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 351–400. 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
Lexington Medical CenterWest Columbia, SC · CCN 420073	252	$2,419	10% below the national average	$1,921	$19,956
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	19	$2,419	10% below the national average	$1,928	$7,410
Mountain View Regional Medical CenterLas Cruces, NM · CCN 320085	36	$2,420	10% below the national average	$1,908	$25,769
Riverview HealthNoblesville, IN · CCN 150059	14	$2,420	10% below the national average	$1,899	$19,109
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	24	$2,421	10% below the national average	$1,910	$27,786
Ecu Health Medical CenterGreenville, NC · CCN 340040	75	$2,421	10% below the national average	$1,919	$18,544
McLaren Greater LansingLansing, MI · CCN 230167	35	$2,422	10% below the national average	$1,906	$7,251
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	23	$2,422	10% below the national average	$1,910	$28,991
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	27	$2,422	10% below the national average	$1,913	$10,293
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	41	$2,423	10% below the national average	$1,922	$19,898
Prisma Health Patewood HospitalGreenville, SC · CCN 420102	61	$2,423	10% below the national average	$1,924	$17,250
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	75	$2,423	10% below the national average	$1,923	$14,654
Norton Hospitals, IncLouisville, KY · CCN 180088	341	$2,423	10% below the national average	$1,927	$12,009
Hillcrest Medical CenterTulsa, OK · CCN 370001	103	$2,423	10% below the national average	$1,924	$40,800
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	121	$2,424	10% below the national average	$1,919	$29,441
Wentworth-Douglass HospitalDover, NH · CCN 300018	87	$2,424	10% below the national average	$1,930	$12,679
Menorah Medical CenterOverland Park, KS · CCN 170182	35	$2,425	10% below the national average	$1,918	$33,751
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	23	$2,426	10% below the national average	$1,915	$9,740
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	22	$2,426	10% below the national average	$1,933	$19,320
Marymount HospitalGarfield Heights, OH · CCN 360143	15	$2,426	10% below the national average	$1,933	$13,030
Mercy Regional Medical CenterLorain, OH · CCN 360172	14	$2,426	10% below the national average	$1,933	$17,612
Parma Community General HospitalParma, OH · CCN 360041	41	$2,426	10% below the national average	$1,933	$15,941
UH St John Medical CenterWestlake, OH · CCN 360123	27	$2,426	10% below the national average	$1,933	$17,602
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	11	$2,426	10% below the national average	$1,933	$20,273
Hillcrest HospitalMayfield Heights, OH · CCN 360230	80	$2,426	10% below the national average	$1,931	$15,615
NMC HealthNewton, KS · CCN 170103	50	$2,426	10% below the national average	$1,933	$4,778
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	53	$2,426	10% below the national average	$1,933	$18,116
Manhattan Surgical Hospital LLCManhattan, KS · CCN 170190	23	$2,426	10% below the national average	$1,933	$9,906
Mercy Specialty Hospital Southeast KansasGalena, KS · CCN 170203	17	$2,426	10% below the national average	$1,933	$20,464
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 170200	11	$2,426	10% below the national average	$1,933	$15,078
CJW Medical CenterRichmond, VA · CCN 490112	96	$2,426	10% below the national average	$1,928	$54,930
Kansas Surgery & Recovery CenterWichita, KS · CCN 170183	30	$2,426	10% below the national average	$1,927	$11,148
Summit Surgical, LLCHutchinson, KS · CCN 170198	11	$2,426	10% below the national average	$1,922	$11,166
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	165	$2,426	10% below the national average	$1,930	$10,658
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	16	$2,426	10% below the national average	$1,903	$24,156
Crystal Clinic Orthopaedic CenterAkron, OH · CCN 360351	36	$2,427	10% below the national average	$1,929	$13,408
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	57	$2,427	10% below the national average	$1,933	$14,514
University Medical CenterLubbock, TX · CCN 450686	51	$2,427	10% below the national average	$1,926	$23,830
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	73	$2,427	About average	$1,923	$31,815
Baptist Medical Center - NassauFernandina Beach, FL · CCN 100140	14	$2,427	About average	$1,904	$27,193
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	65	$2,428	About average	$1,934	$23,635
Mease Dunedin HospitalDunedin, FL · CCN 100043	14	$2,428	About average	$1,891	$23,710
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	152	$2,428	About average	$1,933	$36,964
Winona Health ServicesWinona, MN · CCN 240044	14	$2,428	About average	$1,935	$3,904
Willis Knighton Medical CenterShreveport, LA · CCN 190111	171	$2,428	About average	$1,925	$22,508
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	100	$2,428	About average	$1,926	$8,863
Riverside Regional Medical CenterNewport News, VA · CCN 490052	112	$2,429	About average	$1,924	$12,639
Roper HospitalCharleston, SC · CCN 420087	166	$2,430	About average	$1,931	$20,015
Kettering Health TroyTroy, OH · CCN 360368	12	$2,430	About average	$1,936	$26,334
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	76	$2,430	About average	$1,932	$27,935

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.