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 Pennsylvania

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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Average payment across these 95 hospitals: $2,579National $2,697 · Pennsylvania $2,581
Median hospital: $2,538
Lowest to highest: $1,961–$2,995
Medicare procedures: 5,953

95 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–95. 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
UPMC CarlisleCarlisle, PA · CCN 390058	40	$2,573	About average	$2,050	$21,614
Nazareth HospitalPhiladelphia, PA · CCN 390204	16	$2,575	About average	$2,024	$30,487
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PA · CCN 390156	16	$2,588	About average	$2,053	$24,320
Lehigh Valley HospitalAllentown, PA · CCN 390133	239	$2,588	About average	$2,059	$26,117
Penn State Health St. JosephReading, PA · CCN 390096	57	$2,591	About average	$2,061	$22,569
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	72	$2,594	About average	$2,060	$36,434
Reading HospitalWest Reading, PA · CCN 390044	123	$2,596	About average	$2,068	$23,633
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	31	$2,597	About average	$2,055	$12,537
Robert Packer HospitalSayre, PA · CCN 390079	62	$2,610	About average	$2,080	$22,131
Oss Orthopaedic HospitalYork, PA · CCN 390325	12	$2,625	About average	$2,091	$9,139
Crozer Chester Medical CenterUpland, PA · CCN 390180	27	$2,638	About average	$2,102	$23,537
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	36	$2,645	About average	$2,095	$16,140
Jefferson Abington HospitalAbington, PA · CCN 390231	108	$2,646	About average	$2,099	$15,638
Wellspan York HospitalYork, PA · CCN 390046	121	$2,661	About average	$2,120	$11,234
St Lukes HospitalBethlehem, PA · CCN 390049	191	$2,665	About average	$2,115	$36,432
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	24	$2,666	About average	$2,124	$16,057
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	20	$2,666	About average	$2,114	$13,074
Pottstown HospitalPottstown, PA · CCN 390123	30	$2,666	About average	$2,113	$23,356
Physicians Care Surgical HospitalRoyersford, PA · CCN 390324	13	$2,666	About average	$2,109	$25,110
Meadville Medical CenterMeadville, PA · CCN 390113	29	$2,670	About average	$2,118	$34,877
UPMC HanoverHanover, PA · CCN 390233	20	$2,675	About average	$2,130	$15,949
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174 · +$298 outlier payments per case	193	$2,688	About average	$2,137	$19,945
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	41	$2,692	About average	$2,144	$35,720
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	606	$2,694	About average	$2,144	$37,241
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	39	$2,718	About average	$2,166	$16,806
Penn Highlands DuboisDubois, PA · CCN 390086	68	$2,718	About average	$2,165	$21,619
UPMC AltoonaAltoona, PA · CCN 390073	41	$2,718	About average	$2,164	$15,959
UPMC SomersetSomerset, PA · CCN 390039	15	$2,718	About average	$2,163	$12,898
Phoenixville HospitalPhoenixville, PA · CCN 390127	44	$2,719	About average	$2,161	$21,006
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	53	$2,719	About average	$2,166	$35,197
Indiana Regional Medical CenterIndiana, PA · CCN 390173	19	$2,723	About average	$2,166	$16,119
Wayne Memorial HospitalHonesdale, PA · CCN 390125	14	$2,726	About average	$2,172	$14,547
Chester County HospitalWest Chester, PA · CCN 390179	111	$2,741	About average	$2,184	$17,559
Paoli HospitalPaoli, PA · CCN 390153	69	$2,741	About average	$2,183	$12,897
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	40	$2,741	About average	$2,182	$12,454
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	55	$2,741	About average	$2,181	$14,946
Doylestown HospitalDoylestown, PA · CCN 390203	69	$2,741	About average	$2,180	$14,936
St Mary Medical CenterLanghorne, PA · CCN 390258	42	$2,750	About average	$2,176	$17,270
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	22	$2,761	About average	$2,199	$15,382
Riddle Memorial HospitalMedia, PA · CCN 390222	69	$2,761	About average	$2,199	$12,840
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	52	$2,835	About average	$2,255	$12,789
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	113	$2,863	About average	$2,280	$17,059
Mount Nittany Medical CenterState College, PA · CCN 390268	46	$2,867	About average	$2,285	$17,816
UPMC HamotErie, PA · CCN 390063	29	$2,995	11% above the national average	$2,386	$23,242
Saint Vincent HospitalErie, PA · CCN 390009	33	$2,995	11% above the national average	$2,382	$26,935

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.