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 Illinois

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

Illinois

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 75 hospitals: $2,553National $2,697 · Illinois $2,553
Median hospital: $2,626
Lowest to highest: $1,226–$2,812
Medicare procedures: 4,835

75 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
Swedish HospitalChicago, IL · CCN 140114	173	$1,226	55% below the national average	$974	$15,216
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	19	$1,590	41% below the national average	$1,267	$9,992
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	231	$1,923	29% below the national average	$1,530	$14,568
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	21	$2,107	22% below the national average	$1,679	$12,853
Carle Foundation HospitalUrbana, IL · CCN 140091	95	$2,333	13% below the national average	$1,853	$21,963
Blessing HospitalQuincy, IL · CCN 140015	64	$2,383	12% below the national average	$1,899	$21,969
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	44	$2,438	About average	$1,942	$22,312
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	82	$2,441	About average	$1,939	$14,441
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	82	$2,454	About average	$1,950	$25,432
Carle Health Proctor HospitalPeoria, IL · CCN 140013	16	$2,462	About average	$1,961	$28,993
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	105	$2,477	About average	$1,972	$27,927
Alton Memorial HospitalAlton, IL · CCN 140002	21	$2,501	About average	$1,989	$13,752
Javon Bea HospitalRockford, IL · CCN 140239	29	$2,517	About average	$2,006	$16,497
Genesis Medical CenterSilvis, IL · CCN 140275	20	$2,522	About average	$1,978	$7,407
SSM Health St Mary's Hospital -CentraliaCentralia, IL · CCN 140034	26	$2,525	About average	$2,012	$19,017
FHN Memorial HospitalFreeport, IL · CCN 140160	11	$2,533	About average	$2,018	$16,856
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	99	$2,545	About average	$2,019	$25,640
Saint Francis Medical CenterPeoria, IL · CCN 140067	61	$2,549	About average	$2,024	$27,541
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	11	$2,563	About average	$2,002	$19,499
Advocate Trinity HospitalChicago, IL · CCN 140048	34	$2,572	About average	$2,023	$19,291
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	40	$2,574	About average	$2,040	$16,944
Edward HospitalNaperville, IL · CCN 140231	69	$2,574	About average	$2,017	$26,391
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	52	$2,586	About average	$2,048	$24,189
Rush Oak Park HospitalOak Park, IL · CCN 140063	20	$2,595	About average	$2,042	$15,855
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	14	$2,606	About average	$2,045	$23,464
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	18	$2,610	About average	$2,080	$14,378
Ingalls Memorial HospitalHarvey, IL · CCN 140191	25	$2,612	About average	$2,063	$23,732
Palos Community HospitalPalos Heights, IL · CCN 140062	138	$2,616	About average	$2,084	$28,398
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	66	$2,616	About average	$2,074	$18,457
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	15	$2,617	About average	$2,055	$19,693
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	34	$2,619	About average	$2,081	$14,230
Anderson HospitalMaryville, IL · CCN 140289	19	$2,626	About average	$2,092	$10,874
Carle Bromenn Medical CenterNormal, IL · CCN 140127	16	$2,626	About average	$2,092	$11,654
St Joseph Medical CenterBloomington, IL · CCN 140162	17	$2,626	About average	$2,092	$20,668
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	32	$2,626	About average	$2,092	$21,449
Memorial HospitalBelleville, IL · CCN 140185	38	$2,626	About average	$2,092	$13,989
St Johns HospitalSpringfield, IL · CCN 140053	43	$2,626	About average	$2,092	$25,743
Trinity Rock IslandRock Island, IL · CCN 140280	42	$2,626	About average	$2,092	$11,895
Memorial Medical CenterSpringfield, IL · CCN 140148	145	$2,626	About average	$2,090	$20,832
Carle Health Methodist HospitalPeoria, IL · CCN 140209	18	$2,626	About average	$2,089	$27,078
Decatur Memorial HospitalDecatur, IL · CCN 140135	77	$2,626	About average	$2,085	$14,543
St Mary Medical CenterGalesburg, IL · CCN 140064	16	$2,637	About average	$2,097	$18,132
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	52	$2,646	About average	$2,106	$19,195
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	142	$2,664	About average	$2,119	$29,499
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	81	$2,671	About average	$2,110	$24,881
Riverside Medical CenterKankakee, IL · CCN 140186	56	$2,672	About average	$2,129	$24,459
Midwestern Region Medical Center, IncZion, IL · CCN 140100	80	$2,681	About average	$2,136	$31,122
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	65	$2,681	About average	$2,135	$17,181
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	45	$2,684	About average	$2,129	$18,596
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	29	$2,688	About average	$2,115	$25,679

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.