Outpatient procedure · APC 5072 · Surgery or procedure

Excision/biopsy/incision and drainage cost in Pennsylvania, level 2

In 2024, Medicare and patients paid an average of $1,478 per procedure at 114 Pennsylvania hospitals, about the same as the national average of $1,539. That is the 24th highest of 50 states. Half of Pennsylvania hospitals averaged between $1,428 and $1,551.

Medicare’s name: Level 2 Excision/Biopsy/Incision and Drainage (APC 5072)

Pennsylvania figures, 2024

Average payment per case: $1,478
Typical range (middle half of hospitals): $1,428–$1,551
Medicare’s share: $1,17479% of the payment
Average billed charge: $13,648
Hospitals reporting: 11415,588 procedures

Compare with hospitals nationwide

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

Hospitals in Pennsylvania, plus your selected hospitals

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Average payment across these 114 hospitals: $1,473National $1,539 · Pennsylvania $1,478
Median hospital: $1,463
Lowest to highest: $716–$1,709
Medicare procedures: 15,817

114 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–100. 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
Chan Soon- Shiong Medical Center At WindberWindber, PA · CCN 390112	43	$1,448	About average	$1,151	$4,369
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	13	$1,448	About average	$1,139	$12,017
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	21	$1,448	About average	$1,138	$13,058
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	86	$1,459	About average	$1,162	$14,002
Surgical Institute Of ReadingWyomissing, PA · CCN 390316	39	$1,460	About average	$1,154	$8,901
Penn State Health St. JosephReading, PA · CCN 390096	118	$1,461	About average	$1,159	$14,557
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	1,049	$1,462	About average	$1,164	$20,804
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	79	$1,464	About average	$1,155	$14,403
UPMC CarlisleCarlisle, PA · CCN 390058	98	$1,468	About average	$1,169	$10,381
Reading HospitalWest Reading, PA · CCN 390044	284	$1,469	About average	$1,167	$11,385
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	85	$1,470	About average	$1,171	$15,731
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	37	$1,478	About average	$1,177	$23,486
Robert Packer HospitalSayre, PA · CCN 390079	173	$1,482	About average	$1,178	$9,679
Lancaster General HospitalLancaster, PA · CCN 390100	462	$1,486	About average	$1,180	$10,031
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	42	$1,494	About average	$1,190	$17,484
Wayne Memorial HospitalHonesdale, PA · CCN 390125	51	$1,495	About average	$1,188	$7,212
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	53	$1,498	About average	$1,189	$8,644
Penn Highlands HuntingdonHuntingdon, PA · CCN 390056	26	$1,503	About average	$1,186	$5,794
Wellspan York HospitalYork, PA · CCN 390046	360	$1,507	About average	$1,197	$6,221
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	25	$1,507	About average	$1,191	$23,738
Jefferson Abington HospitalAbington, PA · CCN 390231	314	$1,509	About average	$1,199	$8,250
Penn Highlands DuboisDubois, PA · CCN 390086	217	$1,511	About average	$1,203	$5,959
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174 · +$209 outlier payments per case	420	$1,513	About average	$1,202	$11,599
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	150	$1,513	About average	$1,201	$14,532
Crozer Chester Medical CenterUpland, PA · CCN 390180	126	$1,515	About average	$1,201	$12,141
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	84	$1,521	About average	$1,212	$7,095
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	156	$1,521	About average	$1,210	$9,373
Pottstown HospitalPottstown, PA · CCN 390123	54	$1,521	About average	$1,208	$12,860
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	85	$1,523	About average	$1,210	$8,387
Main Line Hospital LankenauWynnewood, PA · CCN 390195	161	$1,538	About average	$1,218	$7,195
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	163	$1,543	About average	$1,228	$7,466
Meadville Medical CenterMeadville, PA · CCN 390113	112	$1,544	About average	$1,229	$10,749
Phoenixville HospitalPhoenixville, PA · CCN 390127	62	$1,544	About average	$1,225	$13,068
Nazareth HospitalPhiladelphia, PA · CCN 390204	21	$1,546	About average	$1,223	$10,161
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	54	$1,550	About average	$1,235	$23,202
Chester County HospitalWest Chester, PA · CCN 390179	327	$1,551	About average	$1,234	$10,246
UPMC SomersetSomerset, PA · CCN 390039	25	$1,551	About average	$1,236	$5,566
UPMC AltoonaAltoona, PA · CCN 390073	122	$1,551	About average	$1,234	$10,943
Independence Health System Clarion HospitalClarion, PA · CCN 390093	26	$1,551	About average	$1,234	$5,902
Punxsutawney Area HospitalPunxsutawney, PA · CCN 390199	18	$1,551	About average	$1,231	$8,581
UPMC KaneKane, PA · CCN 390104	18	$1,551	About average	$1,215	$4,076
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	171	$1,552	About average	$1,231	$8,600
Indiana Regional Medical CenterIndiana, PA · CCN 390173	59	$1,554	About average	$1,238	$10,845
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	104	$1,555	About average	$1,236	$6,065
Doylestown HospitalDoylestown, PA · CCN 390203	185	$1,556	About average	$1,238	$8,739
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	202	$1,560	About average	$1,240	$7,521
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	143	$1,564	About average	$1,240	$20,201
Paoli HospitalPaoli, PA · CCN 390153	204	$1,564	About average	$1,246	$8,005
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	166	$1,565	About average	$1,245	$9,490
Lehigh Valley HospitalAllentown, PA · CCN 390133	792	$1,566	About average	$1,242	$21,920

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.