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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

Hospitals in Alabama

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.

Location
Alabama
Specific hospitals up to 10
Average payment across these 28 hospitals
$2,326National $2,697 · Alabama $2,326
Median hospital
$2,340
Lowest to highest
$1,942–$2,591
Medicare procedures
1,158

28 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 3 Excision/Biopsy/Incision and Drainage by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Cullman Regional Medical CenterCullman, AL · CCN 01003523$1,94228% below the national average$1,511$6,989
Athens Limestone HospitalAthens, AL · CCN 01007924$1,97727% below the national average$1,575$12,427
Shelby Baptist Medical CenterAlabaster, AL · CCN 01001618$2,16220% below the national average$1,680$25,997
Baptist Health Brookwood HospitalBirmingham, AL · CCN 01013935$2,21018% below the national average$1,728$45,496
Mobile Infirmary Medical CenterMobile, AL · CCN 01011355$2,21118% below the national average$1,741$6,852
St Vincent's BirminghamBirmingham, AL · CCN 01005642$2,28715% below the national average$1,804$18,145
Thomas HospitalFairhope, AL · CCN 01010024$2,28915% below the national average$1,808$9,060
Baptist Medical Center SouthMontgomery, AL · CCN 01002355$2,29215% below the national average$1,818$12,604
Crestwood Medical CenterHuntsville, AL · CCN 01013144$2,29915% below the national average$1,818$47,550
USA Health University HospitalMobile, AL · CCN 01008734$2,30515% below the national average$1,826$9,712
Baldwin HealthFoley, AL · CCN 01008333$2,31014% below the national average$1,828$53,122
D W McMillan Memorial HospitalBrewton, AL · CCN 01009913$2,32814% below the national average$1,847$3,825
Grandview Medical CenterBirmingham, AL · CCN 01010450$2,32914% below the national average$1,845$75,256
Southeast Health Medical CenterDothan, AL · CCN 01000142$2,33713% below the national average$1,854$18,613
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 01008533$2,34213% below the national average$1,854$9,709
Baptist Medical Center EastMontgomery, AL · CCN 01014928$2,34313% below the national average$1,864$13,031
University Of Alabama HospitalBirmingham, AL · CCN 010033199$2,34413% below the national average$1,862$20,380
Flowers HospitalDothan, AL · CCN 01005539$2,34913% below the national average$1,853$39,340
Marshall Medical CentersBoaz, AL · CCN 01000528$2,35613% below the national average$1,877$6,514
Gadsden Regional Medical CenterGadsden, AL · CCN 01004024$2,35613% below the national average$1,869$58,205
Huntsville HospitalHuntsville, AL · CCN 010039149$2,36412% below the national average$1,875$25,154
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 01011411$2,37212% below the national average$1,890$12,248
Callahan Eye HospitalBirmingham, AL · CCN 01001814$2,37212% below the national average$1,887$11,783
USA Health Children's & Women's HospitalMobile, AL · CCN 01330127$2,41610% below the national average$1,925$8,559
The East Alabama Healthcare AuthorityOpelika, AL · CCN 01002927$2,42210% below the national average$1,913$10,293
DeKalb Regional Medical CenterFort Payne, AL · CCN 01001216$2,493About average$1,986$17,608
Dch Regional Medical CenterTuscaloosa, AL · CCN 01009257$2,519About average$1,991$12,516
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 01007814$2,591About average$2,064$40,118

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont5382$1,465$1,293–$1,763
Mississippi251,268$2,267$2,270–$2,367
Tennessee382,526$2,308$2,275–$2,432
West Virginia17869$2,309$2,192–$2,377
Oklahoma291,799$2,315$2,319–$2,448
Alabama281,158$2,326$2,291–$2,366
Maine11456$2,354$2,391–$2,641
Louisiana311,608$2,364$2,329–$2,393
Ohio855,215$2,383$2,374–$2,487
South Carolina362,756$2,407$2,374–$2,451
Arkansas212,489$2,409$2,397–$2,567
Kentucky331,789$2,415$2,379–$2,461
Missouri432,634$2,442$2,415–$2,529
Iowa221,352$2,447$2,399–$2,544
Nebraska17972$2,459$2,376–$2,622
Kansas292,199$2,467$2,426–$2,598
Michigan583,218$2,475$2,426–$2,532
North Carolina513,802$2,479$2,441–$2,552
Georgia513,560$2,501$2,419–$2,613
Virginia493,965$2,525$2,436–$2,652
Florida1129,136$2,534$2,548–$2,574
Utah101,090$2,538$2,507–$2,545
Indiana572,874$2,539$2,533–$2,589
New Mexico11535$2,543$2,445–$2,583
Texas14010,063$2,547$2,466–$2,565
Illinois754,835$2,553$2,568–$2,698
Pennsylvania966,023$2,581$2,503–$2,689
Wisconsin462,828$2,589$2,542–$2,651
Idaho14848$2,601$2,557–$2,670
South Dakota111,117$2,678$2,656–$2,834
North Dakota6719$2,693$2,652–$2,781
Colorado371,949$2,693$2,674–$2,705
Rhode Island6256$2,698$2,533–$2,847
Montana10674$2,710$2,620–$2,822
New Hampshire10740$2,742$2,714–$2,775
Arizona393,094$2,755$2,771–$2,771
Minnesota383,594$2,766$2,640–$2,790
Delaware5389$2,804$2,818–$2,851
Wyoming5115$2,806$2,798–$2,853
District of Columbia4388$2,850$2,804–$2,865
Washington362,835$2,906$2,851–$2,941
Nevada13549$2,993$2,909–$3,043
New Jersey402,402$3,013$2,960–$3,037
Massachusetts444,841$3,020$2,992–$3,052
Alaska5196$3,026$2,933–$3,084
Oregon221,322$3,054$2,916–$3,000
Connecticut201,467$3,085$2,999–$3,174
New York798,038$3,127$2,981–$3,183
Hawaii9290$3,259$3,259–$3,332
California13810,751$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.