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 Colorado

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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Colorado

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Year of care

Average payment across these 37 hospitals: $2,693National $2,697 · Colorado $2,693
Median hospital: $2,705
Lowest to highest: $1,720–$2,897
Medicare procedures: 1,949

37 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
AdventHealth AvistaLouisville, CO · CCN 060103	28	$1,720	36% below the national average	$1,370	$14,139
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	17	$2,578	About average	$2,028	$26,889
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	22	$2,607	About average	$2,057	$27,068
AdventHealth ParkerParker, CO · CCN 060114	24	$2,615	About average	$2,065	$24,383
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	24	$2,625	About average	$2,071	$16,036
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	28	$2,628	About average	$2,078	$17,122
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 060004	30	$2,633	About average	$2,083	$25,360
Poudre Valley HospitalFort Collins, CO · CCN 060010	101	$2,643	About average	$2,091	$17,292
UCHealth Greeley HospitalGreeley, CO · CCN 060131	37	$2,657	About average	$2,105	$17,302
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	158	$2,674	About average	$2,128	$17,680
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	439	$2,691	About average	$2,142	$21,165
Boulder Community HealthBoulder, CO · CCN 060027	27	$2,705	About average	$2,155	$38,096
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	51	$2,705	About average	$2,155	$23,984
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	24	$2,705	About average	$2,155	$23,666
Community HospitalGrand Junction, CO · CCN 060054	45	$2,705	About average	$2,155	$16,675
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	26	$2,705	About average	$2,155	$12,835
HCA Healthone RoseDenver, CO · CCN 060032	21	$2,705	About average	$2,155	$35,430
Longs Peak HospitalLongmont, CO · CCN 060128	32	$2,705	About average	$2,155	$13,742
Parkview Medical Center, IncPueblo, CO · CCN 060020	23	$2,705	About average	$2,155	$31,447
Saint Joseph HospitalDenver, CO · CCN 060028	20	$2,705	About average	$2,155	$32,937
Swedish Medical CenterEnglewood, CO · CCN 060034	42	$2,705	About average	$2,155	$45,672
AdventHealth LittletonLittleton, CO · CCN 060113	15	$2,705	About average	$2,155	$22,006
AdventHealth PorterDenver, CO · CCN 060064	15	$2,705	About average	$2,155	$27,742
Medical Center Of The RockiesLoveland, CO · CCN 060119	62	$2,705	About average	$2,155	$18,240
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	14	$2,705	About average	$2,155	$62,920
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	12	$2,705	About average	$2,155	$15,582
Animas Surgical Hospital, LLCDurango, CO · CCN 060117	16	$2,705	About average	$2,153	$14,117
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	97	$2,705	About average	$2,153	$20,510
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014 · +$578 outlier payments per case	217	$2,705	About average	$2,153	$94,742
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	20	$2,705	About average	$2,151	$71,822
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	42	$2,705	About average	$2,150	$30,291
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	22	$2,732	About average	$2,175	$20,857
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	68	$2,863	About average	$2,271	$22,388
Montrose Regional HealthMontrose, CO · CCN 060006	23	$2,897	About average	$2,308	$16,040
Vail Health HospitalVail, CO · CCN 060096	18	$2,897	About average	$2,308	$20,716
Mercy Regional Medical CenterDurango, CO · CCN 060013	60	$2,897	About average	$2,305	$33,677
Delta County Memorial HospitalDelta, CO · CCN 060071	29	$2,897	About average	$2,298	$7,081

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.