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 801–850. 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
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	45	$2,554	About average	$2,028	$30,444
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	102	$2,555	About average	$2,016	$23,504
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	149	$2,557	About average	$2,037	$18,050
Alamance Regional Medical CenterBurlington, NC · CCN 340070	41	$2,557	About average	$2,036	$14,016
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	50	$2,557	About average	$2,017	$32,745
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	28	$2,557	About average	$2,037	$18,735
Baylor Scott And White Medical Center SunnyvaleSunnyvale, TX · CCN 670060	11	$2,557	About average	$2,037	$40,080
Baylor Scott & White Medical Center - FriscoFrisco, TX · CCN 450853	11	$2,557	About average	$2,037	$18,380
Parkland Health & Hospital SystemDallas, TX · CCN 450015	21	$2,557	About average	$2,037	$27,695
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	17	$2,557	About average	$2,037	$11,862
West Valley Medical CenterCaldwell, ID · CCN 130014	18	$2,557	About average	$2,037	$20,095
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	49	$2,557	About average	$2,037	$12,103
Idaho Falls Community Hospital, LLCIdaho Falls, ID · CCN 130074	37	$2,557	About average	$2,037	$12,803
Medical City PlanoPlano, TX · CCN 450651	51	$2,557	About average	$2,037	$50,903
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	44	$2,557	About average	$2,037	$16,253
Methodist Charlton Medical CenterDallas, TX · CCN 450723	28	$2,557	About average	$2,037	$13,622
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 130018	34	$2,557	About average	$2,037	$25,935
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	53	$2,557	About average	$2,036	$15,648
St Luke's Nampa Medical CenterNampa, ID · CCN 130071	71	$2,557	About average	$2,035	$15,234
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	40	$2,557	About average	$2,034	$21,022
Methodist Dallas Medical CenterDallas, TX · CCN 450051	14	$2,557	About average	$2,030	$19,378
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	247	$2,557	About average	$2,031	$18,823
Texas Health Hospital FriscoFrisco, TX · CCN 670260	16	$2,557	About average	$2,026	$22,138
Baylor Scott And White Medical Center UptownDallas, TX · CCN 450422	11	$2,557	About average	$2,020	$12,485
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	22	$2,557	About average	$2,038	$17,357
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	111	$2,558	About average	$2,033	$23,971
Norwalk HospitalNorwalk, CT · CCN 070034	24	$2,558	About average	$2,037	$15,768
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	41	$2,558	About average	$2,034	$18,110
St Vincent HospitalGreen Bay, WI · CCN 520075	26	$2,558	About average	$2,038	$24,240
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	34	$2,558	About average	$2,038	$13,660
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	43	$2,558	About average	$2,036	$15,119
Lake Regional Health SystemOsage Beach, MO · CCN 260186	22	$2,559	About average	$2,039	$8,920
Mercy Hospital LebanonLebanon, MO · CCN 260059	19	$2,559	About average	$2,039	$7,605
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	19	$2,559	About average	$2,039	$45,599
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	25	$2,559	About average	$2,039	$16,043
Wellstar Paulding Medical CenterHiram, GA · CCN 110042	27	$2,559	About average	$2,023	$29,231
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	71	$2,560	About average	$2,033	$20,833
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	23	$2,560	About average	$2,040	$11,198
CHI Health Bergan MercyOmaha, NE · CCN 280060	30	$2,561	About average	$2,037	$23,484
CHI Health LakesideOmaha, NE · CCN 280130	33	$2,561	About average	$2,033	$22,052
CHI Health ImmanuelOmaha, NE · CCN 280081	18	$2,561	About average	$2,030	$18,130
Northside Hospital CherokeeCanton, GA · CCN 110008	167	$2,561	About average	$2,030	$37,522
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	14	$2,562	About average	$2,010	$12,037
Baptist Health PaducahPaducah, KY · CCN 180104	84	$2,562	About average	$2,032	$22,887
Central Maine Medical CenterLewiston, ME · CCN 200024	33	$2,563	About average	$2,023	$15,719
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	11	$2,563	About average	$2,002	$19,499
Indiana University Health North HospitalCarmel, IN · CCN 150161	49	$2,565	About average	$2,043	$19,857
AdventHealth OrlandoOrlando, FL · CCN 100007	438	$2,565	About average	$2,040	$33,676
Medical City AllianceFort Worth, TX · CCN 670103	14	$2,565	About average	$2,044	$15,724
Medical City WeatherfordWeatherford, TX · CCN 450203	15	$2,565	About average	$2,044	$43,530

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.