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 1,101–1,150. 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
Decatur Memorial HospitalDecatur, IL · CCN 140135	77	$2,626	About average	$2,085	$14,543
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	28	$2,628	About average	$2,078	$17,122
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	43	$2,629	About average	$2,095	$18,773
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	17	$2,631	About average	$2,096	$16,839
McLaren Northern MichiganPetoskey, MI · CCN 230105	57	$2,631	About average	$2,089	$8,406
Elliot HospitalManchester, NH · CCN 300012	63	$2,632	About average	$2,097	$19,942
CHI Health St. FrancisGrand Island, NE · CCN 280023	18	$2,633	About average	$2,098	$14,664
Grand Island Regional Medical CenterGrand Island, NE · CCN 280139	15	$2,633	About average	$2,098	$11,486
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 060004	30	$2,633	About average	$2,083	$25,360
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	35	$2,635	About average	$2,099	$46,494
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	36	$2,635	About average	$2,099	$23,711
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	42	$2,635	About average	$2,099	$22,563
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	23	$2,635	About average	$2,099	$44,817
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	56	$2,635	About average	$2,099	$26,486
Memorial Hermann Surgical Hospital KingwoodKingwood, TX · CCN 670005	15	$2,635	About average	$2,099	$17,015
St Luke's Patients Medical CenterPasadena, TX · CCN 670031	12	$2,635	About average	$2,099	$17,034
Texas Orthopedic HospitalHouston, TX · CCN 450804	16	$2,635	About average	$2,099	$34,580
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	67	$2,635	About average	$2,099	$34,790
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	39	$2,635	About average	$2,096	$58,346
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	80	$2,635	About average	$2,096	$31,309
HCA Houston Healthcare TomballTomball, TX · CCN 450670	31	$2,635	About average	$2,096	$41,335
McLaren FlintFlint, MI · CCN 230141	41	$2,637	About average	$2,100	$11,144
St Mary Medical CenterGalesburg, IL · CCN 140064	16	$2,637	About average	$2,097	$18,132
Grady Memorial HospitalAtlanta, GA · CCN 110079	23	$2,637	About average	$2,101	$44,312
Piedmont Eastside Medical CenterSnellville, GA · CCN 110192	26	$2,637	About average	$2,101	$30,215
Southeastern Regional Medical Center, IncNewnan, GA · CCN 110233	25	$2,637	About average	$2,101	$31,880
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	17	$2,637	About average	$2,101	$27,901
Wellstar Spalding Medical CenterGriffin, GA · CCN 110031	15	$2,637	About average	$2,101	$27,838
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	35	$2,637	About average	$2,101	$25,217
Piedmont Rockdale HospitalConyers, GA · CCN 110091	31	$2,637	About average	$2,101	$28,424
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	74	$2,637	About average	$2,099	$24,957
Emory Decatur HospitalDecatur, GA · CCN 110076	37	$2,637	About average	$2,099	$17,980
Northside Hospital DuluthDuluth, GA · CCN 110252	59	$2,637	About average	$2,098	$27,722
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	13	$2,637	About average	$2,092	$14,655
Community HospitalMunster, IN · CCN 150125	122	$2,637	About average	$2,094	$16,694
Crozer Chester Medical CenterUpland, PA · CCN 390180	27	$2,638	About average	$2,102	$23,537
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	75	$2,638	About average	$2,091	$15,458
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	23	$2,639	About average	$2,102	$11,782
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	37	$2,641	About average	$2,104	$15,951
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	17	$2,641	About average	$2,104	$33,207
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	74	$2,641	About average	$2,103	$8,735
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	141	$2,643	About average	$2,099	$11,495
Poudre Valley HospitalFort Collins, CO · CCN 060010	101	$2,643	About average	$2,091	$17,292
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	57	$2,645	About average	$2,088	$10,631
Essentia Health VirginiaVirginia, MN · CCN 240084	15	$2,645	About average	$2,116	$10,083
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	36	$2,645	About average	$2,095	$16,140
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	52	$2,646	About average	$2,106	$19,195
Jefferson Abington HospitalAbington, PA · CCN 390231	108	$2,646	About average	$2,099	$15,638
Sanford Medical Center FargoFargo, ND · CCN 350011	276	$2,647	About average	$2,105	$8,034
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016 · +$123 outlier payments per case	428	$2,648	About average	$2,109	$28,096

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.