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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 Illinois

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.

Location
Illinois
Specific hospitals up to 10
Average payment across these 75 hospitals
$2,553National $2,697 · Illinois $2,553
Median hospital
$2,626
Lowest to highest
$1,226–$2,812
Medicare procedures
4,835

75 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–75. Download as CSV

Medicare payments per case for Level 3 Excision/Biopsy/Incision and Drainage by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 14025856$2,688About average$2,126$24,629
Advocate Sherman HospitalElgin, IL · CCN 14003034$2,694About average$2,141$20,110
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 14017245$2,698About average$2,149$20,196
John H Stroger Jr HospitalChicago, IL · CCN 14012426$2,698About average$2,149$10,697
Saint Joseph Medical CenterJoliet, IL · CCN 14000722$2,698About average$2,149$27,296
Amita Health Resurrection Medical CenterChicago, IL · CCN 14011743$2,698About average$2,149$22,930
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 14021380$2,698About average$2,148$12,019
Mt Sinai Hospital Medical CenterChicago, IL · CCN 14001812$2,698About average$2,145$14,396
Morris Hospital & Healthcare CentersMorris, IL · CCN 14010117$2,698About average$2,143$13,735
Northwest Community Hospital 1Arlington Heights, IL · CCN 14025256$2,698About average$2,142$14,907
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 14018014$2,698About average$2,142$25,398
Northwestern Memorial HospitalChicago, IL · CCN 140281263$2,701About average$2,150$29,201
Copley Memorial HospitalAurora, IL · CCN 14002963$2,703About average$2,138$23,456
The University Of Chicago Medical CenterChicago, IL · CCN 140088 · +$133 outlier payments per case495$2,709About average$2,149$30,106
Uw HealthRockford, IL · CCN 14022875$2,709About average$2,143$33,656
Loyola University Medical CenterMaywood, IL · CCN 140276173$2,714About average$2,151$21,378
Saint Anthony Medical CenterRockford, IL · CCN 14023360$2,727About average$2,165$20,690
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 14028681$2,736About average$2,174$25,253
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 14021193$2,752About average$2,185$31,538
Rush University Medical CenterChicago, IL · CCN 140119288$2,756About average$2,194$14,649
MacNeal HospitalBerwyn, IL · CCN 14005414$2,764About average$2,202$19,838
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 14022411$2,764About average$2,202$33,291
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015041$2,764About average$2,200$17,910
Graham Hospital AssociationCanton, IL · CCN 14000113$2,812About average$2,241$14,539
St Anthonys Memorial HospitalEffingham, IL · CCN 14003212$2,812About average$2,241$14,941

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont5382$1,465$1,293–$1,763
Mississippi251,268$2,267$2,270–$2,367
Tennessee382,526$2,308$2,275–$2,432
West Virginia17869$2,309$2,192–$2,377
Oklahoma291,799$2,315$2,319–$2,448
Alabama281,158$2,326$2,291–$2,366
Maine11456$2,354$2,391–$2,641
Louisiana311,608$2,364$2,329–$2,393
Ohio855,215$2,383$2,374–$2,487
South Carolina362,756$2,407$2,374–$2,451
Arkansas212,489$2,409$2,397–$2,567
Kentucky331,789$2,415$2,379–$2,461
Missouri432,634$2,442$2,415–$2,529
Iowa221,352$2,447$2,399–$2,544
Nebraska17972$2,459$2,376–$2,622
Kansas292,199$2,467$2,426–$2,598
Michigan583,218$2,475$2,426–$2,532
North Carolina513,802$2,479$2,441–$2,552
Georgia513,560$2,501$2,419–$2,613
Virginia493,965$2,525$2,436–$2,652
Florida1129,136$2,534$2,548–$2,574
Utah101,090$2,538$2,507–$2,545
Indiana572,874$2,539$2,533–$2,589
New Mexico11535$2,543$2,445–$2,583
Texas14010,063$2,547$2,466–$2,565
Illinois754,835$2,553$2,568–$2,698
Pennsylvania966,023$2,581$2,503–$2,689
Wisconsin462,828$2,589$2,542–$2,651
Idaho14848$2,601$2,557–$2,670
South Dakota111,117$2,678$2,656–$2,834
North Dakota6719$2,693$2,652–$2,781
Colorado371,949$2,693$2,674–$2,705
Rhode Island6256$2,698$2,533–$2,847
Montana10674$2,710$2,620–$2,822
New Hampshire10740$2,742$2,714–$2,775
Arizona393,094$2,755$2,771–$2,771
Minnesota383,594$2,766$2,640–$2,790
Delaware5389$2,804$2,818–$2,851
Wyoming5115$2,806$2,798–$2,853
District of Columbia4388$2,850$2,804–$2,865
Washington362,835$2,906$2,851–$2,941
Nevada13549$2,993$2,909–$3,043
New Jersey402,402$3,013$2,960–$3,037
Massachusetts444,841$3,020$2,992–$3,052
Alaska5196$3,026$2,933–$3,084
Oregon221,322$3,054$2,916–$3,000
Connecticut201,467$3,085$2,999–$3,174
New York798,038$3,127$2,981–$3,183
Hawaii9290$3,259$3,259–$3,332
California13810,751$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.