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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 Ohio

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
Ohio
Specific hospitals up to 10
Average payment across these 84 hospitals
$2,362National $2,697 · Ohio $2,383
Median hospital
$2,426
Lowest to highest
$1,315–$2,590
Medicare procedures
4,539

84 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–84. Download as CSV

Medicare payments per case for Level 3 Excision/Biopsy/Incision and Drainage by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Mercy Health St Ritas Medical CenterLima, OH · CCN 36006676$2,430About average$1,932$27,935
Miami Valley HospitalDayton, OH · CCN 360051135$2,430About average$1,917$23,261
Fisher-Titus HospitalNorwalk, OH · CCN 36006517$2,431About average$1,937$9,698
Wooster Community HospitalWooster, OH · CCN 36003623$2,431About average$1,937$6,418
Mercy Health - Tiffin HospitalTiffin, OH · CCN 36008913$2,431About average$1,936$15,970
Christ HospitalCincinnati, OH · CCN 360163133$2,438About average$1,935$18,440
ProMedica Toledo HospitalToledo, OH · CCN 360068190$2,457About average$1,942$20,073
Grady Memorial HospitalDelaware, OH · CCN 36021025$2,461About average$1,941$20,107
Good Samaritan HospitalCincinnati, OH · CCN 36013477$2,471About average$1,969$10,767
Mercy Health - Fairfield HospitalFairfield, OH · CCN 36005631$2,471About average$1,969$21,428
Bethesda NorthCincinnati, OH · CCN 360179109$2,471About average$1,968$11,168
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 36001640$2,471About average$1,968$19,281
Mercy Health - West HospitalCincinnati, OH · CCN 36023428$2,471About average$1,965$22,377
Adena Regional Medical CenterChillicothe, OH · CCN 36015937$2,487About average$1,982$18,819
Marion General HospitalMarion, OH · CCN 36001131$2,487About average$1,980$17,126
Lima Memorial Health SystemLima, OH · CCN 36000921$2,487About average$1,979$32,736
OhioHealth Mansfield HospitalMansfield, OH · CCN 36011864$2,487About average$1,978$15,085
Mercy St Vincent Medical CenterToledo, OH · CCN 36011281$2,488About average$1,965$28,855
Southern Ohio Medical CenterPortsmouth, OH · CCN 36000844$2,496About average$1,964$13,381
Ashtabula County Medical CenterAshtabula, OH · CCN 36012545$2,498About average$1,972$10,769
Doctors HospitalColumbus, OH · CCN 36015232$2,511About average$2,001$20,764
Riverside Methodist HospitalColumbus, OH · CCN 36000689$2,518About average$1,999$20,204
Kettering Health Main CampusKettering, OH · CCN 36007974$2,523About average$2,003$30,384
Springfield Regional Medical CenterSpringfield, OH · CCN 36008613$2,530About average$2,016$17,632
Mount Carmel East & WestColumbus, OH · CCN 36003532$2,530About average$2,008$20,931
Community Hospitals And Wellness CentersBryan, OH · CCN 36012115$2,539About average$2,023$16,070
Memorial HospitalMarysville, OH · CCN 36009211$2,541About average$2,025$19,476
Fairfield Medical CenterLancaster, OH · CCN 36007234$2,541About average$2,023$13,584
Grant Medical CenterColumbus, OH · CCN 36001753$2,541About average$2,021$22,588
Mount Carmel St Ann'sWesterville, OH · CCN 36001222$2,541About average$2,019$16,763
Kettering Health MiamisburgMiamisburg, OH · CCN 36023928$2,550About average$2,032$23,611
Wilson Memorial HospitalSidney, OH · CCN 36001313$2,550About average$2,032$16,338
Ohio State University State Health SystemColumbus, OH · CCN 36008540$2,550About average$2,031$23,446
Genesis HospitalZanesville, OH · CCN 36003968$2,590About average$2,063$13,825

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.