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 Virginia

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 49 hospitals: $2,525National $2,697 · Virginia $2,525
Median hospital: $2,472
Lowest to highest: $2,374–$2,794
Medicare procedures: 3,965

49 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Sentara Obici HospitalSuffolk, VA · CCN 490044	94	$2,374	12% below the national average	$1,881	$26,754
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	25	$2,377	12% below the national average	$1,870	$39,324
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	60	$2,382	12% below the national average	$1,884	$25,350
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	55	$2,393	11% below the national average	$1,903	$24,197
Sentara Careplex HospitalHampton, VA · CCN 490093	83	$2,401	11% below the national average	$1,898	$27,095
Sentara Leigh HospitalNorfolk, VA · CCN 490046	125	$2,409	11% below the national average	$1,907	$23,942
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	66	$2,410	11% below the national average	$1,916	$14,316
Henrico Doctors' HospitalRichmond, VA · CCN 490118	115	$2,415	10% below the national average	$1,911	$47,371
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$876 outlier payments per case	493	$2,416	10% below the national average	$1,915	$32,044
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	121	$2,424	10% below the national average	$1,919	$29,441
CJW Medical CenterRichmond, VA · CCN 490112	96	$2,426	10% below the national average	$1,928	$54,930
Riverside Regional Medical CenterNewport News, VA · CCN 490052	112	$2,429	About average	$1,924	$12,639
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	55	$2,436	About average	$1,934	$20,323
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	61	$2,440	About average	$1,932	$27,384
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	69	$2,442	About average	$1,938	$18,375
Fauquier HospitalWarrenton, VA · CCN 490023	19	$2,446	About average	$1,899	$21,489
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	29	$2,446	About average	$1,949	$17,249
Clinch Valley Medical CenterRichlands, VA · CCN 490060	30	$2,446	About average	$1,949	$39,229
Lewisgale Medical CenterSalem, VA · CCN 490048	29	$2,446	About average	$1,949	$54,815
Carilion Medical CenterRoanoke, VA · CCN 490024	92	$2,446	About average	$1,945	$18,859
Johnston Memorial HospitalAbingdon, VA · CCN 490053	16	$2,446	About average	$1,939	$20,208
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	88	$2,450	About average	$1,947	$26,291
Sovah Health DanvilleDanville, VA · CCN 490075	31	$2,460	About average	$1,940	$22,112
Chesapeake General HospitalChesapeake, VA · CCN 490120	43	$2,472	About average	$1,970	$18,385
John Randolph Medical CenterHopewell, VA · CCN 490020	35	$2,472	About average	$1,964	$47,626
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	40	$2,473	About average	$1,963	$45,184
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	463	$2,566	About average	$2,043	$16,839
Inova Fairfax HospitalFalls Church, VA · CCN 490063	71	$2,567	About average	$2,044	$14,242
Stafford Hospital, LLCStafford, VA · CCN 490140	28	$2,589	About average	$2,047	$13,834
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	24	$2,600	About average	$2,057	$11,210
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	112	$2,601	About average	$2,068	$21,145
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	130	$2,609	About average	$2,079	$21,151
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	74	$2,609	About average	$2,079	$22,475
Inova Alexandria HospitalAlexandria, VA · CCN 490040	84	$2,618	About average	$2,074	$12,473
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	21	$2,620	About average	$2,078	$11,056
Southside Community Hospital, IncFarmville, VA · CCN 490090	18	$2,648	About average	$2,109	$18,398
Reston Hospital CenterReston, VA · CCN 490107	42	$2,652	About average	$2,105	$18,711
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	100	$2,665	About average	$2,123	$14,239
Mary Washington HospitalFredericksburg, VA · CCN 490022	69	$2,665	About average	$2,123	$13,696
Virginia Hospital CenterArlington, VA · CCN 490050	98	$2,665	About average	$2,123	$14,944
Inova Loudoun HospitalLeesburg, VA · CCN 490043	56	$2,665	About average	$2,120	$11,296
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	41	$2,665	About average	$2,118	$20,620
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	52	$2,665	About average	$2,118	$14,804
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	15	$2,687	About average	$2,141	$8,934
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	24	$2,687	About average	$2,141	$11,529
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	11	$2,704	About average	$2,154	$24,223
Winchester Medical CenterWinchester, VA · CCN 490005	178	$2,719	About average	$2,148	$7,744
Augusta HealthFishersville, VA · CCN 490018	68	$2,747	About average	$2,188	$15,217
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	104	$2,794	About average	$2,226	$19,587

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.