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 101–150. 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
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	19	$2,271	16% below the national average	$1,804	$23,339
Mon Health Medical CenterMorgantown, WV · CCN 510024	39	$2,271	16% below the national average	$1,790	$19,513
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	12	$2,272	16% below the national average	$1,774	$28,437
Saint Joseph LondonLondon, KY · CCN 180011	17	$2,272	16% below the national average	$1,784	$6,716
Baptist Health CorbinCorbin, KY · CCN 180080	17	$2,272	16% below the national average	$1,777	$13,526
Anderson Regional Medical CenterMeridian, MS · CCN 250104	48	$2,275	16% below the national average	$1,797	$10,053
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	13	$2,276	16% below the national average	$1,808	$21,027
Conway Regional Medical Center, IncConway, AR · CCN 040029	24	$2,279	15% below the national average	$1,784	$12,157
Integris Health Enid HospitalEnid, OK · CCN 370016	19	$2,286	15% below the national average	$1,821	$17,732
St Vincent's BirminghamBirmingham, AL · CCN 010056	42	$2,287	15% below the national average	$1,804	$18,145
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	33	$2,287	15% below the national average	$1,809	$7,370
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010	35	$2,288	15% below the national average	$1,801	$10,220
University Of Kentucky HospitalLexington, KY · CCN 180067	173	$2,288	15% below the national average	$1,807	$21,966
Thomas HospitalFairhope, AL · CCN 010100	24	$2,289	15% below the national average	$1,808	$9,060
Aultman HospitalCanton, OH · CCN 360084	64	$2,290	15% below the national average	$1,803	$10,987
Deaconess Hospital IncEvansville, IN · CCN 150082	165	$2,290	15% below the national average	$1,825	$12,925
Maury Regional HospitalColumbia, TN · CCN 440073	63	$2,291	15% below the national average	$1,802	$16,638
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	12	$2,291	15% below the national average	$1,801	$50,024
Corewell Health Wayne HospitalWayne, MI · CCN 230142	12	$2,291	15% below the national average	$1,826	$19,988
Baptist Medical Center SouthMontgomery, AL · CCN 010023	55	$2,292	15% below the national average	$1,818	$12,604
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	44	$2,295	15% below the national average	$1,801	$23,888
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	19	$2,295	15% below the national average	$1,829	$11,344
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	36	$2,296	15% below the national average	$1,819	$10,217
MUSC Health Lancaster Medical CenterLancaster, SC · CCN 420036	20	$2,298	15% below the national average	$1,831	$38,761
Crestwood Medical CenterHuntsville, AL · CCN 010131	44	$2,299	15% below the national average	$1,818	$47,550
Slidell Memorial HospitalSlidell, LA · CCN 190040	46	$2,299	15% below the national average	$1,804	$11,441
Baptist Memorial Hospital Union CountyNew Albany, MS · CCN 250006	18	$2,300	15% below the national average	$1,832	$10,240
South Texas Health SystemEdinburg, TX · CCN 450119	12	$2,302	15% below the national average	$1,785	$78,082
Vanderbilt University Medical CenterNashville, TN · CCN 440039 · +$133 outlier payments per case	570	$2,304	15% below the national average	$1,834	$15,543
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	210	$2,305	15% below the national average	$1,830	$18,942
USA Health University HospitalMobile, AL · CCN 010087	34	$2,305	15% below the national average	$1,826	$9,712
St Joseph HospitalBangor, ME · CCN 200001	15	$2,309	14% below the national average	$1,809	$11,466
Baldwin HealthFoley, AL · CCN 010083	33	$2,310	14% below the national average	$1,828	$53,122
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	30	$2,311	14% below the national average	$1,822	$27,539
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	30	$2,311	14% below the national average	$1,828	$13,703
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 370212	32	$2,311	14% below the national average	$1,823	$12,256
St Tammany Parish HospitalCovington, LA · CCN 190045	20	$2,311	14% below the national average	$1,822	$17,934
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	126	$2,313	14% below the national average	$1,827	$13,050
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 250048	155	$2,314	14% below the national average	$1,832	$12,389
De Tar Hospital NavarroVictoria, TX · CCN 450147	23	$2,316	14% below the national average	$1,804	$50,490
UH Cleveland Medical CenterCleveland, OH · CCN 360137	250	$2,317	14% below the national average	$1,835	$15,128
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	34	$2,319	14% below the national average	$1,836	$8,798
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	57	$2,319	14% below the national average	$1,843	$17,403
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	41	$2,319	14% below the national average	$1,838	$16,673
North Mississippi Medical Center-Gilmore AmoryAmory, MS · CCN 250025	12	$2,320	14% below the national average	$1,849	$14,704
Singing River GulfportGulfport, MS · CCN 250123	26	$2,320	14% below the national average	$1,849	$29,195
Southwest Mississippi Regional Medical CenterMccomb, MS · CCN 250097	29	$2,320	14% below the national average	$1,849	$11,233
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	26	$2,321	14% below the national average	$1,813	$32,676
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	21	$2,321	14% below the national average	$1,824	$17,547
Reynolds Memorial Hospital, IncGlen Dale, WV · CCN 510013	19	$2,322	14% below the national average	$1,850	$7,456

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.