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 201–250. 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
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	66	$2,357	13% below the national average	$1,865	$15,195
The Orthopaedic Hospital Of Lutheran Health NetworFt Wayne, IN · CCN 150168	30	$2,357	13% below the national average	$1,864	$22,371
Arkansas Surgical HospitalNo Little Rock, AR · CCN 040147	16	$2,357	13% below the national average	$1,862	$7,557
University Of Louisville HospitalLouisville, KY · CCN 180141	134	$2,357	13% below the national average	$1,873	$19,512
Firelands Regional Medical CenterSandusky, OH · CCN 360025	64	$2,358	13% below the national average	$1,863	$13,721
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	22	$2,359	13% below the national average	$1,879	$18,218
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	70	$2,359	13% below the national average	$1,874	$18,017
Charleston Area Medical CenterCharleston, WV · CCN 510022	107	$2,359	13% below the national average	$1,868	$17,533
Kearney Regional Medical CenterKearney, NE · CCN 280134	22	$2,360	13% below the national average	$1,862	$16,866
Ochsner University Hospital And ClinicsLafayette, LA · CCN 190006	15	$2,362	12% below the national average	$1,882	$7,825
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	51	$2,362	12% below the national average	$1,880	$23,848
Glenwood Regional Medical CenterWest Monroe, LA · CCN 190160	37	$2,363	12% below the national average	$1,877	$29,826
Fmol Health St FrancisMonroe, LA · CCN 190125	39	$2,363	12% below the national average	$1,877	$10,502
Baptist Memorial Hospital DesotoSouthaven, MS · CCN 250141	44	$2,363	12% below the national average	$1,875	$13,617
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	108	$2,363	12% below the national average	$1,875	$12,399
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	15	$2,364	12% below the national average	$1,883	$16,833
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	36	$2,364	12% below the national average	$1,884	$9,890
King's Daughters' Medical CenterAshland, KY · CCN 180009	82	$2,364	12% below the national average	$1,871	$22,156
Huntsville HospitalHuntsville, AL · CCN 010039	149	$2,364	12% below the national average	$1,875	$25,154
University Of Missouri Health CareColumbia, MO · CCN 260141	157	$2,365	12% below the national average	$1,882	$19,597
Baptist Memorial HospitalMemphis, TN · CCN 440048	114	$2,365	12% below the national average	$1,872	$15,859
Piedmont Columbus Regional MidtownColumbus, GA · CCN 110064	104	$2,365	12% below the national average	$1,875	$22,146
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	153	$2,365	12% below the national average	$1,878	$14,178
Upper Valley Medical CenterTroy, OH · CCN 360174	30	$2,366	12% below the national average	$1,871	$23,461
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	75	$2,366	12% below the national average	$1,863	$13,160
North Oaks Medical CenterHammond, LA · CCN 190015	21	$2,366	12% below the national average	$1,883	$22,751
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	35	$2,366	12% below the national average	$1,854	$37,971
Greenwood Leflore HospitalGreenwood, MS · CCN 250099	11	$2,367	12% below the national average	$1,886	$5,377
Wesley Medical CenterWichita, KS · CCN 170123	33	$2,368	12% below the national average	$1,863	$54,742
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	91	$2,368	12% below the national average	$1,878	$19,618
Delray Medical CenterDelray Beach, FL · CCN 100258	20	$2,369	12% below the national average	$1,846	$64,205
Aiken Regional Medical CenterAiken, SC · CCN 420082	30	$2,369	12% below the national average	$1,869	$34,759
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	104	$2,370	12% below the national average	$1,879	$28,315
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	123	$2,371	12% below the national average	$1,884	$21,148
St Francis-DowntownGreenville, SC · CCN 420023	135	$2,372	12% below the national average	$1,870	$23,813
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	11	$2,372	12% below the national average	$1,890	$12,248
Callahan Eye HospitalBirmingham, AL · CCN 010018	14	$2,372	12% below the national average	$1,887	$11,783
East Jefferson General HospitalMetairie, LA · CCN 190176	100	$2,373	12% below the national average	$1,885	$35,690
Sentara Obici HospitalSuffolk, VA · CCN 490044	94	$2,374	12% below the national average	$1,881	$26,754
UH Regional HospitalsChardon, OH · CCN 360075	47	$2,374	12% below the national average	$1,892	$14,696
Bryan Medical CenterLincoln, NE · CCN 280003	66	$2,374	12% below the national average	$1,885	$12,613
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	66	$2,375	12% below the national average	$1,878	$12,202
M Health Fairview St John's HospitalMaplewood, MN · CCN 240210	43	$2,375	12% below the national average	$1,892	$17,172
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	170	$2,376	12% below the national average	$1,879	$13,122
The Nebraska Medical CenterOmaha, NE · CCN 280013	395	$2,376	12% below the national average	$1,887	$11,523
Cabell Huntington Hospital, IncHuntington, WV · CCN 510055	44	$2,377	12% below the national average	$1,885	$17,369
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	25	$2,377	12% below the national average	$1,870	$39,324
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	51	$2,377	12% below the national average	$1,879	$16,300
Weirton Medical Center, IncWeirton, WV · CCN 510023	34	$2,377	12% below the national average	$1,892	$20,146
Mary Greeley Medical CenterAmes, IA · CCN 160030	31	$2,377	12% below the national average	$1,881	$8,830

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.