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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 Washington

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
Washington
Specific hospitals up to 10
Average payment across these 35 hospitals
$2,910National $2,697 · Washington $2,906
Median hospital
$2,873
Lowest to highest
$2,517–$3,160
Medicare procedures
2,207

35 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
St Francis Community HospitalFederal Way, WA · CCN 50014112$2,517About average$1,919$32,821
Virginia Mason Medical CenterSeattle, WA · CCN 50000594$2,767About average$2,192$13,763
Capital Medical CenterOlympia, WA · CCN 50013939$2,793About average$2,213$17,418
Swedish IssaquahIssaquah, WA · CCN 50015226$2,813About average$2,223$16,912
Multicare Valley HospitalSpokane Valley, WA · CCN 50011965$2,822About average$2,243$17,415
Kadlec Regional Medical CenterRichland, WA · CCN 500058168$2,828About average$2,244$15,535
University Of Washington Medical CenterSeattle, WA · CCN 500008121$2,833About average$2,253$18,813
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 50005484$2,839About average$2,260$19,305
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 50005143$2,848About average$2,258$19,974
Deaconess Medical CenterSpokane, WA · CCN 50004451$2,852About average$2,272$17,607
Harborview Medical CenterSeattle, WA · CCN 50006435$2,852About average$2,267$20,201
Trios HealthKennewick, WA · CCN 50005320$2,852About average$2,262$20,611
Tacoma General Allenmore HospitalTacoma, WA · CCN 50012973$2,864About average$2,264$24,268
Valley Medical CenterRenton, WA · CCN 50008862$2,865About average$2,274$17,595
Island HospitalAnacortes, WA · CCN 50000711$2,873About average$2,289$11,544
Skagit Valley HospitalMount Vernon, WA · CCN 50000395$2,873About average$2,289$15,241
Providence St Peter HospitalOlympia, WA · CCN 50002464$2,873About average$2,287$17,613
Evergreenhealth Medical CenterKirkland, WA · CCN 50012480$2,873About average$2,280$10,893
Swedish Edmonds HospitalEdmonds, WA · CCN 50002674$2,887About average$2,296$17,139
Multicare Good Samaritan HospitalPuyallup, WA · CCN 50007960$2,889About average$2,292$21,575
Providence Regional Medical Center EverettEverett, WA · CCN 50001471$2,902About average$2,312$19,983
Highline Medical CenterBurien, WA · CCN 50001121$2,902About average$2,303$26,134
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 50015037$2,917About average$2,311$9,307
St Anthony HospitalGig Harbor, WA · CCN 50015129$2,928About average$2,333$29,572
St Joseph Medical CenterTacoma, WA · CCN 50010842$2,928About average$2,330$33,395
St Clare HospitalLakewood, WA · CCN 50002127$2,928About average$2,329$36,453
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 50005029$2,98111% above the national average$2,375$16,710
Swedish Medical CenterSeattle, WA · CCN 500027154$2,99911% above the national average$2,379$22,444
Yakima Valley MemorialYakima, WA · CCN 50003676$3,02212% above the national average$2,402$12,566
St Michael Medical CenterSilverdale, WA · CCN 500039140$3,03012% above the national average$2,405$21,146
Confluence Health HospitalWenatchee, WA · CCN 50001697$3,05213% above the national average$2,426$12,685
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 50003050$3,05413% above the national average$2,434$17,045
Providence St Mary Medical CenterWalla Walla, WA · CCN 50000236$3,05413% above the national average$2,434$15,691
Olympic Medical CenterPort Angeles, WA · CCN 500072101$3,05413% above the national average$2,433$8,640
PeaceHealth St John Medical CenterLongview, WA · CCN 50004120$3,16017% above the national average$2,510$19,555

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.