Outpatient procedure · APC 5072 · Surgery or procedure

Excision/biopsy/incision and drainage cost, level 2

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.

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

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 within 50 miles of AdventHealth Orlando, plus your selected hospitals

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

AdventHealth Orlando

Specific hospitals 1 of 10

AdventHealth Orlando

Sort by

Order

Year of care

Average payment across these 22 hospitals: $1,442National $1,539 · Florida $1,444
Median hospital: $1,462
Lowest to highest: $1,292–$1,479
Medicare procedures: 2,726

22 hospitals reported at least 11 Medicare procedures for this in 2024. 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
AdventHealth Heart Of FloridaDavenport, FL · 32 mi · CCN 100137	35	$1,292	16% below the national average	$1,027	$28,299
Parrish Medical CenterTitusville, FL · 33 mi · CCN 100028	124	$1,338	13% below the national average	$1,033	$9,570
Orlando Health Rockledge HospitalRockledge, FL · 43 mi · CCN 100092	53	$1,369	11% below the national average	$1,086	$16,250
AdventHealth OrlandoSelectedOrlando, FL · 0 mi · CCN 100007	709	$1,437	About average	$1,136	$18,766
Orlando HealthOrlando, FL · 3.4 mi · CCN 100006	403	$1,440	About average	$1,139	$24,645
UF Health Leesburg HospitalLeesburg, FL · 34 mi · CCN 100084	67	$1,441	About average	$1,141	$12,380
Orlando Health South Lake HospitalClermont, FL · 21 mi · CCN 100051	138	$1,453	About average	$1,153	$16,367
AdventHealth WatermanTavares, FL · 27 mi · CCN 100057	155	$1,454	About average	$1,150	$12,278
AdventHealth Fish MemorialOrange City, FL · 24 mi · CCN 100072	88	$1,457	About average	$1,155	$8,273
AdventHealth DelandDeland, FL · 32 mi · CCN 100045	67	$1,458	About average	$1,161	$9,572
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · 41 mi · CCN 100014	108	$1,462	About average	$1,165	$7,941
AdventHealth Daytona BeachDaytona Beach, FL · 49 mi · CCN 100068	198	$1,463	About average	$1,162	$10,996
Halifax Health Medical CenterDaytona Beach, FL · 47 mi · CCN 100017	126	$1,463	About average	$1,164	$16,737
Central Florida Lake Monroe HospitalSanford, FL · 17 mi · CCN 100161	12	$1,469	About average	$1,170	$16,677
UCF Lake Nona HospitalOrlando, FL · 15 mi · CCN 100350	11	$1,469	About average	$1,170	$37,532
The Villages Regional HospitalThe Villages, FL · 44 mi · CCN 100290	64	$1,469	About average	$1,169	$12,582
Viera HospitalMelbourne, FL · 46 mi · CCN 100315	100	$1,469	About average	$1,169	$12,965
HCA Florida Osceola HospitalKissimmee, FL · 19 mi · CCN 100110	17	$1,469	About average	$1,168	$27,529
Cape Canaveral HospitalCocoa Beach, FL · 48 mi · CCN 100177	100	$1,469	About average	$1,168	$13,742
Winter Haven HospitalWinter Haven, FL · 43 mi · CCN 100052	79	$1,469	About average	$1,168	$8,802
Orlando Health-Health Central HospitalOcoee, FL · 9.7 mi · CCN 100030	61	$1,469	About average	$1,166	$17,235
AdventHealth Lake WalesLake Wales, FL · 48 mi · CCN 100099	11	$1,479	About average	$1,161	$28,504

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.