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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 New Jersey

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
New Jersey
Specific hospitals up to 10
Average payment across these 40 hospitals
$3,013National $2,697 · New Jersey $3,013
Median hospital
$2,975
Lowest to highest
$2,817–$3,234
Medicare procedures
2,402

40 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
Shore Medical CenterSomers Point, NJ · CCN 31004715$2,817About average$2,200$23,921
Cooper University HospitalCamden, NJ · CCN 310014164$2,825About average$2,247$27,445
Inspira Medical Center VinelandVineland, NJ · CCN 31003222$2,840About average$2,254$20,192
Cape Regional Medical Center IncCape May Court House, NJ · CCN 31001119$2,850About average$2,245$12,024
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 31004856$2,851About average$2,243$16,883
Monmouth Medical Center-Southern CampusLakewood, NJ · CCN 31008422$2,867About average$2,262$14,876
Community Medical CenterToms River, NJ · CCN 310041102$2,906About average$2,306$12,761
West Jersey HospitalVoorhees, NJ · CCN 31002289$2,923About average$2,315$28,206
Monmouth Medical CenterLong Branch, NJ · CCN 31007556$2,926About average$2,314$15,829
Inspira Medical Center Mullica HillElmer, NJ · CCN 31006956$2,932About average$2,328$20,231
CentraState Medical CenterFreehold, NJ · CCN 31011171$2,97010% above the national average$2,364$13,625
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 31007631$2,97410% above the national average$2,353$16,112
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 31006456$2,97510% above the national average$2,370$21,474
Capital Health Medical Center - HopewellPennington, NJ · CCN 31004454$2,97510% above the national average$2,370$87,209
Hunterdon Medical CenterFlemington, NJ · CCN 31000515$2,97510% above the national average$2,370$13,582
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 31011017$2,97510% above the national average$2,370$14,930
St Luke's Warren HospitalPhillipsburg, NJ · CCN 31006016$2,97510% above the national average$2,370$31,648
Ocean Medical CenterBrick, NJ · CCN 31005248$2,97510% above the national average$2,370$16,314
Virtua Mount Holly HospitalMount Holly, NJ · CCN 31005712$2,97510% above the national average$2,370$28,729
Jefferson Stratford HospitalStratford, NJ · CCN 31008689$2,97510% above the national average$2,370$17,066
Southern Ocean Medical CenterManahawkin, NJ · CCN 31011357$2,97510% above the national average$2,369$22,917
Riverview Medical CenterRed Bank, NJ · CCN 31003481$2,97510% above the national average$2,367$16,471
Newton Medical CenterNewton, NJ · CCN 31002834$2,97510% above the national average$2,359$28,811
JFK University Medical CenterEdison, NJ · CCN 31010887$2,98711% above the national average$2,374$21,532
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 31005012$3,00111% above the national average$2,335$29,159
Bayshore Medical CenterHolmdel, NJ · CCN 31011254$3,01212% above the national average$2,399$18,864
Jersey Shore University Medical CenterNeptune, NJ · CCN 31007334$3,01212% above the national average$2,396$15,614
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 31003911$3,01512% above the national average$2,402$12,985
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 31001073$3,01512% above the national average$2,402$27,021
St Joseph's University Medical Center IncPaterson, NJ · CCN 31001916$3,03212% above the national average$2,403$17,541
Newark Beth Israel Medical CenterNewark, NJ · CCN 31000215$3,05213% above the national average$2,432$18,343
Morristown Medical CenterMorristown, NJ · CCN 310015279$3,05213% above the national average$2,431$20,135
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038 · +$1,128 outlier payments per case143$3,08214% above the national average$2,441$33,074
Chilton Medical CenterPompton Plains, NJ · CCN 31001761$3,11415% above the national average$2,464$19,299
Hackensack University Medical CenterHackensack, NJ · CCN 310001 · +$351 outlier payments per case154$3,15417% above the national average$2,506$21,482
Overlook Medical CenterSummit, NJ · CCN 31005181$3,16617% above the national average$2,514$19,192
Holy Name Medical CenterTeaneck, NJ · CCN 31000863$3,23320% above the national average$2,576$15,236
Valley HospitalParamus, NJ · CCN 31001267$3,23320% above the national average$2,576$18,062
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 31004542$3,23320% above the national average$2,572$43,293
Jersey City Medical CenterJersey City, NJ · CCN 31007428$3,23420% above the national average$2,569$10,042

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.