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 Pennsylvania

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.

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Pennsylvania

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Average payment across these 95 hospitals: $2,579National $2,697 · Pennsylvania $2,581
Median hospital: $2,538
Lowest to highest: $1,961–$2,995
Medicare procedures: 5,953

95 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	36	$1,961	27% below the national average	$1,560	$22,721
Gettysburg HospitalGettysburg, PA · CCN 390065	19	$2,063	23% below the national average	$1,644	$13,156
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	12	$2,157	20% below the national average	$1,719	$11,388
Temple University HospitalPhiladelphia, PA · CCN 390027	231	$2,160	20% below the national average	$1,720	$62,545
Grove City Medical CenterGrove City, PA · CCN 390266	11	$2,261	16% below the national average	$1,801	$26,442
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	28	$2,269	16% below the national average	$1,808	$19,935
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	19	$2,271	16% below the national average	$1,804	$23,339
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	12	$2,272	16% below the national average	$1,774	$28,437
UPMC LititzLititz, PA · CCN 390068	22	$2,345	13% below the national average	$1,866	$13,554
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 390114	319	$2,404	11% below the national average	$1,909	$19,778
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	24	$2,421	10% below the national average	$1,910	$27,786
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	152	$2,428	About average	$1,933	$36,964
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	21	$2,465	About average	$1,962	$14,168
Surgical Institute Of ReadingWyomissing, PA · CCN 390316	28	$2,467	About average	$1,955	$10,554
UPMC MemorialYork, PA · CCN 390101	20	$2,468	About average	$1,956	$16,503
UPMC JamesonNew Castle, PA · CCN 390016	31	$2,478	About average	$1,958	$11,696
St Clair HospitalPittsburgh, PA · CCN 390228	34	$2,478	About average	$1,962	$12,819
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	19	$2,481	About average	$1,955	$50,904
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	36	$2,484	About average	$1,963	$31,835
Allegheny General HospitalPittsburgh, PA · CCN 390050	39	$2,486	About average	$1,966	$25,294
Regional Hospital Of ScrantonScranton, PA · CCN 390237	31	$2,489	About average	$1,983	$37,500
Jefferson HospitalJefferson Hills, PA · CCN 390265	35	$2,494	About average	$1,984	$22,818
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	90	$2,501	About average	$1,984	$19,010
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	32	$2,502	About average	$1,980	$45,950
Forbes HospitalMonroeville, PA · CCN 390267	44	$2,503	About average	$1,993	$24,294
West Penn HospitalPittsburgh, PA · CCN 390090	65	$2,507	About average	$1,991	$30,409
Geisinger-Community Medical CenterScranton, PA · CCN 390001	62	$2,513	About average	$2,003	$32,451
Milton S Hershey Medical CenterHershey, PA · CCN 390256 · +$588 outlier payments per case	216	$2,516	About average	$1,999	$31,495
Lancaster General HospitalLancaster, PA · CCN 390100	180	$2,517	About average	$2,001	$14,778
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	41	$2,527	About average	$2,013	$39,797
Geisinger Medical CenterDanville, PA · CCN 390006	230	$2,529	About average	$2,011	$40,016
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	33	$2,531	About average	$2,013	$11,384
Ahn Wexford HospitalWexford, PA · CCN 390334	27	$2,538	About average	$2,022	$28,047
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	16	$2,538	About average	$2,022	$11,379
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	16	$2,538	About average	$2,022	$16,180
Heritage Valley BeaverBeaver, PA · CCN 390036	24	$2,538	About average	$2,022	$11,975
Uniontown HospitalUniontown, PA · CCN 390041	31	$2,538	About average	$2,022	$9,586
UPMC EastMonroeville, PA · CCN 390328	29	$2,538	About average	$2,022	$30,177
UPMC NorthwestSeneca, PA · CCN 390091	21	$2,538	About average	$2,022	$15,321
UPMC PassavantPittsburgh, PA · CCN 390107	22	$2,538	About average	$2,022	$23,219
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	91	$2,538	About average	$2,022	$36,540
UPMC St MargaretPittsburgh, PA · CCN 390102	16	$2,538	About average	$2,022	$23,133
UPMC WilliamsportWilliamsport, PA · CCN 390045	61	$2,538	About average	$2,022	$22,160
The Washington HospitalWashington, PA · CCN 390042	25	$2,538	About average	$2,020	$9,117
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	16	$2,538	About average	$2,020	$18,483
Allegheny Valley HospitalNatrona, PA · CCN 390032	13	$2,538	About average	$2,017	$15,971
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	38	$2,538	About average	$2,017	$28,755
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	51	$2,538	About average	$2,008	$27,296
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	57	$2,546	About average	$2,027	$20,713
Main Line Hospital LankenauWynnewood, PA · CCN 390195	57	$2,568	About average	$2,043	$13,312

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.