545	About average	$2,028	$16,697
Ogden Regional Medical CenterOgden, UT · CCN 460005	15	$2,545	About average	$2,028	$30,329
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	57	$2,546	About average	$2,027	$20,713
Medical City Dallas HospitalDallas, TX · CCN 450647	150	$2,546	About average	$2,025	$52,449
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	50	$2,547	About average	$2,021	$15,694
Mercy Health System CorpJanesville, WI · CCN 520066	50	$2,547	About average	$2,021	$13,638
Baptist HospitalPensacola, FL · CCN 100093	80	$2,548	About average	$2,025	$35,574
St Josephs HospitalTampa, FL · CCN 100075	121	$2,548	About average	$2,027	$22,604
Saint Francis Medical CenterPeoria, IL · CCN 140067	61	$2,549	About average	$2,024	$27,541
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	18	$2,549	About average	$2,003	$14,011
Kettering Health MiamisburgMiamisburg, OH · CCN 360239	28	$2,550	About average	$2,032	$23,611
Wilson Memorial HospitalSidney, OH · CCN 360013	13	$2,550	About average	$2,032	$16,338
Ohio State University State Health SystemColumbus, OH · CCN 360085	40	$2,550	About average	$2,031	$23,446
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	154	$2,551	About average	$2,032	$14,470
Northern Light Mercy HospitalPortland, ME · CCN 200008	18	$2,552	About average	$2,009	$14,082
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	34	$2,552	About average	$2,031	$21,173
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	58	$2,552	About average	$2,018	$11,211
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	151	$2,552	About average	$2,025	$17,384
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	51	$2,553	About average	$2,017	$17,892
Wellstar Douglas Medical CenterDouglasville, GA · CCN 110184	25	$2,553	About average	$2,017	$24,765
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	19	$2,553	About average	$2,031	$7,430
Baptist Hospital Of MiamiMiami, FL · CCN 100008	271	$2,553	About average	$2,025	$28,131
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	56	$2,553	About average	$2,034	$30,561
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	19	$2,553	About average	$2,034	$17,720
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	34	$2,553	About average	$2,034	$13,051
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	37	$2,553	About average	$2,028	$14,768
Carrollton Regional Medical CenterCarrollton, TX · CCN 450730	16	$2,554	About average	$2,032	$17,828
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	14	$2,554	About average	$2,035	$10,618

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.