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
- $2,141
- Average billed charge
- $21,053
- Hospitals reporting
- 1,817
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
1,805 hospitals reported at least 11 Medicare procedures for this in 2024; showing 301–350. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Cleveland Clinic | 703 | $2,402 | 11% below the national average | $1,908 | $14,022 |
| Princeton Community Hospital Assn Inc | 28 | $2,402 | 11% below the national average | $1,886 | $18,601 |
| St Luke's Des Peres Hospital | 16 | $2,403 | 11% below the national average | $1,889 | $14,729 |
| Magee Womens Hospital Of UPMC Health System | 319 | $2,404 | 11% below the national average | $1,909 | $19,778 |
| Grand Strand Regional Medical Center | 46 | $2,404 | 11% below the national average | $1,908 | $36,393 |
| SSM Health St. Mary's Hospital - Jefferson City | 15 | $2,404 | 11% below the national average | $1,916 | $22,608 |
| West Chester Hospital | 30 | $2,405 | 11% below the national average | $1,903 | $17,250 |
| Anmed Health | 26 | $2,406 | 11% below the national average | $1,912 | $16,018 |
| West Jefferson Medical Center | 31 | $2,407 | 11% below the national average | $1,918 | $28,105 |
| University Medical Center New Orleans | 13 | $2,407 | 11% below the national average | $1,917 | $25,741 |
| Catawba Valley Medical Center | 19 | $2,408 | 11% below the national average | $1,896 | $14,115 |
| Prisma Health Greenville Memorial Hospital | 275 | $2,408 | 11% below the national average | $1,919 | $25,116 |
| Thomas Memorial Hospital | 36 | $2,409 | 11% below the national average | $1,919 | $17,767 |
| Mercy Medical Center - Cedar Rapids | 59 | $2,409 | 11% below the national average | $1,919 | $10,923 |
| Raleigh General Hospital | 53 | $2,409 | 11% below the national average | $1,915 | $13,989 |
| Sentara Leigh Hospital | 125 | $2,409 | 11% below the national average | $1,907 | $23,942 |
| Riverside Doctors' Hospital Of Williamsburg | 66 | $2,410 | 11% below the national average | $1,916 | $14,316 |
| Highlands ARH Regional Medical Center | 14 | $2,410 | 11% below the national average | $1,920 | $15,825 |
| Baptist Health Lexington | 56 | $2,410 | 11% below the national average | $1,906 | $23,782 |
| Integris Baptist Medical Center, Inc | 127 | $2,411 | 11% below the national average | $1,911 | $23,549 |
| Fort Hamilton Hughes Memorial Hospital | 30 | $2,412 | 11% below the national average | $1,897 | $25,466 |
| Ascension St John Broken Arrow | 11 | $2,413 | 11% below the national average | $1,923 | $15,920 |
| Saint Francis Hospital Muskogee | 20 | $2,413 | 11% below the national average | $1,923 | $20,324 |
| Mercy Hospital Oklahoma City, Inc | 315 | $2,413 | 11% below the national average | $1,914 | $7,435 |
| Liberty Hospital | 55 | $2,415 | 10% below the national average | $1,911 | $18,146 |
| McLeod Regional Medical Center-Pee Dee | 104 | $2,415 | 10% below the national average | $1,918 | $19,459 |
| Henrico Doctors' Hospital | 115 | $2,415 | 10% below the national average | $1,911 | $47,371 |
| SSM Health St Mary's Hospital - St Louis | 29 | $2,416 | 10% below the national average | $1,908 | $12,573 |
| Medical College Of Virginia Hospitals | 493 | $2,416 | 10% below the national average | $1,915 | $32,044 |
| USA Health Children's & Women's Hospital | 27 | $2,416 | 10% below the national average | $1,925 | $8,559 |
| Santa Rosa Medical Center | 13 | $2,416 | 10% below the national average | $1,893 | $42,041 |
| Tristar Centennial Medical Center | 89 | $2,417 | 10% below the national average | $1,919 | $39,417 |
| Baptist Health - Fort Smith | 64 | $2,417 | 10% below the national average | $1,926 | $17,437 |
| Mercy Hospital Fort Smith | 63 | $2,417 | 10% below the national average | $1,924 | $7,623 |
| St Marys Regional Medical Center | 22 | $2,417 | 10% below the national average | $1,917 | $26,370 |
| Southeastern Ohio Regional Medical Center | 15 | $2,417 | 10% below the national average | $1,913 | $15,664 |
| St Claire Regional Medical Center | 13 | $2,418 | 10% below the national average | $1,926 | $9,666 |
| T J Samson Community Hospital | 22 | $2,418 | 10% below the national average | $1,888 | $11,982 |
| SSM Health DePaul Hospital St Louis | 30 | $2,418 | 10% below the national average | $1,913 | $14,464 |
| Boone Hospital Center | 46 | $2,418 | 10% below the national average | $1,926 | $17,565 |
| University Hospitals Portage Medical Center | 11 | $2,418 | 10% below the national average | $1,926 | $17,107 |
| Mercy Medical Center | 27 | $2,418 | 10% below the national average | $1,926 | $16,289 |
| Salem Regional Medical Center | 20 | $2,418 | 10% below the national average | $1,926 | $11,119 |
| Summa Western Reserve Hospital | 24 | $2,418 | 10% below the national average | $1,926 | $23,656 |
| Surgical Hospital At Southwoods | 32 | $2,418 | 10% below the national average | $1,926 | $12,040 |
| MH St Elizabeth Youngstown Hospital | 35 | $2,418 | 10% below the national average | $1,925 | $17,317 |
| HMHP St Elizabeth Boardman Health Center | 20 | $2,418 | 10% below the national average | $1,925 | $19,694 |
| Trihealth Clinton Regional Hospital | 14 | $2,418 | 10% below the national average | $1,918 | $17,927 |
| Bellevue Medical Center | 36 | $2,418 | 10% below the national average | $1,927 | $12,445 |
| Licking Memorial Hospital | 29 | $2,419 | 10% below the national average | $1,913 | $13,259 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.