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 Texas

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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Average payment across these 138 hospitals: $2,511National $2,697 · Texas $2,547
Median hospital: $2,525
Lowest to highest: $1,713–$2,739
Medicare procedures: 6,736

138 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
Townsen Memorial HospitalHumble, TX · CCN 670266	12	$1,713	36% below the national average	$1,365	$49,867
University Of Texas Health Science Center At TylerTyler, TX · CCN 450690	23	$1,823	32% below the national average	$1,433	$12,474
University Medical Center Of El PasoEl Paso, TX · CCN 450024	26	$1,878	30% below the national average	$1,481	$15,773
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	18	$1,945	28% below the national average	$1,528	$11,298
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	37	$2,226	17% below the national average	$1,752	$13,656
Midland Memorial HospitalMidland, TX · CCN 450133	31	$2,259	16% below the national average	$1,787	$23,449
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	13	$2,276	16% below the national average	$1,808	$21,027
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	12	$2,291	15% below the national average	$1,801	$50,024
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	19	$2,295	15% below the national average	$1,829	$11,344
South Texas Health SystemEdinburg, TX · CCN 450119	12	$2,302	15% below the national average	$1,785	$78,082
De Tar Hospital NavarroVictoria, TX · CCN 450147	23	$2,316	14% below the national average	$1,804	$50,490
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	26	$2,321	14% below the national average	$1,813	$32,676
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	24	$2,336	13% below the national average	$1,811	$25,070
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	21	$2,348	13% below the national average	$1,871	$40,237
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	50	$2,354	13% below the national average	$1,859	$13,740
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	35	$2,366	12% below the national average	$1,854	$37,971
Bsa HospitalAmarillo, TX · CCN 450231	101	$2,379	12% below the national average	$1,886	$23,800
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	17	$2,384	12% below the national average	$1,870	$35,642
North Central Surgical Center LLPDallas, TX · CCN 670049	28	$2,393	11% below the national average	$1,888	$11,796
University Medical CenterLubbock, TX · CCN 450686	51	$2,427	10% below the national average	$1,926	$23,830
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	65	$2,428	About average	$1,934	$23,635
Baptist Medical CenterSan Antonio, TX · CCN 450058	117	$2,432	About average	$1,930	$59,524
Christus St Michael Health SystemTexarkana, TX · CCN 450801	67	$2,436	About average	$1,929	$19,117
Christus Mother Frances HospitalTyler, TX · CCN 450102	153	$2,438	About average	$1,938	$23,068
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	35	$2,440	About average	$1,917	$19,744
Medical Center Of McKinneyMckinney, TX · CCN 450403	17	$2,443	About average	$1,918	$33,494
Methodist HospitalSan Antonio, TX · CCN 450388	140	$2,447	About average	$1,942	$35,611
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	33	$2,454	About average	$1,945	$30,913
JPS Health NetworkFort Worth, TX · CCN 450039	33	$2,457	About average	$1,939	$16,791
Round Rock Medical CenterRound Rock, TX · CCN 450718	49	$2,460	About average	$1,952	$41,011
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	13	$2,466	About average	$1,964	$16,625
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	14	$2,466	About average	$1,964	$12,416
Medical Center HospitalOdessa, TX · CCN 450132	25	$2,466	About average	$1,964	$13,910
Northwest Texas HospitalAmarillo, TX · CCN 450209	15	$2,466	About average	$1,964	$40,305
Rio Grande Regional HospitalMcallen, TX · CCN 450711	11	$2,466	About average	$1,964	$42,635
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 450033	13	$2,466	About average	$1,964	$52,246
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	67	$2,466	About average	$1,963	$33,173
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	28	$2,466	About average	$1,962	$24,138
Covenant Medical CenterLubbock, TX · CCN 450040	53	$2,466	About average	$1,961	$46,728
University Health SystemSan Antonio, TX · CCN 450213	42	$2,466	About average	$1,959	$17,129
Peterson Regional Medical CenterKerrville, TX · CCN 450007	20	$2,466	About average	$1,959	$12,099
Doctors Hospital Of LaredoLaredo, TX · CCN 450643	15	$2,466	About average	$1,958	$42,134
Covenant Childrens HospitalLubbock, TX · CCN 453306	17	$2,466	About average	$1,956	$23,449
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	50	$2,466	About average	$1,950	$34,733
Resolute Health HospitalNew Braunfels, TX · CCN 670098	15	$2,471	About average	$1,969	$33,369
Columbus Community HospitalColumbus, TX · CCN 450370	15	$2,471	About average	$1,969	$9,057
Citizens Medical CenterVictoria, TX · CCN 450023	39	$2,480	About average	$1,969	$20,846
Laredo Medical CenterLaredo, TX · CCN 450029	14	$2,480	About average	$1,962	$38,790
Baylor Scott And White Surgical Hospital At ShermaSherman, TX · CCN 670076	14	$2,480	About average	$1,976	$20,530
Baylor University Medical CenterDallas, TX · CCN 450021	123	$2,480	About average	$1,969	$19,473

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.