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 1,401–1,450. 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
MedStar Georgetown University HospitalWashington, DC · CCN 090004	157	$2,850	About average	$2,256	$24,922
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	19	$2,850	About average	$2,245	$12,024
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 080009	37	$2,851	About average	$2,271	$24,665
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	47	$2,851	About average	$2,268	$9,961
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	56	$2,851	About average	$2,243	$16,883
Deaconess Medical CenterSpokane, WA · CCN 500044	51	$2,852	About average	$2,272	$17,607
Harborview Medical CenterSeattle, WA · CCN 500064	35	$2,852	About average	$2,267	$20,201
Trios HealthKennewick, WA · CCN 500053	20	$2,852	About average	$2,262	$20,611
Avera Sacred Heart HospitalYankton, SD · CCN 430012	33	$2,853	About average	$2,273	$12,398
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	99	$2,853	About average	$2,273	$15,917
Avera St Mary's HospitalPierre, SD · CCN 430015	21	$2,853	About average	$2,273	$11,483
Campbell County HealthGillette, WY · CCN 530002	17	$2,853	About average	$2,273	$10,805
Ivinson Memorial HospitalLaramie, WY · CCN 530025	14	$2,853	About average	$2,273	$6,865
Monument Health Spearfish HospitalSpearfish, SD · CCN 430048	17	$2,853	About average	$2,273	$13,837
St James HospitalButte, MT · CCN 270017	19	$2,853	About average	$2,273	$15,540
Logan Health Medical CenterKalispell, MT · CCN 270051	103	$2,853	About average	$2,271	$8,745
Banner Wyoming Medical CenterCasper, WY · CCN 530012	31	$2,853	About average	$2,267	$14,555
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010 · +$36 outlier payments per case	1,785	$2,855	About average	$2,269	$12,726
Rochester General HospitalRochester, NY · CCN 330125	31	$2,858	About average	$2,245	$14,853
MedStar Washington Hospital CenterWashington, DC · CCN 090011	83	$2,858	About average	$2,267	$23,206
Tufts Medical CenterBoston, MA · CCN 220116	104	$2,858	About average	$2,277	$16,957
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	113	$2,863	About average	$2,280	$17,059
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	68	$2,863	About average	$2,271	$22,388
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	73	$2,864	About average	$2,264	$24,268
Hutchinson HealthHutchinson, MN · CCN 240187	18	$2,864	About average	$2,282	$11,868
Valley Medical CenterRenton, WA · CCN 500088	62	$2,865	About average	$2,274	$17,595
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	107	$2,866	About average	$2,279	$11,826
Monmouth Medical Center-Southern CampusLakewood, NJ · CCN 310084	22	$2,867	About average	$2,262	$14,876
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 240043	11	$2,867	About average	$2,284	$9,973
Mount Nittany Medical CenterState College, PA · CCN 390268	46	$2,867	About average	$2,285	$17,816
Island HospitalAnacortes, WA · CCN 500007	11	$2,873	About average	$2,289	$11,544
Skagit Valley HospitalMount Vernon, WA · CCN 500003	95	$2,873	About average	$2,289	$15,241
Providence St Peter HospitalOlympia, WA · CCN 500024	64	$2,873	About average	$2,287	$17,613
Hartford HospitalHartford, CT · CCN 070025	79	$2,873	About average	$2,280	$15,098
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	80	$2,873	About average	$2,280	$10,893
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	17	$2,876	About average	$2,231	$19,999
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	41	$2,878	About average	$2,293	$12,608
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	29	$2,879	About average	$2,294	$11,735
Westerly HospitalWesterly, RI · CCN 410013	38	$2,884	About average	$2,296	$14,661
Roger Williams Medical CenterProvidence, RI · CCN 410004	30	$2,884	About average	$2,291	$12,632
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	12	$2,886	About average	$2,257	$11,535
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	74	$2,887	About average	$2,296	$17,139
Sibley Memorial HospitalWashington, DC · CCN 090005	120	$2,888	About average	$2,297	$18,402
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	60	$2,889	About average	$2,292	$21,575
Montrose Regional HealthMontrose, CO · CCN 060006	23	$2,897	About average	$2,308	$16,040
Vail Health HospitalVail, CO · CCN 060096	18	$2,897	About average	$2,308	$20,716
Mercy Regional Medical CenterDurango, CO · CCN 060013	60	$2,897	About average	$2,305	$33,677
Delta County Memorial HospitalDelta, CO · CCN 060071	29	$2,897	About average	$2,298	$7,081
Providence Regional Medical Center EverettEverett, WA · CCN 500014	71	$2,902	About average	$2,312	$19,983
Highline Medical CenterBurien, WA · CCN 500011	21	$2,902	About average	$2,303	$26,134

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.