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

Hospitals in California

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.

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California

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Year of care

Average payment across these 136 hospitals: $3,604National $2,697 · California $3,587
Median hospital: $3,494
Lowest to highest: $2,196–$4,088
Medicare procedures: 9,322

136 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–136. 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
Adventist Health And RideoutMarysville, CA · CCN 050133	33	$3,651	35% above the national average	$2,891	$20,202
Dominican HospitalSanta Cruz, CA · CCN 050242	68	$3,723	38% above the national average	$2,963	$14,439
Sutter Coast HospitalCrescent City, CA · CCN 050417	11	$3,741	39% above the national average	$2,981	$16,066
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	72	$3,741	39% above the national average	$2,981	$29,868
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	141	$3,741	39% above the national average	$2,980	$31,274
St Elizabeth Community HospitalRed Bluff, CA · CCN 050042	16	$3,742	39% above the national average	$2,976	$26,733
Natividad Medical CenterSalinas, CA · CCN 050248	11	$3,779	40% above the national average	$3,004	$21,578
Petaluma Valley HospitalPetaluma, CA · CCN 050136	16	$3,793	41% above the national average	$3,022	$28,973
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	80	$3,793	41% above the national average	$3,022	$17,423
Sutter Maternity & Surgery Center Of Santa CruzSanta Cruz, CA · CCN 050714	19	$3,797	41% above the national average	$3,025	$20,739
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	13	$3,813	41% above the national average	$2,973	$14,332
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	30	$3,868	43% above the national average	$3,082	$37,518
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	25	$3,899	45% above the national average	$3,094	$22,941
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	78	$3,906	45% above the national average	$3,101	$12,945
Sequoia HospitalRedwood City, CA · CCN 050197	47	$3,933	46% above the national average	$3,119	$21,588
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	139	$3,937	46% above the national average	$3,128	$32,041
Highland HospitalOakland, CA · CCN 050320	22	$3,946	46% above the national average	$3,128	$23,641
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	22	$3,946	46% above the national average	$3,127	$21,959
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	55	$3,956	47% above the national average	$3,149	$37,148
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	74	$3,958	47% above the national average	$3,145	$19,191
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	90	$3,966	47% above the national average	$3,153	$25,100
Stanford Health CareStanford, CA · CCN 050441 · +$465 outlier payments per case	641	$3,968	47% above the national average	$3,157	$47,398
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	72	$3,968	47% above the national average	$3,162	$44,642
Novato Community HospitalNovato, CA · CCN 050131	17	$3,968	47% above the national average	$3,162	$24,550
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	36	$3,980	48% above the national average	$3,171	$21,813
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 050009	51	$3,980	48% above the national average	$3,167	$18,390
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$141 outlier payments per case	699	$3,986	48% above the national average	$3,173	$26,258
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	33	$4,001	48% above the national average	$3,188	$56,250
Washington HospitalFremont, CA · CCN 050195	26	$4,001	48% above the national average	$3,188	$18,069
El Camino HealthMountain View, CA · CCN 050308	137	$4,001	48% above the national average	$3,186	$27,637
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	26	$4,001	48% above the national average	$3,182	$19,297
Good Samaritan HospitalSan Jose, CA · CCN 050380	30	$4,001	48% above the national average	$3,182	$58,602
California Pacific Medical Center-Davies Campus HospitalSan Francisco, CA · CCN 050008	20	$4,062	51% above the national average	$3,236	$21,294
Peninsula Medical CenterBurlingame, CA · CCN 050007	34	$4,062	51% above the national average	$3,231	$21,244
NorthBay Medical CenterFairfield, CA · CCN 050367 · +$2,453 outlier payments per case	27	$4,088	52% above the national average	$3,257	$91,956
Sutter Solano Medical CenterVallejo, CA · CCN 050101	18	$4,088	52% above the national average	$3,255	$25,356

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.