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 851–900. 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
Texas Health Arlington Memorial HospitalArlington, TX · CCN 450064	44	$2,565	About average	$2,044	$13,882
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	18	$2,565	About average	$2,044	$16,663
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 450639	39	$2,565	About average	$2,042	$20,354
Medical City DentonDenton, TX · CCN 450634	35	$2,565	About average	$2,042	$39,351
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 670085	15	$2,565	About average	$2,040	$21,692
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	34	$2,565	About average	$2,038	$24,648
Madison Memorial HospitalRexburg, ID · CCN 130025	11	$2,565	About average	$2,027	$6,488
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	38	$2,566	About average	$2,041	$32,097
Medical City DecaturDecatur, TX · CCN 450271	19	$2,566	About average	$2,031	$38,278
Lake Granbury Medical CenterGranbury, TX · CCN 450596	13	$2,566	About average	$2,031	$35,962
Orlando HealthOrlando, FL · CCN 100006	232	$2,566	About average	$2,041	$43,593
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	463	$2,566	About average	$2,043	$16,839
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	64	$2,567	About average	$2,045	$15,409
Hancock Regional HospitalGreenfield, IN · CCN 150037	17	$2,567	About average	$2,045	$12,882
Johnson Memorial HospitalFranklin, IN · CCN 150001	18	$2,567	About average	$2,045	$17,599
Major HospitalShelbyville, IN · CCN 150097	11	$2,567	About average	$2,045	$17,452
Union Hospital IncTerre Haute, IN · CCN 150023	129	$2,567	About average	$2,044	$13,102
Witham Health ServicesLebanon, IN · CCN 150104	28	$2,567	About average	$2,044	$12,808
Hendricks Regional HealthDanville, IN · CCN 150005	54	$2,567	About average	$2,042	$19,119
Ascension St Vincent AndersonAnderson, IN · CCN 150088	20	$2,567	About average	$2,035	$27,373
IU Health West HospitalAvon, IN · CCN 150158	18	$2,567	About average	$2,035	$21,271
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	50	$2,567	About average	$1,922	$17,983
Baxter HealthMountain Home, AR · CCN 040027	25	$2,567	About average	$2,045	$10,117
Inova Fairfax HospitalFalls Church, VA · CCN 490063	71	$2,567	About average	$2,044	$14,242
North Arkansas Regional Medical CenterHarrison, AR · CCN 040017	28	$2,567	About average	$2,045	$14,648
White River Medical CenterBatesville, AR · CCN 040119	44	$2,567	About average	$2,044	$8,898
Sarasota Memorial HospitalSarasota, FL · CCN 100087	261	$2,567	About average	$2,043	$20,224
Main Line Hospital LankenauWynnewood, PA · CCN 390195	57	$2,568	About average	$2,043	$13,312
Novant Health Mint Hill Medical CenterCharlotte, NC · CCN 340190	11	$2,568	About average	$2,046	$15,168
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 450788	12	$2,569	About average	$2,047	$41,173
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	39	$2,569	About average	$2,047	$18,605
Elkhart General HospitalElkhart, IN · CCN 150018	39	$2,570	About average	$2,037	$11,378
Advocate Trinity HospitalChicago, IL · CCN 140048	34	$2,572	About average	$2,023	$19,291
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	88	$2,572	About average	$2,036	$12,461
East Georgia Regional Medical CenterStatesboro, GA · CCN 110075	12	$2,572	About average	$2,049	$35,018
Union General HospitalBlairsville, GA · CCN 110051	17	$2,572	About average	$2,049	$14,868
UPMC CarlisleCarlisle, PA · CCN 390058	40	$2,573	About average	$2,050	$21,614
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	41	$2,573	About average	$2,050	$20,078
CHI Health Good SamaritanKearney, NE · CCN 280009	17	$2,573	About average	$2,050	$20,236
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	85	$2,573	About average	$2,049	$16,544
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	40	$2,574	About average	$2,040	$16,944
Edward HospitalNaperville, IL · CCN 140231	69	$2,574	About average	$2,017	$26,391
AdventHealth DelandDeland, FL · CCN 100045	27	$2,574	About average	$2,051	$23,876
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 100321	25	$2,574	About average	$2,051	$28,297
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	24	$2,574	About average	$2,051	$52,604
HCA Florida Blake HospitalBradenton, FL · CCN 100213	22	$2,574	About average	$2,051	$35,489
HCA Florida Fawcett HospitalPort Charlotte, FL · CCN 100236	26	$2,574	About average	$2,051	$44,440
South Florida Baptist HospitalPlant City, FL · CCN 100132	24	$2,574	About average	$2,051	$21,637
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	26	$2,574	About average	$2,051	$23,944
The Villages Regional HospitalThe Villages, FL · CCN 100290	24	$2,574	About average	$2,051	$20,902

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.