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 401–450. 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
Miami Valley HospitalDayton, OH · CCN 360051	135	$2,430	About average	$1,917	$23,261
Finley HospitalDubuque, IA · CCN 160117	14	$2,431	About average	$1,937	$11,284
Fisher-Titus HospitalNorwalk, OH · CCN 360065	17	$2,431	About average	$1,937	$9,698
Wooster Community HospitalWooster, OH · CCN 360036	23	$2,431	About average	$1,937	$6,418
Spencer Municipal HospitalSpencer, IA · CCN 160112	12	$2,431	About average	$1,937	$10,247
Mercy Health - Tiffin HospitalTiffin, OH · CCN 360089	13	$2,431	About average	$1,936	$15,970
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	32	$2,431	About average	$1,932	$22,800
Stormont Vail HospitalTopeka, KS · CCN 170086	142	$2,432	About average	$1,919	$14,110
Northwest Health-La PorteLa Porte, IN · CCN 150006	20	$2,432	About average	$1,917	$29,213
Baptist Medical CenterSan Antonio, TX · CCN 450058	117	$2,432	About average	$1,930	$59,524
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	61	$2,433	About average	$1,918	$18,655
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	50	$2,433	About average	$1,927	$13,720
Vanderbilt Bedford HospitalShelbyville, TN · CCN 440137	12	$2,434	About average	$1,939	$31,843
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	74	$2,434	About average	$1,938	$18,558
McLeod Loris HospitalLoris, SC · CCN 420105	57	$2,434	About average	$1,934	$17,387
Trinity - BettendorfBettendorf, IA · CCN 160104	12	$2,434	About average	$1,939	$11,107
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036	37	$2,436	About average	$1,941	$19,045
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	31	$2,436	About average	$1,941	$10,694
Saline Memorial HospitalBenton, AR · CCN 040084	14	$2,436	About average	$1,927	$16,608
Archbold Memorial HospitalThomasville, GA · CCN 110038	37	$2,436	About average	$1,938	$7,909
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	55	$2,436	About average	$1,934	$20,323
Christus St Michael Health SystemTexarkana, TX · CCN 450801	67	$2,436	About average	$1,929	$19,117
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	24	$2,437	About average	$1,939	$37,541
Covenant Medical CenterSaginaw, MI · CCN 230070	61	$2,437	About average	$1,931	$10,229
Christus Ochsner St Patrick HospitalLake Charles, LA · CCN 190027	26	$2,438	About average	$1,935	$20,968
Christus Mother Frances HospitalTyler, TX · CCN 450102	153	$2,438	About average	$1,938	$23,068
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	44	$2,438	About average	$1,942	$22,312
Christ HospitalCincinnati, OH · CCN 360163	133	$2,438	About average	$1,935	$18,440
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	33	$2,438	About average	$1,942	$8,435
Kent County Memorial HospitalWarwick, RI · CCN 410009	46	$2,438	About average	$1,934	$11,502
Cary Medical CenterCaribou, ME · CCN 200031	16	$2,438	About average	$1,943	$13,189
McLaren MacombMount Clemens, MI · CCN 230227	30	$2,439	About average	$1,925	$16,236
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	89	$2,439	About average	$1,942	$26,032
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	35	$2,440	About average	$1,917	$19,744
Coliseum Medical CentersMacon, GA · CCN 110164	13	$2,440	About average	$1,928	$26,730
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	61	$2,440	About average	$1,932	$27,384
Saint Luke's South HospitalOverland Park, KS · CCN 170185	48	$2,440	About average	$1,936	$33,280
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 170016	93	$2,441	About average	$1,936	$15,703
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	82	$2,441	About average	$1,939	$14,441
Prisma Health BaptistColumbia, SC · CCN 420086	68	$2,442	About average	$1,945	$15,411
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	27	$2,442	About average	$1,945	$18,689
Prisma Health Richland HospitalColumbia, SC · CCN 420018	54	$2,442	About average	$1,945	$18,946
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	69	$2,442	About average	$1,938	$18,375
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113 · +$171 outlier payments per case	428	$2,443	About average	$1,932	$24,943
Medical Center Of McKinneyMckinney, TX · CCN 450403	17	$2,443	About average	$1,918	$33,494
Hazard ARH Regional Medical CenterHazard, KY · CCN 180029	20	$2,446	About average	$1,948	$14,392
Parrish Medical CenterTitusville, FL · CCN 100028	32	$2,446	About average	$1,916	$17,678
Fauquier HospitalWarrenton, VA · CCN 490023	19	$2,446	About average	$1,899	$21,489
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	29	$2,446	About average	$1,949	$17,249
Clinch Valley Medical CenterRichlands, VA · CCN 490060	30	$2,446	About average	$1,949	$39,229

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.