Outpatient procedure · APC 5072 · Surgery or procedure

Level 2 Excision/Biopsy/Incision and Drainage

In 2024, Medicare and patients paid an average of $1,539 per procedure at 2,329 hospitals. Half of hospitals averaged between $1,396 and $1,606.

National figures, 2024

Average payment per case: $1,539
Typical range (middle half of hospitals): $1,396–$1,606
Medicare’s share: $1,22079% of the payment
Average billed charge: $11,310
Hospitals reporting: 2,329323,855 procedures

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Year of care

2,315 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 2 Excision/Biopsy/Incision and Drainage by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Central Vermont Medical CenterBarre, VT · CCN 470001	94	$622	60% below the national average	$300	$4,710
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	24	$633	59% below the national average	$313	$3,794
MetroHealth SystemCleveland, OH · CCN 360059	206	$705	54% below the national average	$427	$8,086
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	38	$716	53% below the national average	$571	$5,539
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	596	$763	50% below the national average	$439	$7,243
Townsen Memorial HospitalHumble, TX · CCN 670266	11	$765	50% below the national average	$606	$39,973
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	42	$796	48% below the national average	$633	$2,721
Marietta Memorial HospitalMarietta, OH · CCN 360147	294	$817	47% below the national average	$543	$8,281
Rutland Regional Medical CenterRutland, VT · CCN 470005	199	$836	46% below the national average	$517	$6,606
Brattleboro Memorial HospitalBrattleboro, VT · CCN 470011	39	$856	44% below the national average	$555	$9,540
Navicent Health BaldwinMilledgeville, GA · CCN 110150	15	$876	43% below the national average	$692	$5,347
Mary Lanning HealthcareHastings, NE · CCN 280032	74	$909	41% below the national average	$724	$6,882
Dublin Methodist HospitalDublin, OH · CCN 360348	99	$910	41% below the national average	$723	$11,414
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	199	$930	40% below the national average	$737	$6,187
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	128	$949	38% below the national average	$618	$4,006
Forbes HospitalMonroeville, PA · CCN 390267	55	$961	38% below the national average	$754	$9,958
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	140	$973	37% below the national average	$772	$5,232
Midland Memorial HospitalMidland, TX · CCN 450133	139	$974	37% below the national average	$757	$11,771
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	153	$977	37% below the national average	$772	$9,715
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 390062	41	$982	36% below the national average	$782	$6,217
UPMC LititzLititz, PA · CCN 390068	77	$985	36% below the national average	$775	$8,220
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	106	$1,010	34% below the national average	$802	$5,400
Wentworth-Douglass HospitalDover, NH · CCN 300018	291	$1,028	33% below the national average	$814	$7,263
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	60	$1,039	33% below the national average	$822	$5,439
UH Cleveland Medical CenterCleveland, OH · CCN 360137	396	$1,053	32% below the national average	$827	$9,335
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	30	$1,065	31% below the national average	$772	$10,944
Deaconess Hospital IncEvansville, IN · CCN 150082	834	$1,067	31% below the national average	$847	$6,853
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	110	$1,073	30% below the national average	$845	$8,013
LmhLawrence, KS · CCN 170137	164	$1,080	30% below the national average	$858	$7,857
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	135	$1,083	30% below the national average	$863	$12,941
Vanderbilt University Medical CenterNashville, TN · CCN 440039	763	$1,084	30% below the national average	$858	$12,474
Parkland Medical CenterDerry, NH · CCN 300017	55	$1,086	29% below the national average	$860	$20,245
Sentara Albemarle Medical CenterElizabeth City, NC · CCN 340109	83	$1,089	29% below the national average	$867	$11,342
Novant Health Thomasville Medical CenterThomasville, NC · CCN 340085	24	$1,102	28% below the national average	$861	$9,618
Memorial HospitalFremont, OH · CCN 360156	33	$1,116	27% below the national average	$835	$6,143
St Marys Medical CenterHuntington, WV · CCN 510007	186	$1,129	27% below the national average	$892	$8,496
Javon Bea HospitalRockford, IL · CCN 140239	130	$1,132	26% below the national average	$890	$8,093
St Francis HospitalMemphis, TN · CCN 440183	48	$1,145	26% below the national average	$860	$16,983
Memorial Hospital At GulfportGulfport, MS · CCN 250019	218	$1,149	25% below the national average	$907	$11,279
Princeton Baptist Medical CenterBirmingham, AL · CCN 010103	26	$1,150	25% below the national average	$875	$20,677
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	377	$1,151	25% below the national average	$910	$5,467
O U Medical CenterOklahoma City, OK · CCN 370093	550	$1,155	25% below the national average	$916	$15,158
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	36	$1,158	25% below the national average	$879	$20,832
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	171	$1,160	25% below the national average	$919	$9,665
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 390114	384	$1,166	24% below the national average	$925	$11,413
Heritage Valley SewickleySewickley, PA · CCN 390037	44	$1,172	24% below the national average	$933	$5,016
Piedmont Medical CenterRock Hill, SC · CCN 420002	174	$1,182	23% below the national average	$878	$18,636
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	812	$1,190	23% below the national average	$945	$8,059
South Pointe HospitalWarrensville Heights, OH · CCN 360144	36	$1,192	23% below the national average	$943	$10,167
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	41	$1,196	22% below the national average	$921	$18,894

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 327,576 procedures at 2,461 hospitals · 2021: 342,159 procedures at 2,460 hospitals · 2022: 328,148 procedures at 2,418 hospitals · 2023: 331,434 procedures at 2,387 hospitals · 2024: 323,855 procedures at 2,329 hospitals

View data as a table

National average payment and billed charge for Level 2 Excision/Biopsy/Incision and Drainage
Year of care	Average payment	Average billed charge
2020	$1,364	$9,588
2021	$1,405	$9,782
2022	$1,422	$10K
2023	$1,477	$11K
2024	$1,539	$11K

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 2 Excision/Biopsy/Incision and Drainage, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	1,080	$787	$666–$851
Alabama	45	4,814	$1,321	$1,281–$1,347
Tennessee	53	6,148	$1,324	$1,322–$1,384
West Virginia	21	2,823	$1,328	$1,309–$1,374
Mississippi	36	3,960	$1,340	$1,314–$1,355
Louisiana	46	4,679	$1,344	$1,333–$1,362
Ohio	107	14,062	$1,349	$1,354–$1,409
Oklahoma	39	4,483	$1,355	$1,368–$1,463
Arkansas	27	3,570	$1,359	$1,333–$1,450
South Carolina	43	7,381	$1,374	$1,359–$1,399
Kentucky	46	5,518	$1,389	$1,360–$1,407
Missouri	59	7,560	$1,394	$1,385–$1,460
Kansas	31	3,743	$1,394	$1,383–$1,443
Nebraska	21	2,935	$1,404	$1,438–$1,478
Virginia	60	9,999	$1,410	$1,381–$1,499
Iowa	25	4,141	$1,414	$1,385–$1,461
North Carolina	69	9,206	$1,418	$1,398–$1,442
Indiana	69	8,494	$1,422	$1,431–$1,472
Michigan	77	9,509	$1,425	$1,406–$1,474
Georgia	71	8,386	$1,428	$1,392–$1,472
New Mexico	15	1,273	$1,428	$1,393–$1,506
New Hampshire	13	2,357	$1,430	$1,489–$1,566
Texas	168	20,036	$1,441	$1,407–$1,464
Florida	146	20,444	$1,444	$1,441–$1,469
Utah	21	2,407	$1,451	$1,425–$1,453
Maine	15	1,585	$1,455	$1,403–$1,503
Pennsylvania	114	15,588	$1,478	$1,428–$1,551
Wisconsin	56	6,950	$1,480	$1,451–$1,504
Idaho	13	2,029	$1,484	$1,418–$1,523
Illinois	95	15,195	$1,493	$1,475–$1,539
South Dakota	12	2,368	$1,526	$1,520–$1,622
Montana	10	1,708	$1,536	$1,504–$1,598
North Dakota	6	1,934	$1,539	$1,516–$1,570
Colorado	42	4,089	$1,548	$1,525–$1,544
Minnesota	41	7,162	$1,567	$1,520–$1,571
Arizona	41	6,071	$1,584	$1,562–$1,581
Wyoming	8	471	$1,612	$1,607–$1,628
Delaware	6	1,585	$1,613	$1,613–$1,614
District of Columbia	5	1,304	$1,625	$1,618–$1,647
Rhode Island	10	987	$1,631	$1,627–$1,645
Washington	45	6,327	$1,656	$1,617–$1,705
Alaska	6	733	$1,706	$1,683–$1,769
Massachusetts	52	13,195	$1,724	$1,723–$1,741
Nevada	17	1,295	$1,725	$1,700–$1,736
New Jersey	54	8,474	$1,725	$1,671–$1,764
Oregon	28	3,266	$1,747	$1,668–$1,722
New York	113	20,231	$1,771	$1,700–$1,827
Connecticut	25	3,630	$1,776	$1,779–$1,809
Hawaii	11	983	$1,804	$1,801–$1,898
California	190	27,687	$2,041	$1,963–$2,080

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.