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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 Massachusetts

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
Massachusetts
Specific hospitals up to 10
Average payment across these 43 hospitals
$3,012National $2,697 · Massachusetts $3,020
Median hospital
$3,052
Lowest to highest
$2,747–$3,205
Medicare procedures
3,488

43 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
Good Samaritan Medical CenterBrockton, MA · CCN 22011118$2,747About average$2,178$7,723
Marlborough HospitalMarlborough, MA · CCN 22004917$2,766About average$2,143$14,091
Tufts Medical CenterBoston, MA · CCN 220116104$2,858About average$2,277$16,957
Baystate Franklin Medical CenterGreenfield, MA · CCN 22001612$2,886About average$2,257$11,535
Saint Anne's HospitalFall River, MA · CCN 22002048$2,924About average$2,330$8,179
North Shore Medical Center -Salem, MA · CCN 22003530$2,97110% above the national average$2,350$6,904
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 22001938$2,97110% above the national average$2,367$7,991
Brigham And Women's HospitalBoston, MA · CCN 220110158$2,98611% above the national average$2,370$19,273
Mercy Medical CenterSpringfield, MA · CCN 22006657$2,98711% above the national average$2,366$8,578
MelroseWakefield HealthcareMelrose, MA · CCN 22007038$2,98811% above the national average$2,367$12,882
Holyoke Medical CenterHolyoke, MA · CCN 22002433$2,98911% above the national average$2,361$11,406
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086199$2,99311% above the national average$2,382$16,362
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171262$2,99811% above the national average$2,385$8,817
Boston Medical CenterBoston, MA · CCN 220031107$3,00011% above the national average$2,386$13,842
Massachusetts General HospitalBoston, MA · CCN 220071 · +$98 outlier payments per case638$3,00411% above the national average$2,390$14,608
Cape Cod HospitalHyannis, MA · CCN 220012131$3,00511% above the national average$2,393$16,330
Southcoast Hospitals GroupFall River, MA · CCN 220074122$3,01212% above the national average$2,391$16,914
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163260$3,01912% above the national average$2,403$18,348
South Shore HospitalSouth Weymouth, MA · CCN 22010074$3,02012% above the national average$2,397$5,871
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 22001582$3,02512% above the national average$2,404$6,348
Lowell General HospitalLowell, MA · CCN 22006374$3,02712% above the national average$2,407$14,777
Anna Jaques HospitalNewburyport, MA · CCN 22002933$3,05213% above the national average$2,431$6,186
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 22006049$3,05213% above the national average$2,431$12,283
Brown University Health Morton HospitalTaunton, MA · CCN 22007333$3,05213% above the national average$2,431$12,914
Emerson Hospital -W Concord, MA · CCN 22008442$3,05213% above the national average$2,431$13,442
Newton-Wellesley HospitalNewton, MA · CCN 22010167$3,05213% above the national average$2,431$10,490
St Vincent HospitalWorcester, MA · CCN 22017631$3,05213% above the national average$2,431$30,978
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 22000136$3,05213% above the national average$2,431$16,346
Winchester HospitalWinchester, MA · CCN 22010571$3,05213% above the national average$2,431$8,641
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 22008325$3,05213% above the national average$2,431$10,802
Heywood Hospital -Gardner, MA · CCN 22009527$3,05213% above the national average$2,431$6,042
Merrimack Health Lawrence HospitalLawrence, MA · CCN 22001024$3,05213% above the national average$2,431$9,369
New England Baptist HospitalBoston, MA · CCN 22008811$3,05213% above the national average$2,431$9,691
Sturdy Memorial HospitalAttleboro, MA · CCN 22000822$3,05213% above the national average$2,431$6,871
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 22011936$3,05213% above the national average$2,430$10,507
Northeast Hospital CorporationBeverly, MA · CCN 22003363$3,05213% above the national average$2,430$13,916
Massachusetts Eye And Ear Infirmary -Boston, MA · CCN 220075110$3,05213% above the national average$2,430$11,237
Baystate Medical CenterSpringfield, MA · CCN 220077140$3,05213% above the national average$2,429$10,744
Cambridge Health AllianceCambridge, MA · CCN 22001117$3,05213% above the national average$2,429$8,034
Falmouth HospitalFalmouth, MA · CCN 22013523$3,05213% above the national average$2,428$10,616
Mount Auburn HospitalCambridge, MA · CCN 22000231$3,05213% above the national average$2,425$6,928
Milford Regional Medical CenterMilford, MA · CCN 22009017$3,05213% above the national average$2,420$5,477
Berkshire Medical CenterPittsfield, MA · CCN 22004678$3,20519% above the national average$2,554$20,572

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.