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 1,301–1,350. 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
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	22	$2,732	About average	$2,175	$20,857
Olmsted Medical CenterRochester, MN · CCN 240006	15	$2,733	About average	$2,171	$9,386
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	12	$2,736	About average	$2,180	$12,887
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	81	$2,736	About average	$2,174	$25,253
Rhode Island HospitalProvidence, RI · CCN 410007	107	$2,738	About average	$2,177	$13,883
Paris Regional Medical CenterParis, TX · CCN 450196	25	$2,739	About average	$2,182	$39,087
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	69	$2,739	About average	$2,179	$16,815
Renown South Meadows Medical CenterReno, NV · CCN 290049	20	$2,739	About average	$2,182	$23,236
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	179	$2,740	About average	$2,180	$11,842
Chester County HospitalWest Chester, PA · CCN 390179	111	$2,741	About average	$2,184	$17,559
Paoli HospitalPaoli, PA · CCN 390153	69	$2,741	About average	$2,183	$12,897
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	40	$2,741	About average	$2,182	$12,454
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	55	$2,741	About average	$2,181	$14,946
Doylestown HospitalDoylestown, PA · CCN 390203	69	$2,741	About average	$2,180	$14,936
Augusta HealthFishersville, VA · CCN 490018	68	$2,747	About average	$2,188	$15,217
Good Samaritan Medical CenterBrockton, MA · CCN 220111	18	$2,747	About average	$2,178	$7,723
Maine General Medical CenterAugusta, ME · CCN 200039	65	$2,747	About average	$2,189	$13,226
Marion General HospitalMarion, IN · CCN 150011	13	$2,749	About average	$2,190	$19,023
St Mary Medical CenterLanghorne, PA · CCN 390258	42	$2,750	About average	$2,176	$17,270
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 130013	65	$2,750	About average	$2,191	$9,448
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	93	$2,752	About average	$2,185	$31,538
Alomere HealthAlexandria, MN · CCN 240030	36	$2,754	About average	$2,194	$11,630
Rush University Medical CenterChicago, IL · CCN 140119	288	$2,756	About average	$2,194	$14,649
HCA Florida Lake City HospitalLake City, FL · CCN 100156	11	$2,757	About average	$2,196	$28,675
Lower Keys Medical CenterKey West, FL · CCN 100150	11	$2,757	About average	$2,196	$31,342
San Juan Regional Medical Center IncFarmington, NM · CCN 320005	52	$2,758	About average	$2,193	$15,476
Grand Itasca Clinic And HospitalGrand Rapids, MN · CCN 240064	38	$2,758	About average	$2,195	$8,799
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	22	$2,761	About average	$2,199	$15,382
Riddle Memorial HospitalMedia, PA · CCN 390222	69	$2,761	About average	$2,199	$12,840
MacNeal HospitalBerwyn, IL · CCN 140054	14	$2,764	About average	$2,202	$19,838
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	11	$2,764	About average	$2,202	$33,291
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	41	$2,764	About average	$2,200	$17,910
Marlborough HospitalMarlborough, MA · CCN 220049	17	$2,766	About average	$2,143	$14,091
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 030146	52	$2,766	About average	$2,202	$22,274
Virginia Mason Medical CenterSeattle, WA · CCN 500005	94	$2,767	About average	$2,192	$13,763
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	38	$2,771	About average	$2,208	$39,124
Abrazo West CampusGoodyear, AZ · CCN 030110	25	$2,771	About average	$2,208	$36,490
Banner Desert Medical CenterMesa, AZ · CCN 030065	33	$2,771	About average	$2,208	$27,264
City Of Hope Cancer Center PhoenixGoodyear, AZ · CCN 030138	110	$2,771	About average	$2,208	$25,498
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	67	$2,771	About average	$2,208	$24,269
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	93	$2,771	About average	$2,208	$25,858
St Joseph's HospitalTucson, AZ · CCN 030011	23	$2,771	About average	$2,208	$54,641
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	38	$2,771	About average	$2,208	$29,262
St. Mary's HospitalTucson, AZ · CCN 030010	33	$2,771	About average	$2,208	$30,898
Tucson Medical CenterTucson, AZ · CCN 030006	28	$2,771	About average	$2,208	$13,100
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	11	$2,771	About average	$2,208	$40,522
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 030101	11	$2,771	About average	$2,208	$64,003
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	50	$2,771	About average	$2,208	$21,353
Banner Boswell Medical CenterSun City, AZ · CCN 030061	89	$2,771	About average	$2,207	$19,128
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	55	$2,771	About average	$2,207	$21,683

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.