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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 York

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 York
Specific hospitals up to 10
Average payment across these 77 hospitals
$3,102National $2,697 · New York $3,127
Median hospital
$3,075
Lowest to highest
$1,885–$3,233
Medicare procedures
5,672

77 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Wynn HospitalUtica, NY · CCN 33004439$1,88530% below the national average$1,485$10,395
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 33005616$2,506About average$1,984$13,481
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 33018550$2,567About average$1,922$17,983
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 33008513$2,781About average$2,168$4,928
Erie County Medical CenterBuffalo, NY · CCN 33021923$2,817About average$2,201$9,304
Huntington HospitalHuntington, NY · CCN 33004552$2,840About average$2,206$29,149
Canton-Potsdam HospitalPotsdam, NY · CCN 33019720$2,843About average$2,264$8,412
Rochester General HospitalRochester, NY · CCN 33012531$2,858About average$2,245$14,853
Peconic Bay Medical CenterRiverhead, NY · CCN 33010717$2,876About average$2,231$19,999
Crouse HospitalSyracuse, NY · CCN 33020349$2,902About average$2,302$9,047
Kaleida HealthBuffalo, NY · CCN 33000547$2,915About average$2,298$10,902
Arnot Ogden Medical CenterElmira, NY · CCN 33009032$2,918About average$2,325$7,982
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$2,096 outlier payments per case89$2,932About average$2,315$28,669
Northern Westchester HospitalMount Kisco, NY · CCN 33016242$2,939About average$2,282$19,245
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 33001135$2,944About average$2,332$12,486
Strong Memorial HospitalRochester, NY · CCN 330285 · +$319 outlier payments per case278$2,954About average$2,353$17,776
St Peter's HospitalAlbany, NY · CCN 33005753$2,96710% above the national average$2,354$15,731
Albany Medical Center HospitalAlbany, NY · CCN 330013116$2,97110% above the national average$2,358$16,498
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 33018068$2,97710% above the national average$2,365$14,654
United Health Services Hospitals, IncBinghamton, NY · CCN 33039470$2,97810% above the national average$2,364$18,687
Saratoga HospitalSaratoga Springs, NY · CCN 33022281$2,98311% above the national average$2,369$18,668
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 33026512$3,01312% above the national average$2,400$8,480
Columbia Memorial HospitalHudson, NY · CCN 33009418$3,01312% above the national average$2,400$11,404
Corning HospitalCorning, NY · CCN 33027724$3,01312% above the national average$2,400$22,861
F F Thompson HospitalCanandaigua, NY · CCN 33007413$3,01312% above the national average$2,400$8,896
Sisters Of Charity HospitalBuffalo, NY · CCN 33007815$3,01312% above the national average$2,400$6,205
St Joseph's Hospital Health CenterSyracuse, NY · CCN 33014033$3,01312% above the national average$2,400$10,677
Unity HospitalRochester, NY · CCN 33022617$3,01312% above the national average$2,400$10,030
Glens Falls HospitalGlens Falls, NY · CCN 33019194$3,01312% above the national average$2,397$7,303
Rome Memorial Hospital, IncRome, NY · CCN 33021527$3,01312% above the national average$2,396$15,198
Ellis HospitalSchenectady, NY · CCN 33015320$3,01312% above the national average$2,390$13,895
Plainview HospitalPlainview, NY · CCN 33033124$3,05313% above the national average$2,402$19,321
Phelps HospitalSleepy Hollow, NY · CCN 33026134$3,05413% above the national average$2,394$20,509
Putnam Hospital CenterCarmel, NY · CCN 33027319$3,06314% above the national average$2,406$11,268
Long Island Community HospitalPatchogue, NY · CCN 33014123$3,06414% above the national average$2,419$34,402
Staten Island University HospitalStaten Island, NY · CCN 33016088$3,06614% above the national average$2,423$23,107
Northern Dutchess HospitalRhinebeck, NY · CCN 33004924$3,06914% above the national average$2,416$9,642
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 33022411$3,07214% above the national average$2,448$13,216
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 33023315$3,07514% above the national average$2,393$7,858
White Plains Hospital CenterWhite Plains, NY · CCN 33030493$3,08214% above the national average$2,453$25,097
New York-Presbyterian/QueensFlushing, NY · CCN 33005520$3,10515% above the national average$2,447$19,117
Garnet Health Medical CenterMiddletown, NY · CCN 33012677$3,11516% above the national average$2,465$14,625
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 33002374$3,12916% above the national average$2,472$12,125
North Shore University HospitalManhasset, NY · CCN 330106110$3,14217% above the national average$2,492$19,019
Westchester Medical CenterValhalla, NY · CCN 33023432$3,14417% above the national average$2,485$41,736
Hospital For Special SurgeryNew York, NY · CCN 33027050$3,15017% above the national average$2,499$30,865
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195134$3,15017% above the national average$2,504$24,883
Nyu Langone HospitalsNew York, NY · CCN 330214 · +$107 outlier payments per case608$3,15517% above the national average$2,505$38,366
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393172$3,15917% above the national average$2,514$29,183
Lenox Hill HospitalNew York, NY · CCN 33011972$3,16517% above the national average$2,512$20,798

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.