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 Wisconsin

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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Wisconsin

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Average payment across these 46 hospitals: $2,589National $2,697 · Wisconsin $2,589
Median hospital: $2,568
Lowest to highest: $2,350–$2,736
Medicare procedures: 2,828

46 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
Aspirus Wausau HospitalWausau, WI · CCN 520030	74	$2,350	13% below the national average	$1,867	$19,925
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	19	$2,419	10% below the national average	$1,928	$7,410
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	54	$2,448	About average	$1,951	$16,295
Beloit Health SystemBeloit, WI · CCN 520100	24	$2,464	About average	$1,963	$8,119
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	12	$2,483	About average	$1,978	$10,997
UnityPoint Health - MeriterMadison, WI · CCN 520089	13	$2,490	About average	$1,951	$14,772
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	406	$2,496	About average	$1,979	$19,462
Aurora Medical Center - SummitSummit, WI · CCN 520206	29	$2,520	About average	$1,988	$12,639
Marshfield Medical CenterMarshfield, WI · CCN 520037	47	$2,527	About average	$1,985	$8,125
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	36	$2,531	About average	$2,005	$17,362
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	69	$2,531	About average	$2,009	$14,200
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	12	$2,542	About average	$1,989	$20,823
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	16	$2,543	About average	$2,026	$20,057
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	17	$2,543	About average	$2,026	$14,300
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	18	$2,543	About average	$2,024	$19,734
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	50	$2,547	About average	$2,021	$15,694
Mercy Health System CorpJanesville, WI · CCN 520066	50	$2,547	About average	$2,021	$13,638
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	14	$2,554	About average	$2,035	$10,618
St Vincent HospitalGreen Bay, WI · CCN 520075	26	$2,558	About average	$2,038	$24,240
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	34	$2,558	About average	$2,038	$13,660
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	43	$2,558	About average	$2,036	$15,119
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	25	$2,559	About average	$2,039	$16,043
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	71	$2,560	About average	$2,033	$20,833
West Allis Memorial HospitalWest Allis, WI · CCN 520139	36	$2,577	About average	$2,051	$15,648
Aurora Medical CenterGrafton, WI · CCN 520207	61	$2,584	About average	$2,057	$17,323
St Nicholas HospitalSheboygan, WI · CCN 520044	16	$2,587	About average	$2,061	$22,470
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	39	$2,589	About average	$2,062	$18,415
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	18	$2,589	About average	$2,062	$13,874
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	58	$2,589	About average	$2,062	$15,622
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	17	$2,591	About average	$2,064	$17,148
Froedtert South Inc.Kenosha, WI · CCN 520021	31	$2,604	About average	$2,060	$19,252
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	36	$2,610	About average	$2,063	$19,972
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	74	$2,641	About average	$2,103	$8,735
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	464	$2,648	About average	$2,108	$13,503
The Monroe ClinicMonroe, WI · CCN 520028	12	$2,653	About average	$2,113	$9,376
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	106	$2,653	About average	$2,113	$16,979
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	125	$2,657	About average	$2,112	$10,204
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	19	$2,658	About average	$2,094	$12,202
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	192	$2,662	About average	$2,117	$13,298
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	21	$2,672	About average	$2,129	$14,118
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	83	$2,672	About average	$2,129	$15,002
Ascension All Saints HospitalRacine, WI · CCN 520096	27	$2,674	About average	$2,130	$15,575
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	40	$2,674	About average	$2,125	$22,744
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$506 outlier payments per case	166	$2,677	About average	$2,133	$12,894
Marshfield Medical Center - Rice LakeRice Lake, WI · CCN 520011	16	$2,723	About average	$2,170	$7,254
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	12	$2,736	About average	$2,180	$12,887

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.