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 California

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.

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Year of care

Average payment across these 136 hospitals: $3,604National $2,697 · California $3,587
Median hospital: $3,494
Lowest to highest: $2,196–$4,088
Medicare procedures: 9,322

136 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Palomar Health Downtown CampusEscondido, CA · CCN 050115	30	$2,196	19% below the national average	$1,478	$18,875
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	107	$2,448	About average	$1,944	$21,093
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	11	$2,837	About average	$2,261	$21,434
Mad River Community HospitalArcata, CA · CCN 050028	17	$3,083	14% above the national average	$2,453	$15,105
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	33	$3,111	15% above the national average	$2,462	$27,229
Kaweah Health Medical CenterVisalia, CA · CCN 050057	20	$3,144	17% above the national average	$2,505	$10,489
USC Arcadia HospitalArcadia, CA · CCN 050238	16	$3,146	17% above the national average	$2,435	$17,202
San Antonio Regional HospitalUpland, CA · CCN 050099	53	$3,164	17% above the national average	$2,510	$28,632
Adventist Health HanfordHanford, CA · CCN 050121	24	$3,203	19% above the national average	$2,528	$16,391
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	15	$3,249	20% above the national average	$2,589	$17,651
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	22	$3,303	22% above the national average	$2,632	$26,329
Sutter Surgical Hospital - North ValleyYuba City, CA · CCN 050766	17	$3,350	24% above the national average	$2,636	$20,908
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	32	$3,363	25% above the national average	$2,672	$24,430
Dameron HospitalStockton, CA · CCN 050122	14	$3,365	25% above the national average	$2,640	$27,569
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	26	$3,388	26% above the national average	$2,678	$16,334
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	31	$3,407	26% above the national average	$2,694	$10,712
Emanuel Medical CenterTurlock, CA · CCN 050179	17	$3,409	26% above the national average	$2,677	$40,019
Mercy Medical CenterMerced, CA · CCN 050444	35	$3,414	27% above the national average	$2,692	$11,231
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	45	$3,416	27% above the national average	$2,722	$19,774
Uci Health-OrangeOrange, CA · CCN 050348 · +$1,022 outlier payments per case	237	$3,420	27% above the national average	$2,722	$27,857
Scripps Mercy HospitalSan Diego, CA · CCN 050077	38	$3,420	27% above the national average	$2,710	$45,803
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	34	$3,422	27% above the national average	$2,712	$39,907
Kern Medical CenterBakersfield, CA · CCN 050315	14	$3,426	27% above the national average	$2,729	$20,129
Patients' Hospital Of ReddingRedding, CA · CCN 050697	25	$3,426	27% above the national average	$2,724	$14,367
Adventist Health BakersfieldBakersfield, CA · CCN 050455	65	$3,452	28% above the national average	$2,740	$13,589
Keck Hospital Of USCLos Angeles, CA · CCN 050696	119	$3,455	28% above the national average	$2,748	$26,601
Scripps Green HospitalLa Jolla, CA · CCN 050424	214	$3,455	28% above the national average	$2,745	$42,884
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	49	$3,462	28% above the national average	$2,743	$17,904
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	269	$3,462	28% above the national average	$2,752	$16,387
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	91	$3,463	28% above the national average	$2,753	$15,164
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262 · +$222 outlier payments per case	214	$3,464	28% above the national average	$2,757	$21,811
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025 · +$303 outlier payments per case	440	$3,465	28% above the national average	$2,757	$20,461
Providence St Joseph HospitalEureka, CA · CCN 050006	103	$3,466	29% above the national average	$2,756	$23,290
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	104	$3,467	29% above the national average	$2,749	$12,232
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625 · +$237 outlier payments per case	366	$3,469	29% above the national average	$2,760	$76,280
Enloe HealthChico, CA · CCN 050039	252	$3,471	29% above the national average	$2,761	$22,214
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	95	$3,471	29% above the national average	$2,766	$20,048
Grossmont HospitalLa Mesa, CA · CCN 050026	75	$3,484	29% above the national average	$2,760	$19,558
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	258	$3,488	29% above the national average	$2,778	$15,426
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	71	$3,493	30% above the national average	$2,783	$40,823
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	70	$3,493	30% above the national average	$2,783	$43,293
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	58	$3,493	30% above the national average	$2,783	$30,973
Adventist Health Twin CitiesTempleton, CA · CCN 050633	15	$3,493	30% above the national average	$2,783	$38,678
Adventist Health White MemorialLos Angeles, CA · CCN 050103	15	$3,493	30% above the national average	$2,783	$53,510
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	12	$3,493	30% above the national average	$2,783	$25,534
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	46	$3,493	30% above the national average	$2,783	$8,700
Fresno Surgical HospitalFresno, CA · CCN 050708	14	$3,493	30% above the national average	$2,783	$19,253
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	14	$3,493	30% above the national average	$2,783	$15,645
Huntington HospitalPasadena, CA · CCN 050438	16	$3,493	30% above the national average	$2,783	$49,235
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	32	$3,493	30% above the national average	$2,783	$14,786

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.