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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2,315 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. 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
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	40	$1,379	10% below the national average	$1,088	$26,803
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	92	$1,379	10% below the national average	$1,094	$5,771
Lovelace Women's HospitalAlbuquerque, NM · CCN 320017	92	$1,379	10% below the national average	$1,091	$9,282
Mercer County Joint Township Community HospitalColdwater, OH · CCN 360058	28	$1,380	10% below the national average	$1,099	$5,208
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	29	$1,380	10% below the national average	$1,099	$17,785
Institute For Orthopaedic SurgeryLima, OH · CCN 360263	17	$1,380	10% below the national average	$1,099	$6,595
Union HospitalDover, OH · CCN 360010	44	$1,380	10% below the national average	$1,099	$8,982
Holzer Medical CenterGallipolis, OH · CCN 360054	90	$1,380	10% below the national average	$1,099	$6,247
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	76	$1,380	10% below the national average	$1,098	$7,560
Trihealth Clinton Regional HospitalWilmington, OH · CCN 360175	27	$1,380	10% below the national average	$1,097	$7,190
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	42	$1,380	10% below the national average	$1,094	$8,560
Soin Medical CenterBeaver Creek, OH · CCN 360360	214	$1,380	10% below the national average	$1,098	$13,441
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	214	$1,380	10% below the national average	$1,096	$12,348
Atrium Medical CenterFranklin, OH · CCN 360076	126	$1,380	10% below the national average	$1,090	$12,057
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	308	$1,380	10% below the national average	$1,096	$13,688
CJW Medical CenterRichmond, VA · CCN 490112	358	$1,380	10% below the national average	$1,091	$26,379
Sentara Careplex HospitalHampton, VA · CCN 490093	247	$1,381	10% below the national average	$1,094	$12,222
Corewell Health Wayne HospitalWayne, MI · CCN 230142	50	$1,381	10% below the national average	$1,085	$8,745
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	326	$1,381	10% below the national average	$1,096	$5,910
Carle Foundation HospitalUrbana, IL · CCN 140091	284	$1,381	10% below the national average	$1,096	$11,312
Riverside Walter Reed HospitalGloucester, VA · CCN 490130	96	$1,382	10% below the national average	$1,090	$5,397
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	49	$1,382	10% below the national average	$1,100	$15,958
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	150	$1,382	10% below the national average	$1,098	$7,349
South Central Regional Medical CenterLaurel, MS · CCN 250058	79	$1,382	10% below the national average	$1,097	$4,763
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	46	$1,382	10% below the national average	$1,096	$26,531
University Of Kansas HospitalKansas City, KS · CCN 170040	1,048	$1,382	10% below the national average	$1,097	$14,503
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	179	$1,382	10% below the national average	$1,095	$7,848
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	74	$1,383	10% below the national average	$1,100	$8,008
Bellevue HospitalBellevue, OH · CCN 360107	16	$1,383	10% below the national average	$1,098	$7,122
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	52	$1,383	10% below the national average	$1,102	$10,845
Wood County HospitalBowling Green, OH · CCN 360029	39	$1,383	10% below the national average	$1,103	$5,111
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	291	$1,384	10% below the national average	$1,095	$7,039
Harper University HospitalDetroit, MI · CCN 230104	18	$1,384	10% below the national average	$1,089	$33,095
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	260	$1,384	10% below the national average	$1,097	$7,710
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$144 outlier payments per case	523	$1,384	10% below the national average	$1,095	$14,234
Baptist Health LagrangeLa Grange, KY · CCN 180138	260	$1,384	10% below the national average	$1,099	$18,363
Christus St Michael Health SystemTexarkana, TX · CCN 450801	167	$1,384	10% below the national average	$1,088	$10,315
Marymount HospitalGarfield Heights, OH · CCN 360143	27	$1,384	10% below the national average	$1,103	$11,197
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	92	$1,384	10% below the national average	$1,103	$7,776
UH St John Medical CenterWestlake, OH · CCN 360123	138	$1,384	10% below the national average	$1,100	$9,397
Great Plains Regional Medical CenterElk City, OK · CCN 370019	13	$1,384	10% below the national average	$1,084	$7,723
Kansas Medical Center LLCAndover, KS · CCN 170197	15	$1,384	10% below the national average	$1,103	$3,597
Kansas Surgery & Recovery CenterWichita, KS · CCN 170183	22	$1,384	10% below the national average	$1,103	$11,111
UH Regional HospitalsChardon, OH · CCN 360075	104	$1,384	10% below the national average	$1,094	$8,493
Wesley Medical CenterWichita, KS · CCN 170123	109	$1,384	10% below the national average	$1,099	$31,121
Mercy Specialty Hospital Southeast KansasGalena, KS · CCN 170203	12	$1,384	10% below the national average	$1,097	$14,008
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	144	$1,384	10% below the national average	$1,097	$10,006
Salina Surgical HospitalSalina, KS · CCN 170187	15	$1,384	10% below the national average	$1,092	$3,755
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	44	$1,384	10% below the national average	$1,096	$15,366
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	286	$1,384	10% below the national average	$1,101	$6,418

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.