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 Missouri

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

Missouri

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 43 hospitals: $2,442National $2,697 · Missouri $2,442
Median hospital: $2,481
Lowest to highest: $2,079–$2,708
Medicare procedures: 2,634

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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	13	$2,079	23% below the national average	$1,656	$7,954
Mercy Hospital JoplinJoplin, MO · CCN 260001	34	$2,256	16% below the national average	$1,781	$10,907
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	21	$2,264	16% below the national average	$1,804	$12,567
Cox Medical CentersSpringfield, MO · CCN 260040	121	$2,338	13% below the national average	$1,855	$13,705
Barnes Jewish HospitalSaint Louis, MO · CCN 260032 · +$146 outlier payments per case	442	$2,352	13% below the national average	$1,868	$20,240
University Of Missouri Health CareColumbia, MO · CCN 260141	157	$2,365	12% below the national average	$1,882	$19,597
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	153	$2,365	12% below the national average	$1,878	$14,178
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	91	$2,368	12% below the national average	$1,878	$19,618
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176	16	$2,403	11% below the national average	$1,889	$14,729
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	15	$2,404	11% below the national average	$1,916	$22,608
Liberty HospitalLiberty, MO · CCN 260177	55	$2,415	10% below the national average	$1,911	$18,146
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 260091	29	$2,416	10% below the national average	$1,908	$12,573
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	30	$2,418	10% below the national average	$1,913	$14,464
Boone Hospital CenterColumbia, MO · CCN 260068	46	$2,418	10% below the national average	$1,926	$17,565
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	73	$2,427	About average	$1,923	$31,815
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	50	$2,433	About average	$1,927	$13,720
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	31	$2,436	About average	$1,941	$10,694
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	107	$2,447	About average	$1,941	$13,484
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	48	$2,451	About average	$1,930	$8,475
Nkc HealthNorth Kansas City, MO · CCN 260096	74	$2,461	About average	$1,956	$16,312
Cox Medical Center BransonBranson, MO · CCN 260094	22	$2,466	About average	$1,946	$13,596
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	17	$2,481	About average	$1,977	$29,682
Saint Luke's East HospitalLees Summit, MO · CCN 260216	54	$2,481	About average	$1,977	$30,411
Saint Lukes North HospitalKansas City, MO · CCN 260062	42	$2,481	About average	$1,977	$30,107
Research Medical CenterKansas City, MO · CCN 260027	41	$2,482	About average	$1,972	$36,118
Centerpoint Medical CenterIndependence, MO · CCN 260095	27	$2,482	About average	$1,970	$22,259
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	99	$2,484	About average	$1,977	$35,324
SSM St Clare Health CenterFenton, MO · CCN 260081	30	$2,484	About average	$1,973	$9,623
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	94	$2,486	About average	$1,970	$10,517
St Lukes HospitalChesterfield, MO · CCN 260179	94	$2,508	About average	$1,991	$13,453
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	20	$2,529	About average	$2,015	$11,010
Mercy Hospital WashingtonWashington, MO · CCN 260052	38	$2,529	About average	$2,011	$10,514
Mercy Hospital SouthSaint Louis, MO · CCN 260077	72	$2,529	About average	$2,007	$10,330
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	16	$2,529	About average	$2,003	$13,621
Lake Regional Health SystemOsage Beach, MO · CCN 260186	22	$2,559	About average	$2,039	$8,920
Mercy Hospital LebanonLebanon, MO · CCN 260059	19	$2,559	About average	$2,039	$7,605
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	19	$2,559	About average	$2,039	$45,599
Golden Valley Memorial HospitalClinton, MO · CCN 260175	28	$2,582	About average	$2,042	$19,263
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	20	$2,590	About average	$2,063	$12,259
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	63	$2,600	About average	$2,071	$21,975
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	141	$2,643	About average	$2,099	$11,495
Parkland Health CenterFarmington, MO · CCN 260163	12	$2,708	About average	$2,158	$13,174
Phelps County Regional Medical CenterRolla, MO · CCN 260017	38	$2,708	About average	$2,156	$24,021

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.