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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Year of care

1,805 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,051–1,100. 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
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	14	$2,606	About average	$2,045	$23,464
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	61	$2,606	About average	$2,077	$7,998
Emory University HospitalAtlanta, GA · CCN 110010	595	$2,607	About average	$2,071	$19,021
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	22	$2,607	About average	$2,057	$27,068
Carolina East Medical CenterNew Bern, NC · CCN 340131	53	$2,608	About average	$2,070	$10,450
The Core Institute Specialty HospitalPhoenix, AZ · CCN 030108	12	$2,609	About average	$2,046	$15,563
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	130	$2,609	About average	$2,079	$21,151
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	74	$2,609	About average	$2,079	$22,475
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026	59	$2,610	About average	$2,077	$15,584
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	18	$2,610	About average	$2,080	$14,378
Robert Packer HospitalSayre, PA · CCN 390079	62	$2,610	About average	$2,080	$22,131
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	36	$2,610	About average	$2,063	$19,972
Hays Medical CenterHays, KS · CCN 170013	66	$2,611	About average	$2,078	$4,004
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$373 outlier payments per case	378	$2,611	About average	$2,077	$20,198
Mainehealth Pen Bay HospitalRockport, ME · CCN 200063	27	$2,611	About average	$2,079	$11,550
Shannon Medical CenterSan Angelo, TX · CCN 450571	73	$2,612	About average	$2,075	$14,451
Ingalls Memorial HospitalHarvey, IL · CCN 140191	25	$2,612	About average	$2,063	$23,732
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	224	$2,612	About average	$2,079	$9,288
Self Regional HealthcareGreenwood, SC · CCN 420071	68	$2,613	About average	$2,078	$15,753
Columbus Regional HospitalColumbus, IN · CCN 150112	47	$2,614	About average	$2,083	$17,476
AdventHealth ParkerParker, CO · CCN 060114	24	$2,615	About average	$2,065	$24,383
Palos Community HospitalPalos Heights, IL · CCN 140062	138	$2,616	About average	$2,084	$28,398
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	66	$2,616	About average	$2,074	$18,457
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	15	$2,617	About average	$2,055	$19,693
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	121	$2,617	About average	$2,081	$29,167
Inova Alexandria HospitalAlexandria, VA · CCN 490040	84	$2,618	About average	$2,074	$12,473
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	34	$2,619	About average	$2,081	$14,230
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	11	$2,619	About average	$2,087	$25,364
Essentia HealthFargo, ND · CCN 350070	85	$2,619	About average	$2,077	$13,237
Emory University Hospital MidtownAtlanta, GA · CCN 110078 · +$1,002 outlier payments per case	122	$2,620	About average	$2,084	$22,171
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	15	$2,620	About average	$2,088	$23,405
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	21	$2,620	About average	$2,078	$11,056
Mercy Hospital AdaAda, OK · CCN 370020	22	$2,622	About average	$2,089	$10,407
Regional West Medical CenterScottsbluff, NE · CCN 280061	50	$2,622	About average	$2,085	$16,850
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	15	$2,624	About average	$2,060	$12,133
Goshen HospitalGoshen, IN · CCN 150026	46	$2,624	About average	$2,091	$15,722
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	58	$2,624	About average	$2,091	$9,274
Oss Orthopaedic HospitalYork, PA · CCN 390325	12	$2,625	About average	$2,091	$9,139
United Regional Health Care SystemWichita Falls, TX · CCN 450010	77	$2,625	About average	$2,083	$18,626
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	24	$2,625	About average	$2,071	$16,036
Ridgeview Medical CenterWaconia, MN · CCN 240056	24	$2,626	About average	$2,074	$7,376
Anderson HospitalMaryville, IL · CCN 140289	19	$2,626	About average	$2,092	$10,874
Carle Bromenn Medical CenterNormal, IL · CCN 140127	16	$2,626	About average	$2,092	$11,654
St Joseph Medical CenterBloomington, IL · CCN 140162	17	$2,626	About average	$2,092	$20,668
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	32	$2,626	About average	$2,092	$21,449
Memorial HospitalBelleville, IL · CCN 140185	38	$2,626	About average	$2,092	$13,989
St Johns HospitalSpringfield, IL · CCN 140053	43	$2,626	About average	$2,092	$25,743
Trinity Rock IslandRock Island, IL · CCN 140280	42	$2,626	About average	$2,092	$11,895
Memorial Medical CenterSpringfield, IL · CCN 140148	145	$2,626	About average	$2,090	$20,832
Carle Health Methodist HospitalPeoria, IL · CCN 140209	18	$2,626	About average	$2,089	$27,078

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.