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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 New York

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
New York
Specific hospitals up to 10
Average payment across these 77 hospitals
$3,102National $2,697 · New York $3,127
Median hospital
$3,075
Lowest to highest
$1,885–$3,233
Medicare procedures
5,672

77 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–77. Download as CSV

Medicare payments per case for Level 3 Excision/Biopsy/Incision and Drainage by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Nyack HospitalNyack, NY · CCN 33010470$3,16717% above the national average$2,514$24,177
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028659$3,17418% above the national average$2,529$18,624
St Catherine Of Siena HospitalSmithtown, NY · CCN 33040130$3,17418% above the national average$2,529$12,440
St Charles HospitalPort Jefferson, NY · CCN 33024615$3,17418% above the national average$2,529$15,878
Mount Sinai Beth IsraelNew York, NY · CCN 330169136$3,17718% above the national average$2,531$18,834
Montefiore St Luke's CornwallNewburgh, NY · CCN 33026455$3,17818% above the national average$2,524$23,873
Montefiore Medical CenterBronx, NY · CCN 330059105$3,17918% above the national average$2,526$33,709
Mount Sinai HospitalNew York, NY · CCN 330024 · +$112 outlier payments per case754$3,18118% above the national average$2,529$19,679
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182149$3,18518% above the national average$2,533$19,301
Southside HospitalBay Shore, NY · CCN 33004320$3,19819% above the national average$2,548$22,521
Mount Sinai WestNew York, NY · CCN 33004637$3,20119% above the national average$2,550$18,470
Northwell Hospital Glen CoveGlen Cove, NY · CCN 33018126$3,20219% above the national average$2,551$17,547
Mount Sinai South NassauOceanside, NY · CCN 33019884$3,20219% above the national average$2,551$27,104
Mercy Medical CenterRockville Centre, NY · CCN 33025929$3,20219% above the national average$2,549$19,758
New York-Presbyterian HospitalNew York, NY · CCN 330101481$3,21919% above the national average$2,561$15,088
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 33007930$3,22720% above the national average$2,571$9,632
Auburn Community HospitalAuburn, NY · CCN 33023520$3,22720% above the national average$2,571$10,126
Guthrie Cortland Regional Medical CenterCortland, NY · CCN 33017517$3,22720% above the national average$2,571$19,452
Samaritan Medical CenterWatertown, NY · CCN 33015740$3,22720% above the national average$2,571$6,275
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 33025075$3,22720% above the national average$2,570$13,552
Cayuga Medical Center At IthacaIthaca, NY · CCN 33030754$3,22720% above the national average$2,567$10,470
Bassett HealthcareCooperstown, NY · CCN 33013666$3,22720% above the national average$2,565$6,214
Flushing Hospital Medical CenterFlushing, NY · CCN 33019312$3,23320% above the national average$2,576$3,908
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 33026725$3,23320% above the national average$2,576$17,028
Maimonides Medical CenterBrooklyn, NY · CCN 33019456$3,23320% above the national average$2,576$18,428
Richmond University Medical CenterStaten Island, NY · CCN 33002828$3,23320% above the national average$2,576$16,039
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 33001925$3,23320% above the national average$2,576$12,850

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.