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

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1,805 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,001–1,050. 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
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	65	$2,589	About average	$2,062	$16,376
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	46	$2,589	About average	$2,054	$21,166
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	20	$2,590	About average	$2,063	$12,259
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 340148	22	$2,590	About average	$2,064	$7,812
Genesis HospitalZanesville, OH · CCN 360039	68	$2,590	About average	$2,063	$13,825
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	14	$2,591	About average	$2,064	$40,118
St Mary's HospitalAthens, GA · CCN 110006	26	$2,591	About average	$2,064	$20,740
Hamilton Medical CenterDalton, GA · CCN 110001	57	$2,591	About average	$2,064	$11,384
AdventHealth GordonCalhoun, GA · CCN 110023	19	$2,591	About average	$2,059	$26,766
Wellstar West Georgia Medical CenterLagrange, GA · CCN 110016	12	$2,591	About average	$2,057	$24,353
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	17	$2,591	About average	$2,064	$17,148
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	16	$2,591	About average	$2,064	$19,969
Penn State Health St. JosephReading, PA · CCN 390096	57	$2,591	About average	$2,061	$22,569
Piedmont Hospital, IncAtlanta, GA · CCN 110083	105	$2,592	About average	$2,065	$29,715
AdventHealth Central TexasKilleen, TX · CCN 450152	26	$2,593	About average	$2,066	$14,016
Munson Medical CenterTraverse City, MI · CCN 230097	79	$2,593	About average	$2,057	$10,155
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080	17	$2,593	About average	$2,059	$9,738
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	72	$2,594	About average	$2,060	$36,434
Piedmont Henry HospitalStockbridge, GA · CCN 110191	49	$2,594	About average	$2,058	$29,566
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	29	$2,595	About average	$2,053	$9,603
Rush Oak Park HospitalOak Park, IL · CCN 140063	20	$2,595	About average	$2,042	$15,855
Essentia Health DuluthDuluth, MN · CCN 240019	96	$2,596	About average	$2,064	$8,995
Reading HospitalWest Reading, PA · CCN 390044	123	$2,596	About average	$2,068	$23,633
St Mary Medical Center IncHobart, IN · CCN 150034	63	$2,596	About average	$2,057	$16,128
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	69	$2,597	About average	$2,069	$31,775
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	31	$2,597	About average	$2,055	$12,537
Ascension St Vincent KokomoKokomo, IN · CCN 150010	15	$2,598	About average	$2,070	$18,123
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	33	$2,598	About average	$2,070	$17,794
Centura St. Catherine-Dodge CityDodge City, KS · CCN 170175	13	$2,598	About average	$2,070	$11,640
Labette HealthParsons, KS · CCN 170120	19	$2,598	About average	$2,070	$5,223
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 170020	12	$2,598	About average	$2,070	$21,231
Pratt Regional Medical CenterPratt, KS · CCN 170027	28	$2,598	About average	$2,070	$10,014
Salina Regional Health CenterSalina, KS · CCN 170012	80	$2,598	About average	$2,068	$10,743
Southwest Medical CenterLiberal, KS · CCN 170068	31	$2,598	About average	$2,067	$10,883
Mercy Hospital Pittsburg, IncPittsburg, KS · CCN 170006	20	$2,598	About average	$2,066	$13,541
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	24	$2,600	About average	$2,057	$11,210
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	63	$2,600	About average	$2,071	$21,975
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	11	$2,600	About average	$2,067	$18,458
Billings Clinic HospitalBillings, MT · CCN 270004	133	$2,600	About average	$2,067	$5,399
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	31	$2,600	About average	$2,059	$4,655
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	61	$2,600	About average	$2,060	$12,775
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	62	$2,601	About average	$2,065	$31,524
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	112	$2,601	About average	$2,068	$21,145
Franciscan Health Crown PointCrown Point, IN · CCN 150126	30	$2,601	About average	$2,057	$14,272
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	51	$2,602	About average	$2,064	$12,068
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	21	$2,603	About average	$2,074	$9,681
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	23	$2,603	About average	$2,073	$22,180
Froedtert South Inc.Kenosha, WI · CCN 520021	31	$2,604	About average	$2,060	$19,252
Memorial HospitalLogansport, IN · CCN 150072	25	$2,604	About average	$2,075	$7,050
Benefis Hospitals IncGreat Falls, MT · CCN 270012	36	$2,606	About average	$2,037	$13,389

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.