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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Year of care

1,805 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. 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
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	12	$2,149	20% below the national average	$1,713	$8,484
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	12	$2,157	20% below the national average	$1,719	$11,388
Holland HospitalHolland, MI · CCN 230072	14	$2,158	20% below the national average	$1,691	$11,516
Temple University HospitalPhiladelphia, PA · CCN 390027	231	$2,160	20% below the national average	$1,720	$62,545
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	18	$2,162	20% below the national average	$1,680	$25,997
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	14	$2,172	19% below the national average	$1,665	$17,484
WakeMed, Cary HospitalCary, NC · CCN 340173	32	$2,175	19% below the national average	$1,718	$14,656
Piedmont Augusta HospitalAugusta, GA · CCN 110028	37	$2,184	19% below the national average	$1,708	$15,697
Singing River Health SystemPascagoula, MS · CCN 250040	31	$2,186	19% below the national average	$1,726	$17,497
Wheeling Hospital, IncWheeling, WV · CCN 510050	89	$2,190	19% below the national average	$1,743	$16,193
Berkeley Medical CenterMartinsburg, WV · CCN 510008	35	$2,192	19% below the national average	$1,722	$9,592
Palomar Health Downtown CampusEscondido, CA · CCN 050115	30	$2,196	19% below the national average	$1,478	$18,875
Mary Lanning HealthcareHastings, NE · CCN 280032	37	$2,197	19% below the national average	$1,751	$21,106
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	25	$2,199	18% below the national average	$1,721	$18,116
Logan Regional Medical CenterLogan, WV · CCN 510048	14	$2,203	18% below the national average	$1,698	$13,426
South Central Regional Medical CenterLaurel, MS · CCN 250058	34	$2,209	18% below the national average	$1,741	$5,797
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	35	$2,210	18% below the national average	$1,728	$45,496
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	55	$2,211	18% below the national average	$1,741	$6,852
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	17	$2,211	18% below the national average	$1,738	$20,352
Parkwest Medical CenterKnoxville, TN · CCN 440173	42	$2,212	18% below the national average	$1,731	$8,557
Camden Clark Medical CenterParkersburg, WV · CCN 510058	64	$2,213	18% below the national average	$1,750	$13,275
Park Place Surgical HospitalLafayette, LA · CCN 190255	23	$2,214	18% below the national average	$1,733	$10,346
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	13	$2,225	17% below the national average	$1,710	$18,249
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	37	$2,226	17% below the national average	$1,752	$13,656
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	34	$2,230	17% below the national average	$1,767	$19,554
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	78	$2,230	17% below the national average	$1,720	$27,397
Norman RegionalNorman, OK · CCN 370008	18	$2,231	17% below the national average	$1,732	$20,763
Midwest Surgical Hospital LLCOmaha, NE · CCN 280131	14	$2,232	17% below the national average	$1,749	$6,666
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	79	$2,236	17% below the national average	$1,764	$13,774
Henry Ford Health HospitalDetroit, MI · CCN 230053	207	$2,238	17% below the national average	$1,778	$8,045
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	39	$2,240	17% below the national average	$1,774	$12,068
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	61	$2,246	17% below the national average	$1,784	$14,969
Dublin Methodist HospitalDublin, OH · CCN 360348	43	$2,248	17% below the national average	$1,780	$21,858
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	20	$2,253	16% below the national average	$1,755	$38,724
Surgeons Choice Medical CenterSouthfield, MI · CCN 230301	16	$2,253	16% below the national average	$1,745	$10,728
Mercy Hospital JoplinJoplin, MO · CCN 260001	34	$2,256	16% below the national average	$1,781	$10,907
University Health System, IncKnoxville, TN · CCN 440015	257	$2,257	16% below the national average	$1,790	$9,066
Allen HospitalWaterloo, IA · CCN 160110	78	$2,258	16% below the national average	$1,793	$9,174
Acadia General HospitalCrowley, LA · CCN 190044	18	$2,258	16% below the national average	$1,778	$7,593
Midland Memorial HospitalMidland, TX · CCN 450133	31	$2,259	16% below the national average	$1,787	$23,449
Touro InfirmaryNew Orleans, LA · CCN 190046	15	$2,261	16% below the national average	$1,759	$19,204
Grove City Medical CenterGrove City, PA · CCN 390266	11	$2,261	16% below the national average	$1,801	$26,442
Parkridge Medical CenterChattanooga, TN · CCN 440156	12	$2,262	16% below the national average	$1,769	$27,577
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	21	$2,264	16% below the national average	$1,804	$12,567
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	13	$2,265	16% below the national average	$1,775	$19,479
Maria Parham Medical CenterHenderson, NC · CCN 340132	12	$2,267	16% below the national average	$1,806	$19,005
Leconte Medical CenterSevierville, TN · CCN 440081	25	$2,269	16% below the national average	$1,789	$7,907
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	28	$2,269	16% below the national average	$1,808	$19,935
Forrest General HospitalHattiesburg, MS · CCN 250078	46	$2,270	16% below the national average	$1,809	$17,064
Tristar Skyline Medical CenterNashville, TN · CCN 440006	11	$2,271	16% below the national average	$1,773	$57,735

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.