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 1,551–1,600. 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
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	52	$3,026	12% above the national average	$2,375	$20,934
Lowell General HospitalLowell, MA · CCN 220063	74	$3,027	12% above the national average	$2,407	$14,777
St Michael Medical CenterSilverdale, WA · CCN 500039	140	$3,030	12% above the national average	$2,405	$21,146
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	16	$3,032	12% above the national average	$2,403	$17,541
Pali Momi Medical CenterAiea, HI · CCN 120026	22	$3,039	13% above the national average	$2,373	$11,021
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	15	$3,043	13% above the national average	$2,425	$47,286
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	40	$3,043	13% above the national average	$2,423	$37,938
Spring Valley Hospital Medical CenterLas Vegas, NV · CCN 290046	12	$3,043	13% above the national average	$2,421	$52,105
Charlotte Hungerford HospitalTorrington, CT · CCN 070011	36	$3,047	13% above the national average	$2,413	$6,800
Bay Area HospitalCoos Bay, OR · CCN 380090	40	$3,047	13% above the national average	$2,411	$12,286
Waterbury HospitalWaterbury, CT · CCN 070005	13	$3,048	13% above the national average	$2,425	$25,082
Confluence Health HospitalWenatchee, WA · CCN 500016	97	$3,052	13% above the national average	$2,426	$12,685
Anna Jaques HospitalNewburyport, MA · CCN 220029	33	$3,052	13% above the national average	$2,431	$6,186
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	49	$3,052	13% above the national average	$2,431	$12,283
Brown University Health Morton HospitalTaunton, MA · CCN 220073	33	$3,052	13% above the national average	$2,431	$12,914
Emerson Hospital -W Concord, MA · CCN 220084	42	$3,052	13% above the national average	$2,431	$13,442
Newton-Wellesley HospitalNewton, MA · CCN 220101	67	$3,052	13% above the national average	$2,431	$10,490
St Vincent HospitalWorcester, MA · CCN 220176	31	$3,052	13% above the national average	$2,431	$30,978
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	36	$3,052	13% above the national average	$2,431	$16,346
Winchester HospitalWinchester, MA · CCN 220105	71	$3,052	13% above the national average	$2,431	$8,641
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	25	$3,052	13% above the national average	$2,431	$10,802
Heywood Hospital -Gardner, MA · CCN 220095	27	$3,052	13% above the national average	$2,431	$6,042
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	24	$3,052	13% above the national average	$2,431	$9,369
New England Baptist HospitalBoston, MA · CCN 220088	11	$3,052	13% above the national average	$2,431	$9,691
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	22	$3,052	13% above the national average	$2,431	$6,871
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	36	$3,052	13% above the national average	$2,430	$10,507
Northeast Hospital CorporationBeverly, MA · CCN 220033	63	$3,052	13% above the national average	$2,430	$13,916
Massachusetts Eye And Ear Infirmary -Boston, MA · CCN 220075	110	$3,052	13% above the national average	$2,430	$11,237
Baystate Medical CenterSpringfield, MA · CCN 220077	140	$3,052	13% above the national average	$2,429	$10,744
Cambridge Health AllianceCambridge, MA · CCN 220011	17	$3,052	13% above the national average	$2,429	$8,034
Falmouth HospitalFalmouth, MA · CCN 220135	23	$3,052	13% above the national average	$2,428	$10,616
Mount Auburn HospitalCambridge, MA · CCN 220002	31	$3,052	13% above the national average	$2,425	$6,928
Milford Regional Medical CenterMilford, MA · CCN 220090	17	$3,052	13% above the national average	$2,420	$5,477
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	15	$3,052	13% above the national average	$2,432	$18,343
Morristown Medical CenterMorristown, NJ · CCN 310015	279	$3,052	13% above the national average	$2,431	$20,135
Plainview HospitalPlainview, NY · CCN 330331	24	$3,053	13% above the national average	$2,402	$19,321
Phelps HospitalSleepy Hollow, NY · CCN 330261	34	$3,054	13% above the national average	$2,394	$20,509
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	50	$3,054	13% above the national average	$2,434	$17,045
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	36	$3,054	13% above the national average	$2,434	$15,691
Olympic Medical CenterPort Angeles, WA · CCN 500072	101	$3,054	13% above the national average	$2,433	$8,640
Putnam Hospital CenterCarmel, NY · CCN 330273	19	$3,063	14% above the national average	$2,406	$11,268
Long Island Community HospitalPatchogue, NY · CCN 330141	23	$3,064	14% above the national average	$2,419	$34,402
Staten Island University HospitalStaten Island, NY · CCN 330160	88	$3,066	14% above the national average	$2,423	$23,107
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	24	$3,069	14% above the national average	$2,416	$9,642
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	11	$3,072	14% above the national average	$2,448	$13,216
Central Peninsula General HospitalSoldotna, AK · CCN 020024	37	$3,074	14% above the national average	$2,435	$14,294
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	15	$3,075	14% above the national average	$2,393	$7,858
Salem HospitalSalem, OR · CCN 380051	61	$3,079	14% above the national average	$2,435	$14,810
Greenwich Hospital Association -Greenwich, CT · CCN 070018	64	$3,081	14% above the national average	$2,451	$18,274
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038 · +$1,128 outlier payments per case	143	$3,082	14% above the national average	$2,441	$33,074

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.