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
- $2,141
- Average billed charge
- $21,053
- Hospitals reporting
- 1,817
Hospitals in Ohio
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.
- Average payment across these 84 hospitals
- $2,362
- Median hospital
- $2,426
- Lowest to highest
- $1,315–$2,590
- Medicare procedures
- 4,539
84 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mercy Health - Clermont Hospital | 50 | $1,315 | 51% below the national average | $1,047 | $12,260 |
| MetroHealth System | 60 | $1,588 | 41% below the national average | $1,095 | $16,962 |
| Marietta Memorial Hospital | 92 | $1,670 | 38% below the national average | $1,189 | $18,050 |
| University Of Cincinnati Medical Center, LLC | 136 | $1,874 | 30% below the national average | $1,488 | $18,013 |
| Memorial Hospital | 12 | $1,942 | 28% below the national average | $1,449 | $10,283 |
| Kettering Health Dayton | 47 | $2,043 | 24% below the national average | $1,628 | $22,128 |
| Southwest General Health Center | 61 | $2,246 | 17% below the national average | $1,784 | $14,969 |
| Dublin Methodist Hospital | 43 | $2,248 | 17% below the national average | $1,780 | $21,858 |
| Aultman Hospital | 64 | $2,290 | 15% below the national average | $1,803 | $10,987 |
| UH Cleveland Medical Center | 250 | $2,317 | 14% below the national average | $1,835 | $15,128 |
| University Hospitals Ahuja Medical Center | 41 | $2,319 | 14% below the national average | $1,838 | $16,673 |
| South Pointe Hospital | 14 | $2,322 | 14% below the national average | $1,850 | $12,838 |
| Blanchard Valley Hospital | 50 | $2,328 | 14% below the national average | $1,855 | $11,152 |
| McCullough-Hyde Memorial Hospital | 14 | $2,330 | 14% below the national average | $1,828 | $11,647 |
| Lake Health | 47 | $2,333 | 13% below the national average | $1,855 | $15,755 |
| Medina Hospital | 21 | $2,334 | 13% below the national average | $1,841 | $17,343 |
| Holzer Medical Center | 23 | $2,334 | 13% below the national average | $1,843 | $8,369 |
| Atrium Medical Center | 32 | $2,345 | 13% below the national average | $1,841 | $21,939 |
| Trinity Medical Center East &Trinity Medical Center West | 30 | $2,354 | 13% below the national average | $1,856 | $10,741 |
| Firelands Regional Medical Center | 64 | $2,358 | 13% below the national average | $1,863 | $13,721 |
| Upper Valley Medical Center | 30 | $2,366 | 12% below the national average | $1,871 | $23,461 |
| UH Regional Hospitals | 47 | $2,374 | 12% below the national average | $1,892 | $14,696 |
| MH St Joseph Warren Hospital | 30 | $2,379 | 12% below the national average | $1,888 | $18,212 |
| Soin Medical Center | 36 | $2,380 | 12% below the national average | $1,896 | $24,499 |
| Ohio Valley Surgical Hospital | 12 | $2,381 | 12% below the national average | $1,863 | $11,632 |
| Akron General Medical Center | 61 | $2,386 | 12% below the national average | $1,893 | $15,685 |
| Summa Health System | 70 | $2,390 | 11% below the national average | $1,899 | $19,277 |
| Fairview Hospital | 110 | $2,391 | 11% below the national average | $1,895 | $13,845 |
| Cleveland Clinic | 703 | $2,402 | 11% below the national average | $1,908 | $14,022 |
| West Chester Hospital | 30 | $2,405 | 11% below the national average | $1,903 | $17,250 |
| Fort Hamilton Hughes Memorial Hospital | 30 | $2,412 | 11% below the national average | $1,897 | $25,466 |
| Southeastern Ohio Regional Medical Center | 15 | $2,417 | 10% below the national average | $1,913 | $15,664 |
| University Hospitals Portage Medical Center | 11 | $2,418 | 10% below the national average | $1,926 | $17,107 |
| Mercy Medical Center | 27 | $2,418 | 10% below the national average | $1,926 | $16,289 |
| Salem Regional Medical Center | 20 | $2,418 | 10% below the national average | $1,926 | $11,119 |
| Summa Western Reserve Hospital | 24 | $2,418 | 10% below the national average | $1,926 | $23,656 |
| Surgical Hospital At Southwoods | 32 | $2,418 | 10% below the national average | $1,926 | $12,040 |
| MH St Elizabeth Youngstown Hospital | 35 | $2,418 | 10% below the national average | $1,925 | $17,317 |
| HMHP St Elizabeth Boardman Health Center | 20 | $2,418 | 10% below the national average | $1,925 | $19,694 |
| Trihealth Clinton Regional Hospital | 14 | $2,418 | 10% below the national average | $1,918 | $17,927 |
| Licking Memorial Hospital | 29 | $2,419 | 10% below the national average | $1,913 | $13,259 |
| Cleveland Clinic Avon Hospital | 22 | $2,426 | 10% below the national average | $1,933 | $19,320 |
| Marymount Hospital | 15 | $2,426 | 10% below the national average | $1,933 | $13,030 |
| Mercy Regional Medical Center | 14 | $2,426 | 10% below the national average | $1,933 | $17,612 |
| Parma Community General Hospital | 41 | $2,426 | 10% below the national average | $1,933 | $15,941 |
| UH St John Medical Center | 27 | $2,426 | 10% below the national average | $1,933 | $17,602 |
| University Hospitals - Elyria Medical Center | 11 | $2,426 | 10% below the national average | $1,933 | $20,273 |
| Hillcrest Hospital | 80 | $2,426 | 10% below the national average | $1,931 | $15,615 |
| Crystal Clinic Orthopaedic Center | 36 | $2,427 | 10% below the national average | $1,929 | $13,408 |
| Kettering Health Troy | 12 | $2,430 | About average | $1,936 | $26,334 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.