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 1,601–1,650. 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
White Plains Hospital CenterWhite Plains, NY · CCN 330304	93	$3,082	14% above the national average	$2,453	$25,097
Mad River Community HospitalArcata, CA · CCN 050028	17	$3,083	14% above the national average	$2,453	$15,105
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	44	$3,084	14% above the national average	$2,445	$25,406
New York-Presbyterian/QueensFlushing, NY · CCN 330055	20	$3,105	15% above the national average	$2,447	$19,117
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	33	$3,111	15% above the national average	$2,462	$27,229
Chilton Medical CenterPompton Plains, NJ · CCN 310017	61	$3,114	15% above the national average	$2,464	$19,299
Garnet Health Medical CenterMiddletown, NY · CCN 330126	77	$3,115	16% above the national average	$2,465	$14,625
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	35	$3,117	16% above the national average	$2,484	$10,684
Lawrence & Memorial HospitalNew London, CT · CCN 070007	55	$3,124	16% above the national average	$2,480	$17,055
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	74	$3,129	16% above the national average	$2,472	$12,125
North Shore University HospitalManhasset, NY · CCN 330106	110	$3,142	17% above the national average	$2,492	$19,019
Westchester Medical CenterValhalla, NY · CCN 330234	32	$3,144	17% above the national average	$2,485	$41,736
Kaweah Health Medical CenterVisalia, CA · CCN 050057	20	$3,144	17% above the national average	$2,505	$10,489
USC Arcadia HospitalArcadia, CA · CCN 050238	16	$3,146	17% above the national average	$2,435	$17,202
Hospital For Special SurgeryNew York, NY · CCN 330270	50	$3,150	17% above the national average	$2,499	$30,865
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	134	$3,150	17% above the national average	$2,504	$24,883
Hackensack University Medical CenterHackensack, NJ · CCN 310001 · +$351 outlier payments per case	154	$3,154	17% above the national average	$2,506	$21,482
Nyu Langone HospitalsNew York, NY · CCN 330214 · +$107 outlier payments per case	608	$3,155	17% above the national average	$2,505	$38,366
The Queens Medical CenterHonolulu, HI · CCN 120001	103	$3,159	17% above the national average	$2,496	$18,653
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	172	$3,159	17% above the national average	$2,514	$29,183
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	20	$3,160	17% above the national average	$2,510	$19,555
Danbury HospitalDanbury, CT · CCN 070033	89	$3,162	17% above the national average	$2,518	$16,652
San Antonio Regional HospitalUpland, CA · CCN 050099	53	$3,164	17% above the national average	$2,510	$28,632
Lenox Hill HospitalNew York, NY · CCN 330119	72	$3,165	17% above the national average	$2,512	$20,798
Overlook Medical CenterSummit, NJ · CCN 310051	81	$3,166	17% above the national average	$2,514	$19,192
Nyack HospitalNyack, NY · CCN 330104	70	$3,167	17% above the national average	$2,514	$24,177
Bristol HospitalBristol, CT · CCN 070029	29	$3,170	18% above the national average	$2,526	$15,779
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	60	$3,170	18% above the national average	$2,524	$17,483
MidState Medical CenterMeriden, CT · CCN 070017	43	$3,170	18% above the national average	$2,521	$10,897
Saint Mary's HospitalWaterbury, CT · CCN 070016	22	$3,170	18% above the national average	$2,519	$12,696
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	59	$3,174	18% above the national average	$2,529	$18,624
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	30	$3,174	18% above the national average	$2,529	$12,440
St Charles HospitalPort Jefferson, NY · CCN 330246	15	$3,174	18% above the national average	$2,529	$15,878
Mount Sinai Beth IsraelNew York, NY · CCN 330169	136	$3,177	18% above the national average	$2,531	$18,834
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	55	$3,178	18% above the national average	$2,524	$23,873
Montefiore Medical CenterBronx, NY · CCN 330059	105	$3,179	18% above the national average	$2,526	$33,709
Mount Sinai HospitalNew York, NY · CCN 330024 · +$112 outlier payments per case	754	$3,181	18% above the national average	$2,529	$19,679
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	149	$3,185	18% above the national average	$2,533	$19,301
Yale-New Haven HospitalNew Haven, CT · CCN 070022	433	$3,186	18% above the national average	$2,536	$20,201
Southside HospitalBay Shore, NY · CCN 330043	20	$3,198	19% above the national average	$2,548	$22,521
Bridgeport HospitalBridgeport, CT · CCN 070010	108	$3,200	19% above the national average	$2,549	$21,579
Mount Sinai WestNew York, NY · CCN 330046	37	$3,201	19% above the national average	$2,550	$18,470
Middlesex HospitalMiddletown, CT · CCN 070020	37	$3,201	19% above the national average	$2,549	$13,962
Stamford HospitalStamford, CT · CCN 070006	132	$3,201	19% above the national average	$2,544	$25,677
Northwell Hospital Glen CoveGlen Cove, NY · CCN 330181	26	$3,202	19% above the national average	$2,551	$17,547
Mount Sinai South NassauOceanside, NY · CCN 330198	84	$3,202	19% above the national average	$2,551	$27,104
Mercy Medical CenterRockville Centre, NY · CCN 330259	29	$3,202	19% above the national average	$2,549	$19,758
Adventist Health HanfordHanford, CA · CCN 050121	24	$3,203	19% above the national average	$2,528	$16,391
Berkshire Medical CenterPittsfield, MA · CCN 220046	78	$3,205	19% above the national average	$2,554	$20,572
New York-Presbyterian HospitalNew York, NY · CCN 330101	481	$3,219	19% above the national average	$2,561	$15,088

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.