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 1,151–1,200. 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
Southside Community Hospital, IncFarmville, VA · CCN 490090	18	$2,648	About average	$2,109	$18,398
Ecu Health North HospitalRoanoke Rapids, NC · CCN 340151	15	$2,648	About average	$2,110	$9,921
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	464	$2,648	About average	$2,108	$13,503
St Lukes HospitalDuluth, MN · CCN 240047	105	$2,650	About average	$2,105	$15,220
Christus Southern New MexicoAlamogordo, NM · CCN 320004	30	$2,650	About average	$2,105	$39,469
Reston Hospital CenterReston, VA · CCN 490107	42	$2,652	About average	$2,105	$18,711
United Hospital Center, IncBridgeport, WV · CCN 510006	78	$2,652	About average	$2,110	$11,901
The Monroe ClinicMonroe, WI · CCN 520028	12	$2,653	About average	$2,113	$9,376
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	106	$2,653	About average	$2,113	$16,979
Kootenai HealthCoeur D'Alene, ID · CCN 130049	124	$2,657	About average	$2,114	$11,634
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	125	$2,657	About average	$2,112	$10,204
UCHealth Greeley HospitalGreeley, CO · CCN 060131	37	$2,657	About average	$2,105	$17,302
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	19	$2,658	About average	$2,094	$12,202
Methodist Fremont HealthFremont, NE · CCN 280077	18	$2,659	About average	$2,118	$14,602
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	88	$2,661	About average	$2,115	$11,505
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	39	$2,661	About average	$2,104	$9,447
Wellspan York HospitalYork, PA · CCN 390046	121	$2,661	About average	$2,120	$11,234
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	192	$2,662	About average	$2,117	$13,298
Newport HospitalNewport, RI · CCN 410006	13	$2,662	About average	$2,121	$6,726
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	142	$2,664	About average	$2,119	$29,499
Dunes Surgical HospitalDakota Dunes, SD · CCN 430089	11	$2,664	About average	$2,123	$18,130
Sioux Falls Specialty HospitalSioux Falls, SD · CCN 430090	34	$2,664	About average	$2,123	$10,542
Sanford Medical Center BismarckBismarck, ND · CCN 350015	167	$2,664	About average	$2,123	$10,764
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 270049	109	$2,664	About average	$2,122	$11,929
Avera St LukesAberdeen, SD · CCN 430014	165	$2,664	About average	$2,121	$20,635
St. Patrick HospitalMissoula, MT · CCN 270014	82	$2,664	About average	$2,120	$6,942
Community Medical CenterMissoula, MT · CCN 270023	48	$2,664	About average	$2,119	$11,929
CHI St Alexius HealthBismarck, ND · CCN 350002	14	$2,664	About average	$2,109	$11,421
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	100	$2,665	About average	$2,123	$14,239
Mary Washington HospitalFredericksburg, VA · CCN 490022	69	$2,665	About average	$2,123	$13,696
Virginia Hospital CenterArlington, VA · CCN 490050	98	$2,665	About average	$2,123	$14,944
Inova Loudoun HospitalLeesburg, VA · CCN 490043	56	$2,665	About average	$2,120	$11,296
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	41	$2,665	About average	$2,118	$20,620
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	52	$2,665	About average	$2,118	$14,804
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
Lakeview Memorial HospitalStillwater, MN · CCN 240066	43	$2,666	About average	$2,114	$7,944
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
Allina United HospitalSaint Paul, MN · CCN 240038	109	$2,666	About average	$2,124	$9,575
George Washington University HospitalWashington, DC · CCN 090001	28	$2,667	About average	$2,074	$34,116
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	30	$2,669	About average	$2,127	$15,679
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	14	$2,670	About average	$2,127	$13,860
Southern Maine Health CareBiddeford, ME · CCN 200019	14	$2,670	About average	$2,127	$15,466
Meadville Medical CenterMeadville, PA · CCN 390113	29	$2,670	About average	$2,118	$34,877
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	81	$2,671	About average	$2,110	$24,881
Chelsea HospitalChelsea, MI · CCN 230259	23	$2,672	About average	$2,129	$20,212
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	21	$2,672	About average	$2,129	$14,118
St Catherine Hospital IncEast Chicago, IN · CCN 150008	16	$2,672	About average	$2,129	$15,610

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.