Skip to main content
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 Kentucky

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
Kentucky
Specific hospitals up to 10
Average payment across these 33 hospitals
$2,415National $2,697 · Kentucky $2,415
Median hospital
$2,418
Lowest to highest
$2,272–$2,629
Medicare procedures
1,789

33 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
Saint Joseph LondonLondon, KY · CCN 18001117$2,27216% below the national average$1,784$6,716
Baptist Health CorbinCorbin, KY · CCN 18008017$2,27216% below the national average$1,777$13,526
University Of Kentucky HospitalLexington, KY · CCN 180067173$2,28815% below the national average$1,807$21,966
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 18004057$2,31914% below the national average$1,843$17,403
University Of Louisville HospitalLouisville, KY · CCN 180141134$2,35713% below the national average$1,873$19,512
St Elizabeth Ft ThomasFort Thomas, KY · CCN 18000122$2,35913% below the national average$1,879$18,218
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 18004836$2,36412% below the national average$1,884$9,890
King's Daughters' Medical CenterAshland, KY · CCN 18000982$2,36412% below the national average$1,871$22,156
St Elizabeth EdgewoodEdgewood, KY · CCN 18003594$2,37912% below the national average$1,893$17,704
St Elizabeth FlorenceFlorence, KY · CCN 18004528$2,38012% below the national average$1,878$16,593
Taylor Regional HospitalCampbellsville, KY · CCN 18008716$2,38412% below the national average$1,899$9,215
Murray-Calloway County HospitalMurray, KY · CCN 18002723$2,38412% below the national average$1,897$14,462
Baptist Health HardinElizabethtown, KY · CCN 18001264$2,38711% below the national average$1,887$24,051
Saint Joseph HospitalLexington, KY · CCN 18001033$2,40111% below the national average$1,898$14,454
Highlands ARH Regional Medical CenterPrestonsburg, KY · CCN 18000514$2,41011% below the national average$1,920$15,825
Baptist Health LexingtonLexington, KY · CCN 18010356$2,41011% below the national average$1,906$23,782
St Claire Regional Medical CenterMorehead, KY · CCN 18001813$2,41810% below the national average$1,926$9,666
T J Samson Community HospitalGlasgow, KY · CCN 18001722$2,41810% below the national average$1,888$11,982
Norton Hospitals, IncLouisville, KY · CCN 180088341$2,42310% below the national average$1,927$12,009
Hazard ARH Regional Medical CenterHazard, KY · CCN 18002920$2,446About average$1,948$14,392
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 18002532$2,448About average$1,951$15,889
Baptist Health LagrangeLa Grange, KY · CCN 18013844$2,448About average$1,949$29,492
Baptist Health LouisvilleLouisville, KY · CCN 180130126$2,448About average$1,947$29,090
The Medical Center (Bowling Green)Bowling Green, KY · CCN 18001348$2,455About average$1,948$22,071
Saint Joseph EastLexington, KY · CCN 18014312$2,461About average$1,961$14,294
Deaconess Henderson HospitalHenderson, KY · CCN 18005621$2,503About average$1,994$14,826
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 18009334$2,552About average$2,031$21,173
Jennie Stuart Medical CenterHopkinsville, KY · CCN 18005119$2,553About average$2,031$7,430
Baptist Health PaducahPaducah, KY · CCN 18010484$2,562About average$2,032$22,887
Pikeville Medical CenterPikeville, KY · CCN 18004442$2,581About average$2,054$17,012
Mercy Health - Lourdes HospitalPaducah, KY · CCN 18010211$2,600About average$2,067$18,458
Lake Cumberland Regional HospitalSomerset, KY · CCN 18013211$2,619About average$2,087$25,364
Owensboro Health Regional HospitalOwensboro, KY · CCN 18003843$2,629About average$2,095$18,773

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.