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 1,201–1,250. 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
Riverside Medical CenterKankakee, IL · CCN 140186	56	$2,672	About average	$2,129	$24,459
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	83	$2,672	About average	$2,129	$15,002
Methodist Hospitals IncGary, IN · CCN 150002	17	$2,672	About average	$2,128	$21,811
Franciscan Health DyerDyer, IN · CCN 150090	34	$2,672	About average	$2,126	$13,653
Franciscan Health MunsterMunster, IN · CCN 150165	16	$2,673	About average	$2,119	$16,215
Ascension All Saints HospitalRacine, WI · CCN 520096	27	$2,674	About average	$2,130	$15,575
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	40	$2,674	About average	$2,125	$22,744
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	158	$2,674	About average	$2,128	$17,680
UPMC HanoverHanover, PA · CCN 390233	20	$2,675	About average	$2,130	$15,949
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	123	$2,675	About average	$2,127	$20,855
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	99	$2,675	About average	$2,131	$18,237
Portneuf Medical CenterPocatello, ID · CCN 130028	43	$2,675	About average	$2,130	$23,218
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$506 outlier payments per case	166	$2,677	About average	$2,133	$12,894
Christiana HospitalNewark, DE · CCN 080001	76	$2,679	About average	$2,118	$11,939
Midwestern Region Medical Center, IncZion, IL · CCN 140100	80	$2,681	About average	$2,136	$31,122
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	65	$2,681	About average	$2,135	$17,181
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	45	$2,684	About average	$2,129	$18,596
Mercy HospitalCoon Rapids, MN · CCN 240115	92	$2,687	About average	$2,141	$10,280
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	15	$2,687	About average	$2,141	$8,934
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	24	$2,687	About average	$2,141	$11,529
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	29	$2,688	About average	$2,115	$25,679
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	56	$2,688	About average	$2,126	$24,629
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174 · +$298 outlier payments per case	193	$2,688	About average	$2,137	$19,945
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	439	$2,691	About average	$2,142	$21,165
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	41	$2,692	About average	$2,144	$35,720
Advocate Sherman HospitalElgin, IL · CCN 140030	34	$2,694	About average	$2,141	$20,110
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	606	$2,694	About average	$2,144	$37,241
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	12	$2,696	About average	$2,148	$9,040
Banner Baywood Medical CenterMesa, AZ · CCN 030088	60	$2,697	About average	$2,131	$17,489
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	103	$2,698	About average	$2,144	$14,271
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	45	$2,698	About average	$2,149	$20,196
John H Stroger Jr HospitalChicago, IL · CCN 140124	26	$2,698	About average	$2,149	$10,697
Saint Joseph Medical CenterJoliet, IL · CCN 140007	22	$2,698	About average	$2,149	$27,296
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	43	$2,698	About average	$2,149	$22,930
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	80	$2,698	About average	$2,148	$12,019
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	12	$2,698	About average	$2,145	$14,396
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	17	$2,698	About average	$2,143	$13,735
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	56	$2,698	About average	$2,142	$14,907
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 140180	14	$2,698	About average	$2,142	$25,398
Northwestern Memorial HospitalChicago, IL · CCN 140281	263	$2,701	About average	$2,150	$29,201
Copley Memorial HospitalAurora, IL · CCN 140029	63	$2,703	About average	$2,138	$23,456
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	11	$2,704	About average	$2,154	$24,223
Flagler HospitalSaint Augustine, FL · CCN 100090	42	$2,704	About average	$2,144	$13,129
Boulder Community HealthBoulder, CO · CCN 060027	27	$2,705	About average	$2,155	$38,096
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	51	$2,705	About average	$2,155	$23,984
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	24	$2,705	About average	$2,155	$23,666
Community HospitalGrand Junction, CO · CCN 060054	45	$2,705	About average	$2,155	$16,675
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	26	$2,705	About average	$2,155	$12,835
HCA Healthone RoseDenver, CO · CCN 060032	21	$2,705	About average	$2,155	$35,430
Longs Peak HospitalLongmont, CO · CCN 060128	32	$2,705	About average	$2,155	$13,742

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.