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 1,351–1,400. 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
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	72	$2,771	About average	$2,206	$32,195
Chandler Regional Medical CenterChandler, AZ · CCN 030036	48	$2,771	About average	$2,206	$31,019
Kingman Regional Medical CenterKingman, AZ · CCN 030055	58	$2,771	About average	$2,206	$30,995
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	73	$2,771	About average	$2,206	$17,763
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	215	$2,771	About average	$2,204	$12,164
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	34	$2,771	About average	$2,202	$21,844
Oro Valley HospitalOro Valley, AZ · CCN 030114	32	$2,771	About average	$2,202	$41,408
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	21	$2,771	About average	$2,201	$30,854
Northwest Medical CenterTucson, AZ · CCN 030085	26	$2,771	About average	$2,200	$36,834
St Joseph HospitalNashua, NH · CCN 300011	57	$2,775	About average	$2,211	$15,966
Catholic Medical CenterManchester, NH · CCN 300034	38	$2,775	About average	$2,207	$17,926
Southern NH Medical CenterNashua, NH · CCN 300020	36	$2,775	About average	$2,202	$20,152
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 290003	17	$2,779	About average	$2,154	$51,823
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 330085	13	$2,781	About average	$2,168	$4,928
Prairie Lakes Healthcare System, IncWatertown, SD · CCN 430005	37	$2,792	About average	$2,212	$9,477
Capital Medical CenterOlympia, WA · CCN 500139	39	$2,793	About average	$2,213	$17,418
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	104	$2,794	About average	$2,226	$19,587
Sheridan Memorial HospitalSheridan, WY · CCN 530006	17	$2,798	About average	$2,229	$9,814
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	73	$2,801	About average	$2,225	$9,535
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	52	$2,803	About average	$2,234	$17,321
UNC Health Care WayneGoldsboro, NC · CCN 340010	26	$2,807	About average	$2,218	$8,940
Graham Hospital AssociationCanton, IL · CCN 140001	13	$2,812	About average	$2,241	$14,539
St Anthonys Memorial HospitalEffingham, IL · CCN 140032	12	$2,812	About average	$2,241	$14,941
Swedish IssaquahIssaquah, WA · CCN 500152	26	$2,813	About average	$2,223	$16,912
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	116	$2,814	About average	$2,234	$13,779
Shore Medical CenterSomers Point, NJ · CCN 310047	15	$2,817	About average	$2,200	$23,921
Erie County Medical CenterBuffalo, NY · CCN 330219	23	$2,817	About average	$2,201	$9,304
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004	71	$2,818	About average	$2,242	$21,274
Trinity HospitalsMinot, ND · CCN 350006	68	$2,820	About average	$2,238	$13,778
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	65	$2,822	About average	$2,243	$17,415
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	15	$2,823	About average	$2,217	$11,371
Cooper University HospitalCamden, NJ · CCN 310014	164	$2,825	About average	$2,247	$27,445
Kadlec Regional Medical CenterRichland, WA · CCN 500058	168	$2,828	About average	$2,244	$15,535
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	17	$2,828	About average	$2,251	$27,786
Altru HospitalGrand Forks, ND · CCN 350019	109	$2,832	About average	$2,252	$10,397
Centracare- Rice Memorial HospitalWillmar, MN · CCN 240088	35	$2,833	About average	$2,257	$8,590
Lake Region Healthcare CorporationFergus Falls, MN · CCN 240052	29	$2,833	About average	$2,257	$12,366
Essentia Health St Joseph's Medical CenterBrainerd, MN · CCN 240075	15	$2,833	About average	$2,257	$13,428
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	47	$2,833	About average	$2,256	$6,824
Beebe Medical CenterLewes, DE · CCN 080007	158	$2,833	About average	$2,255	$16,468
University Of Washington Medical CenterSeattle, WA · CCN 500008	121	$2,833	About average	$2,253	$18,813
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	52	$2,835	About average	$2,255	$12,789
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	11	$2,837	About average	$2,261	$21,434
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	84	$2,839	About average	$2,260	$19,305
Inspira Medical Center VinelandVineland, NJ · CCN 310032	22	$2,840	About average	$2,254	$20,192
Huntington HospitalHuntington, NY · CCN 330045	52	$2,840	About average	$2,206	$29,149
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 320002	62	$2,841	About average	$2,250	$18,432
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	20	$2,843	About average	$2,264	$8,412
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	309	$2,845	About average	$2,265	$16,864
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	43	$2,848	About average	$2,258	$19,974

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.