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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

1,805 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,251–1,300. 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
Parkview Medical Center, IncPueblo, CO · CCN 060020	23	$2,705	About average	$2,155	$31,447
Saint Joseph HospitalDenver, CO · CCN 060028	20	$2,705	About average	$2,155	$32,937
Swedish Medical CenterEnglewood, CO · CCN 060034	42	$2,705	About average	$2,155	$45,672
AdventHealth LittletonLittleton, CO · CCN 060113	15	$2,705	About average	$2,155	$22,006
AdventHealth PorterDenver, CO · CCN 060064	15	$2,705	About average	$2,155	$27,742
Medical Center Of The RockiesLoveland, CO · CCN 060119	62	$2,705	About average	$2,155	$18,240
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	14	$2,705	About average	$2,155	$62,920
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	12	$2,705	About average	$2,155	$15,582
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	16	$2,705	About average	$2,153	$14,117
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	97	$2,705	About average	$2,153	$20,510
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014 · +$578 outlier payments per case	217	$2,705	About average	$2,153	$94,742
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	20	$2,705	About average	$2,151	$71,822
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	42	$2,705	About average	$2,150	$30,291
St Joseph Regional Medical CenterLewiston, ID · CCN 130003	70	$2,707	About average	$2,150	$14,572
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	74	$2,708	About average	$2,155	$10,034
Parkland Health CenterFarmington, MO · CCN 260163	12	$2,708	About average	$2,158	$13,174
Phelps County Regional Medical CenterRolla, MO · CCN 260017	38	$2,708	About average	$2,156	$24,021
The University Of Chicago Medical CenterChicago, IL · CCN 140088 · +$133 outlier payments per case	495	$2,709	About average	$2,149	$30,106
Uw HealthRockford, IL · CCN 140228	75	$2,709	About average	$2,143	$33,656
Concord HospitalConcord, NH · CCN 300001	36	$2,710	About average	$2,160	$19,986
St. George Regional HospitalSt George, UT · CCN 460021	152	$2,712	About average	$2,158	$15,529
Norton-King's Daughters' HealthMadison, IN · CCN 150069	13	$2,713	About average	$2,155	$12,405
St. Catherine Hospital - Garden CityGarden City, KS · CCN 170023	37	$2,714	About average	$2,145	$10,683
Loyola University Medical CenterMaywood, IL · CCN 140276	173	$2,714	About average	$2,151	$21,378
Buffalo HospitalBuffalo, MN · CCN 240076	13	$2,716	About average	$2,164	$9,672
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	36	$2,716	About average	$2,164	$13,031
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	17	$2,716	About average	$2,164	$17,054
Northfield HospitalNorthfield, MN · CCN 240014	12	$2,716	About average	$2,164	$13,281
Regions HospitalSaint Paul, MN · CCN 240106	66	$2,716	About average	$2,164	$9,915
Maple Grove HospitalMaple Grove, MN · CCN 240214	13	$2,716	About average	$2,158	$8,266
Great Plains HealthNorth Platte, NE · CCN 280065	68	$2,718	About average	$2,165	$15,438
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	34	$2,718	About average	$2,151	$19,464
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	76	$2,718	About average	$2,166	$15,237
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	39	$2,718	About average	$2,166	$16,806
Penn Highlands DuboisDubois, PA · CCN 390086	68	$2,718	About average	$2,165	$21,619
UPMC AltoonaAltoona, PA · CCN 390073	41	$2,718	About average	$2,164	$15,959
UPMC SomersetSomerset, PA · CCN 390039	15	$2,718	About average	$2,163	$12,898
Phoenixville HospitalPhoenixville, PA · CCN 390127	44	$2,719	About average	$2,161	$21,006
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	53	$2,719	About average	$2,166	$35,197
Winchester Medical CenterWinchester, VA · CCN 490005	178	$2,719	About average	$2,148	$7,744
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	97	$2,721	About average	$2,163	$30,254
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	910	$2,722	About average	$2,164	$15,843
Indiana Regional Medical CenterIndiana, PA · CCN 390173	19	$2,723	About average	$2,166	$16,119
Marshfield Medical Center - Rice LakeRice Lake, WI · CCN 520011	16	$2,723	About average	$2,170	$7,254
Cheshire Medical CenterKeene, NH · CCN 300019	37	$2,724	About average	$2,168	$10,413
Exeter Hospital IncExeter, NH · CCN 300023	60	$2,724	About average	$2,167	$14,643
Wayne Memorial HospitalHonesdale, PA · CCN 390125	14	$2,726	About average	$2,172	$14,547
Saint Anthony Medical CenterRockford, IL · CCN 140233	60	$2,727	About average	$2,165	$20,690
Cheyenne Regional Medical CenterCheyenne, WY · CCN 530014	36	$2,730	About average	$2,143	$18,181
St Peters HealthHelena, MT · CCN 270003	33	$2,730	About average	$2,162	$11,088

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.