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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 Tennessee

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
Tennessee
Specific hospitals up to 10
Average payment across these 38 hospitals
$2,308National $2,697 · Tennessee $2,308
Median hospital
$2,352
Lowest to highest
$1,124–$2,606
Medicare procedures
2,526

38 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
Regional One HealthMemphis, TN · CCN 44015269$1,12458% below the national average$893$7,156
Baptist Memorial Hospital TiptonCovington, TN · CCN 44013183$1,98127% below the national average$1,572$5,537
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 44022813$2,10622% below the national average$1,618$34,360
St Francis HospitalMemphis, TN · CCN 44018328$2,12721% below the national average$1,639$39,659
Parkwest Medical CenterKnoxville, TN · CCN 44017342$2,21218% below the national average$1,731$8,557
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 44019420$2,25316% below the national average$1,755$38,724
University Health System, IncKnoxville, TN · CCN 440015257$2,25716% below the national average$1,790$9,066
Parkridge Medical CenterChattanooga, TN · CCN 44015612$2,26216% below the national average$1,769$27,577
Leconte Medical CenterSevierville, TN · CCN 44008125$2,26916% below the national average$1,789$7,907
Tristar Skyline Medical CenterNashville, TN · CCN 44000611$2,27116% below the national average$1,773$57,735
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 44003433$2,28715% below the national average$1,809$7,370
Maury Regional HospitalColumbia, TN · CCN 44007363$2,29115% below the national average$1,802$16,638
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 44012536$2,29615% below the national average$1,819$10,217
Vanderbilt University Medical CenterNashville, TN · CCN 440039 · +$133 outlier payments per case570$2,30415% below the national average$1,834$15,543
Erlanger Medical CenterChattanooga, TN · CCN 44010458$2,33713% below the national average$1,843$14,958
Physicians Regional Medical CenterPowell, TN · CCN 44012031$2,34313% below the national average$1,867$31,978
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 44003029$2,34313% below the national average$1,864$7,393
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 44013218$2,34313% below the national average$1,864$12,645
Methodist Hospitals Of MemphisMemphis, TN · CCN 44004957$2,34413% below the national average$1,868$20,996
Memorial Healthcare System, IncChattanooga, TN · CCN 44009170$2,35913% below the national average$1,874$18,017
Baptist Memorial HospitalMemphis, TN · CCN 440048114$2,36512% below the national average$1,872$15,859
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 44001275$2,36612% below the national average$1,863$13,160
Baptist Memorial Hospital Union CityUnion City, TN · CCN 44013012$2,38312% below the national average$1,899$14,666
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 44001778$2,39811% below the national average$1,893$16,830
Tristar Centennial Medical CenterNashville, TN · CCN 44016189$2,41710% below the national average$1,919$39,417
Affiliate Of Vitruvian HealthCleveland, TN · CCN 44018523$2,42210% below the national average$1,910$28,991
Ascension Saint Thomas HospitalNashville, TN · CCN 44008275$2,42310% below the national average$1,923$14,654
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 44005357$2,42710% below the national average$1,933$14,514
Vanderbilt Bedford HospitalShelbyville, TN · CCN 44013712$2,434About average$1,939$31,843
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 44000324$2,437About average$1,939$37,541
Tristar Summit Medical CenterHermitage, TN · CCN 44015034$2,448About average$1,951$29,854
Vanderbilt Wilson County HospitalLebanon, TN · CCN 44019319$2,448About average$1,951$27,462
Williamson Medical CenterFranklin, TN · CCN 44002925$2,448About average$1,951$14,300
Johnson City Medical CenterJohnson City, TN · CCN 440063102$2,451About average$1,948$31,955
Blount Memorial HospitalMaryville, TN · CCN 44001142$2,469About average$1,967$15,612
Jackson-Madison County General HospitalJackson, TN · CCN 440002140$2,495About average$1,976$11,225
Vanderbilt Clarksville HospitalClarksville, TN · CCN 44003519$2,507About average$1,967$26,212
Cookeville Regional Medical CenterCookeville, TN · CCN 44005961$2,606About average$2,077$7,998

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.