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 151–200. 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
South Pointe HospitalWarrensville Heights, OH · CCN 360144	14	$2,322	14% below the national average	$1,850	$12,838
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 190298	18	$2,323	14% below the national average	$1,851	$22,069
D W McMillan Memorial HospitalBrewton, AL · CCN 010099	13	$2,328	14% below the national average	$1,847	$3,825
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	78	$2,328	14% below the national average	$1,852	$15,125
Blanchard Valley HospitalFindlay, OH · CCN 360095	50	$2,328	14% below the national average	$1,855	$11,152
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	30	$2,328	14% below the national average	$1,838	$16,737
Grandview Medical CenterBirmingham, AL · CCN 010104	50	$2,329	14% below the national average	$1,845	$75,256
McCullough-Hyde Memorial HospitalOxford, OH · CCN 360046	14	$2,330	14% below the national average	$1,828	$11,647
Coastal Carolina HospitalHardeeville, SC · CCN 420101	19	$2,332	14% below the national average	$1,827	$41,652
Lake HealthConcord, OH · CCN 360098	47	$2,333	13% below the national average	$1,855	$15,755
Carle Foundation HospitalUrbana, IL · CCN 140091	95	$2,333	13% below the national average	$1,853	$21,963
Magnolia Regional Health CenterCorinth, MS · CCN 250009	27	$2,333	13% below the national average	$1,859	$9,406
Medina HospitalMedina, OH · CCN 360091	21	$2,334	13% below the national average	$1,841	$17,343
Holzer Medical CenterGallipolis, OH · CCN 360054	23	$2,334	13% below the national average	$1,843	$8,369
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	69	$2,335	13% below the national average	$1,853	$13,002
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	24	$2,336	13% below the national average	$1,811	$25,070
Erlanger Medical CenterChattanooga, TN · CCN 440104	58	$2,337	13% below the national average	$1,843	$14,958
Byrd Regional HospitalLeesville, LA · CCN 190164	15	$2,337	13% below the national average	$1,842	$24,096
Southeast Health Medical CenterDothan, AL · CCN 010001	42	$2,337	13% below the national average	$1,854	$18,613
Cox Medical CentersSpringfield, MO · CCN 260040	121	$2,338	13% below the national average	$1,855	$13,705
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	130	$2,339	13% below the national average	$1,859	$9,179
MUSC Medical CenterCharleston, SC · CCN 420004 · +$568 outlier payments per case	445	$2,340	13% below the national average	$1,859	$24,899
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	33	$2,342	13% below the national average	$1,854	$9,709
Baptist Medical Center EastMontgomery, AL · CCN 010149	28	$2,343	13% below the national average	$1,864	$13,031
Physicians Regional Medical CenterPowell, TN · CCN 440120	31	$2,343	13% below the national average	$1,867	$31,978
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	29	$2,343	13% below the national average	$1,864	$7,393
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	18	$2,343	13% below the national average	$1,864	$12,645
University Of Alabama HospitalBirmingham, AL · CCN 010033	199	$2,344	13% below the national average	$1,862	$20,380
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	57	$2,344	13% below the national average	$1,868	$20,996
Northern Light A R Gould HospitalPresque Isle, ME · CCN 200018	26	$2,344	13% below the national average	$1,868	$21,642
Atrium Medical CenterFranklin, OH · CCN 360076	32	$2,345	13% below the national average	$1,841	$21,939
UPMC LititzLititz, PA · CCN 390068	22	$2,345	13% below the national average	$1,866	$13,554
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	184	$2,345	13% below the national average	$1,868	$13,377
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	19	$2,345	13% below the national average	$1,848	$37,892
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	21	$2,347	13% below the national average	$1,850	$13,623
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	21	$2,348	13% below the national average	$1,871	$40,237
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	36	$2,348	13% below the national average	$1,826	$22,778
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	80	$2,349	13% below the national average	$1,858	$9,035
Flowers HospitalDothan, AL · CCN 010055	39	$2,349	13% below the national average	$1,853	$39,340
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 170142	14	$2,349	13% below the national average	$1,856	$11,151
Aspirus Wausau HospitalWausau, WI · CCN 520030	74	$2,350	13% below the national average	$1,867	$19,925
Bmh-Golden TriangleColumbus, MS · CCN 250100	37	$2,351	13% below the national average	$1,870	$9,501
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	143	$2,352	13% below the national average	$1,867	$15,939
Barnes Jewish HospitalSaint Louis, MO · CCN 260032 · +$146 outlier payments per case	442	$2,352	13% below the national average	$1,868	$20,240
St Mark's HospitalSalt Lake City, UT · CCN 460047	21	$2,352	13% below the national average	$1,835	$30,268
Spectrum HealthGrand Rapids, MI · CCN 230038	158	$2,353	13% below the national average	$1,858	$10,439
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 360211	30	$2,354	13% below the national average	$1,856	$10,741
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	50	$2,354	13% below the national average	$1,859	$13,740
Marshall Medical CentersBoaz, AL · CCN 010005	28	$2,356	13% below the national average	$1,877	$6,514
Gadsden Regional Medical CenterGadsden, AL · CCN 010040	24	$2,356	13% below the national average	$1,869	$58,205

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.