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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

Compare 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
Specific hospitals up to 10

2,315 hospitals reported at least 11 Medicare procedures for this in 2024; showing 551–600. Download as CSV

Medicare payments per case for Level 2 Excision/Biopsy/Incision and Drainage by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Palm Bay HospitalPalm Bay, FL · CCN 10031615$1,391About average$1,092$26,752
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083226$1,391About average$1,104$13,376
Marion General HospitalMarion, OH · CCN 36001190$1,391About average$1,104$10,964
Ascension St John Medical CenterTulsa, OK · CCN 370114304$1,391About average$1,105$8,451
UPMC MemorialYork, PA · CCN 390101118$1,391About average$1,107$8,842
Northern Light A R Gould HospitalPresque Isle, ME · CCN 20001871$1,391About average$1,106$6,923
Broadlawns Medical CenterDes Moines, IA · CCN 16010141$1,392About average$1,109$8,400
UNC Health NashRocky Mount, NC · CCN 340147134$1,392About average$1,095$7,342
University Of Toledo Medical CenterToledo, OH · CCN 360048123$1,392About average$1,102$11,883
Lexington Memorial Hospital IncLexington, NC · CCN 34009624$1,392About average$1,089$5,934
University Medical CenterLubbock, TX · CCN 450686156$1,392About average$1,106$10,280
McLeod Health ClarendonManning, SC · CCN 42010913$1,393About average$1,092$12,484
Blount Memorial HospitalMaryville, TN · CCN 440011138$1,393About average$1,103$7,866
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136135$1,393About average$1,106$9,303
John Randolph Medical CenterHopewell, VA · CCN 49002064$1,393About average$1,097$27,240
Chesapeake General HospitalChesapeake, VA · CCN 490120197$1,394About average$1,106$10,072
Johnson City Medical CenterJohnson City, TN · CCN 440063129$1,394About average$1,103$11,831
West Boca Medical CenterBoca Raton, FL · CCN 10026847$1,394About average$1,089$18,201
Medical Center HospitalOdessa, TX · CCN 450132118$1,394About average$1,101$8,471
Henry Ford Allegiance HealthJackson, MI · CCN 230092145$1,394About average$1,103$6,964
Christus Mother Frances HospitalTyler, TX · CCN 450102502$1,395About average$1,107$10,731
Saint Lukes North HospitalKansas City, MO · CCN 260062106$1,395About average$1,107$13,584
Memorial HospitalMarysville, OH · CCN 36009221$1,395About average$1,100$9,281
Sentara Leigh HospitalNorfolk, VA · CCN 490046347$1,395About average$1,105$13,337
Blessing HospitalQuincy, IL · CCN 140015216$1,395About average$1,103$12,759
Intermountain Health Logan Regional HospitalLogan, UT · CCN 46001573$1,395About average$1,098$7,427
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 39001390$1,395About average$1,109$13,473
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041222$1,395About average$1,107$8,989
WakeMed, Raleigh CampusRaleigh, NC · CCN 34006952$1,395About average$1,106$11,142
Kettering Health DaytonDayton, OH · CCN 36013395$1,395About average$1,106$18,440
HCA Florida St Petersburg HospitalSaint Petersburg, FL · CCN 10018016$1,395About average$1,097$38,411
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237130$1,396About average$1,111$21,957
Lewisgale Hospital PulaskiPulaski, VA · CCN 49011616$1,396About average$1,112$27,627
Centra Bedford Memorial HospitalBedford, VA · CCN 49008825$1,396About average$1,111$12,285
Clinch Valley Medical CenterRichlands, VA · CCN 49006055$1,396About average$1,107$17,773
Johnston Memorial HospitalAbingdon, VA · CCN 49005324$1,396About average$1,103$8,753
Nevada Regional Medical CenterNevada, MO · CCN 26006123$1,397About average$1,113$6,246
Kosciusko Community HospitalWarsaw, IN · CCN 15013322$1,397About average$1,095$18,161
Community Hospital, LLCOklahoma City, OK · CCN 37020322$1,397About average$1,113$18,870
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 44000359$1,397About average$1,113$13,987
Oklahoma Center For Orthopaedic & Multi-SpOklahoma City, OK · CCN 37021213$1,397About average$1,113$11,364
Southwestern Medical CenterLawton, OK · CCN 37009714$1,397About average$1,113$14,307
Tristar Horizon Medical CenterDickson, TN · CCN 44004684$1,397About average$1,113$6,878
Tristar Southern Hills Medical CenterNashville, TN · CCN 44019717$1,397About average$1,113$11,087
Uofl Health - Shelbyville HospitalShelbyville, KY · CCN 18001614$1,397About average$1,113$12,462
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106100$1,397About average$1,112$15,428
Williamson Medical CenterFranklin, TN · CCN 440029161$1,397About average$1,112$7,521
Tristar Skyline Medical CenterNashville, TN · CCN 44000639$1,397About average$1,107$29,473
Integris Health Edmond HospitalEdmond, OK · CCN 37023631$1,397About average$1,107$9,805
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 37009465$1,397About average$1,107$16,259

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont61,080$787$666–$851
Alabama454,814$1,321$1,281–$1,347
Tennessee536,148$1,324$1,322–$1,384
West Virginia212,823$1,328$1,309–$1,374
Mississippi363,960$1,340$1,314–$1,355
Louisiana464,679$1,344$1,333–$1,362
Ohio10714,062$1,349$1,354–$1,409
Oklahoma394,483$1,355$1,368–$1,463
Arkansas273,570$1,359$1,333–$1,450
South Carolina437,381$1,374$1,359–$1,399
Kentucky465,518$1,389$1,360–$1,407
Missouri597,560$1,394$1,385–$1,460
Kansas313,743$1,394$1,383–$1,443
Nebraska212,935$1,404$1,438–$1,478
Virginia609,999$1,410$1,381–$1,499
Iowa254,141$1,414$1,385–$1,461
North Carolina699,206$1,418$1,398–$1,442
Indiana698,494$1,422$1,431–$1,472
Michigan779,509$1,425$1,406–$1,474
Georgia718,386$1,428$1,392–$1,472
New Mexico151,273$1,428$1,393–$1,506
New Hampshire132,357$1,430$1,489–$1,566
Texas16820,036$1,441$1,407–$1,464
Florida14620,444$1,444$1,441–$1,469
Utah212,407$1,451$1,425–$1,453
Maine151,585$1,455$1,403–$1,503
Pennsylvania11415,588$1,478$1,428–$1,551
Wisconsin566,950$1,480$1,451–$1,504
Idaho132,029$1,484$1,418–$1,523
Illinois9515,195$1,493$1,475–$1,539
South Dakota122,368$1,526$1,520–$1,622
Montana101,708$1,536$1,504–$1,598
North Dakota61,934$1,539$1,516–$1,570
Colorado424,089$1,548$1,525–$1,544
Minnesota417,162$1,567$1,520–$1,571
Arizona416,071$1,584$1,562–$1,581
Wyoming8471$1,612$1,607–$1,628
Delaware61,585$1,613$1,613–$1,614
District of Columbia51,304$1,625$1,618–$1,647
Rhode Island10987$1,631$1,627–$1,645
Washington456,327$1,656$1,617–$1,705
Alaska6733$1,706$1,683–$1,769
Massachusetts5213,195$1,724$1,723–$1,741
Nevada171,295$1,725$1,700–$1,736
New Jersey548,474$1,725$1,671–$1,764
Oregon283,266$1,747$1,668–$1,722
New York11320,231$1,771$1,700–$1,827
Connecticut253,630$1,776$1,779–$1,809
Hawaii11983$1,804$1,801–$1,898
California19027,687$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.