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

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

Average payment across these 136 hospitals: $3,604National $2,697 · California $3,587
Median hospital: $3,494
Lowest to highest: $2,196–$4,088
Medicare procedures: 9,322

136 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
Memorial Medical CenterModesto, CA · CCN 050557	21	$3,493	30% above the national average	$2,783	$21,863
Oroville HospitalOroville, CA · CCN 050030	38	$3,493	30% above the national average	$2,783	$15,643
Providence Mission HospitalMission Viejo, CA · CCN 050567	31	$3,493	30% above the national average	$2,783	$23,130
Redlands Community HospitalRedlands, CA · CCN 050272	19	$3,493	30% above the national average	$2,783	$29,450
Saint John's Health CenterSanta Monica, CA · CCN 050290	97	$3,493	30% above the national average	$2,783	$14,073
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	31	$3,493	30% above the national average	$2,783	$46,376
St Bernardine Medical CenterSan Bernardino, CA · CCN 050129	13	$3,493	30% above the national average	$2,783	$15,556
St Johns Regional Medical CenterOxnard, CA · CCN 050082	26	$3,493	30% above the national average	$2,783	$24,712
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	15	$3,493	30% above the national average	$2,783	$16,436
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	27	$3,493	30% above the national average	$2,783	$21,887
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	48	$3,493	30% above the national average	$2,783	$17,720
Community Regional Medical CenterFresno, CA · CCN 050060	64	$3,493	30% above the national average	$2,783	$15,183
Saint Agnes Medical CenterFresno, CA · CCN 050093	96	$3,493	30% above the national average	$2,783	$17,592
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	37	$3,493	30% above the national average	$2,783	$14,348
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	49	$3,493	30% above the national average	$2,782	$18,468
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	96	$3,494	30% above the national average	$2,781	$18,885
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	50	$3,494	30% above the national average	$2,781	$18,948
Sharp Memorial HospitalSan Diego, CA · CCN 050100	80	$3,494	30% above the national average	$2,780	$18,909
Clovis Community Medical CenterClovis, CA · CCN 050492	188	$3,494	30% above the national average	$2,780	$12,722
St Mary Medical CenterLong Beach, CA · CCN 050191	12	$3,494	30% above the national average	$2,780	$16,973
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	23	$3,494	30% above the national average	$2,779	$31,762
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	43	$3,494	30% above the national average	$2,779	$16,386
Mercy HospitalBakersfield, CA · CCN 050295	17	$3,494	30% above the national average	$2,779	$21,069
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	38	$3,494	30% above the national average	$2,778	$28,931
Antelope Valley HospitalLancaster, CA · CCN 050056	26	$3,494	30% above the national average	$2,778	$16,937
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	36	$3,494	30% above the national average	$2,778	$24,953
Tri-City Medical CenterOceanside, CA · CCN 050128	33	$3,494	30% above the national average	$2,778	$18,164
Pioneers Memorial Healthcare DistrictBrawley, CA · CCN 050342	17	$3,494	30% above the national average	$2,778	$9,356
Mercy Medical Center ReddingRedding, CA · CCN 050280	27	$3,494	30% above the national average	$2,776	$24,441
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	18	$3,494	30% above the national average	$2,776	$28,617
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	28	$3,494	30% above the national average	$2,775	$18,773
Providence St. Joseph HospitalOrange, CA · CCN 050069	18	$3,494	30% above the national average	$2,773	$16,978
Riverside Community HospitalRiverside, CA · CCN 050022	25	$3,494	30% above the national average	$2,772	$38,943
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	27	$3,494	30% above the national average	$2,769	$36,071
Uci Health-LakewoodLakewood, CA · CCN 050581	19	$3,494	30% above the national average	$2,769	$29,710
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	13	$3,494	30% above the national average	$2,769	$14,922
PIH Health Downey HospitalDowney, CA · CCN 050393	13	$3,494	30% above the national average	$2,769	$14,533
Doctors Medical CenterModesto, CA · CCN 050464	28	$3,494	30% above the national average	$2,766	$49,132
University Of California Davis Medical CenterSacramento, CA · CCN 050599 · +$405 outlier payments per case	423	$3,516	30% above the national average	$2,798	$25,424
Marshall Medical CenterPlacerville, CA · CCN 050254	61	$3,552	32% above the national average	$2,820	$13,215
Adventist Health SonoraSonora, CA · CCN 050335	125	$3,598	33% above the national average	$2,861	$13,965
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	18	$3,610	34% above the national average	$2,877	$26,931
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	15	$3,629	35% above the national average	$2,891	$53,172
Sutter Auburn Faith HospitalAuburn, CA · CCN 050498	15	$3,629	35% above the national average	$2,891	$17,952
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	48	$3,629	35% above the national average	$2,891	$18,368
Woodland Memorial HospitalWoodland, CA · CCN 050127	30	$3,629	35% above the national average	$2,891	$11,852
Sierra Nevada Memorial HospitalGrass Valley, CA · CCN 050150	67	$3,629	35% above the national average	$2,890	$12,848
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	31	$3,629	35% above the national average	$2,889	$24,810
Mercy General HospitalSacramento, CA · CCN 050017	31	$3,629	35% above the national average	$2,884	$26,648
Adventist Health St HelenaSaint Helena, CA · CCN 050013	52	$3,647	35% above the national average	$2,905	$37,528

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.