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 1,501–1,550. 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
Riverview Medical CenterRed Bank, NJ · CCN 310034	81	$2,975	10% above the national average	$2,367	$16,471
Newton Medical CenterNewton, NJ · CCN 310028	34	$2,975	10% above the national average	$2,359	$28,811
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	68	$2,977	10% above the national average	$2,365	$14,654
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	70	$2,978	10% above the national average	$2,364	$18,687
Adventist Health PortlandPortland, OR · CCN 380060	21	$2,981	11% above the national average	$2,375	$19,319
Hillsboro Medical CenterHillsboro, OR · CCN 380021	18	$2,981	11% above the national average	$2,375	$20,578
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	29	$2,981	11% above the national average	$2,375	$11,521
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	29	$2,981	11% above the national average	$2,375	$16,710
Providence Newberg Medical CenterNewberg, OR · CCN 380037	11	$2,981	11% above the national average	$2,375	$13,106
Providence St Vincent Medical CenterPortland, OR · CCN 380004	32	$2,981	11% above the national average	$2,375	$14,627
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	12	$2,982	11% above the national average	$2,360	$13,138
Saratoga HospitalSaratoga Springs, NY · CCN 330222	81	$2,983	11% above the national average	$2,369	$18,668
Brigham And Women's HospitalBoston, MA · CCN 220110	158	$2,986	11% above the national average	$2,370	$19,273
JFK University Medical CenterEdison, NJ · CCN 310108	87	$2,987	11% above the national average	$2,374	$21,532
Mercy Medical CenterSpringfield, MA · CCN 220066	57	$2,987	11% above the national average	$2,366	$8,578
MelroseWakefield HealthcareMelrose, MA · CCN 220070	38	$2,988	11% above the national average	$2,367	$12,882
Holyoke Medical CenterHolyoke, MA · CCN 220024	33	$2,989	11% above the national average	$2,361	$11,406
Mercy Medical CenterRoseburg, OR · CCN 380027	22	$2,992	11% above the national average	$2,361	$13,998
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	199	$2,993	11% above the national average	$2,382	$16,362
UPMC HamotErie, PA · CCN 390063	29	$2,995	11% above the national average	$2,386	$23,242
Saint Vincent HospitalErie, PA · CCN 390009	33	$2,995	11% above the national average	$2,382	$26,935
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	262	$2,998	11% above the national average	$2,385	$8,817
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	58	$2,998	11% above the national average	$2,389	$22,904
Swedish Medical CenterSeattle, WA · CCN 500027	154	$2,999	11% above the national average	$2,379	$22,444
Boston Medical CenterBoston, MA · CCN 220031	107	$3,000	11% above the national average	$2,386	$13,842
Mountainview HospitalLas Vegas, NV · CCN 290039	100	$3,001	11% above the national average	$2,381	$39,640
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	12	$3,001	11% above the national average	$2,335	$29,159
St Charles Medical Center - BendBend, OR · CCN 380047	115	$3,002	11% above the national average	$2,390	$14,582
Massachusetts General HospitalBoston, MA · CCN 220071 · +$98 outlier payments per case	638	$3,004	11% above the national average	$2,390	$14,608
Cape Cod HospitalHyannis, MA · CCN 220012	131	$3,005	11% above the national average	$2,393	$16,330
Southcoast Hospitals GroupFall River, MA · CCN 220074	122	$3,012	12% above the national average	$2,391	$16,914
Bayshore Medical CenterHolmdel, NJ · CCN 310112	54	$3,012	12% above the national average	$2,399	$18,864
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	34	$3,012	12% above the national average	$2,396	$15,614
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	12	$3,013	12% above the national average	$2,400	$8,480
Columbia Memorial HospitalHudson, NY · CCN 330094	18	$3,013	12% above the national average	$2,400	$11,404
Corning HospitalCorning, NY · CCN 330277	24	$3,013	12% above the national average	$2,400	$22,861
F F Thompson HospitalCanandaigua, NY · CCN 330074	13	$3,013	12% above the national average	$2,400	$8,896
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	15	$3,013	12% above the national average	$2,400	$6,205
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	33	$3,013	12% above the national average	$2,400	$10,677
Unity HospitalRochester, NY · CCN 330226	17	$3,013	12% above the national average	$2,400	$10,030
Glens Falls HospitalGlens Falls, NY · CCN 330191	94	$3,013	12% above the national average	$2,397	$7,303
Rome Memorial Hospital, IncRome, NY · CCN 330215	27	$3,013	12% above the national average	$2,396	$15,198
Ellis HospitalSchenectady, NY · CCN 330153	20	$3,013	12% above the national average	$2,390	$13,895
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	11	$3,015	12% above the national average	$2,402	$12,985
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	73	$3,015	12% above the national average	$2,402	$27,021
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	260	$3,019	12% above the national average	$2,403	$18,348
South Shore HospitalSouth Weymouth, MA · CCN 220100	74	$3,020	12% above the national average	$2,397	$5,871
Yakima Valley MemorialYakima, WA · CCN 500036	76	$3,022	12% above the national average	$2,402	$12,566
Renown Regional Medical CenterReno, NV · CCN 290001	161	$3,024	12% above the national average	$2,408	$27,322
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	82	$3,025	12% above the national average	$2,404	$6,348

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.