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 751–800. 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
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	134	$1,417	About average	$1,111	$13,151
South Florida Baptist HospitalPlant City, FL · CCN 100132	23	$1,418	About average	$1,119	$10,231
Milton S Hershey Medical CenterHershey, PA · CCN 390256	403	$1,418	About average	$1,125	$14,821
Lonesome Pine HospitalBig Stone Gap, VA · CCN 490114	13	$1,418	About average	$1,097	$12,527
Baptist Health FloydNew Albany, IN · CCN 150044	196	$1,418	About average	$1,123	$16,958
Mount Carmel St Ann'sWesterville, OH · CCN 360012	93	$1,418	About average	$1,124	$7,892
Bronson South Haven HospitalSouth Haven, MI · CCN 230085	13	$1,418	About average	$1,130	$2,107
St Luke's Nampa Medical CenterNampa, ID · CCN 130071	128	$1,418	About average	$1,124	$8,142
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	27	$1,418	About average	$1,124	$5,558
George Regional Health SystemLucedale, MS · CCN 250036	13	$1,418	About average	$1,115	$7,433
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	142	$1,418	About average	$1,124	$11,318
Rex HospitalRaleigh, NC · CCN 340114	273	$1,420	About average	$1,125	$5,701
Jackson-Madison County General HospitalJackson, TN · CCN 440002	398	$1,420	About average	$1,123	$6,605
Palos Community HospitalPalos Heights, IL · CCN 140062	240	$1,420	About average	$1,128	$13,283
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	86	$1,420	About average	$1,125	$5,830
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	222	$1,420	About average	$1,122	$11,661
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	165	$1,420	About average	$1,124	$5,819
Medical City Fort WorthFort Worth, TX · CCN 450672	39	$1,420	About average	$1,118	$29,785
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	100	$1,421	About average	$1,124	$7,773
Catawba Valley Medical CenterHickory, NC · CCN 340143	180	$1,421	About average	$1,128	$10,889
Sovah Health DanvilleDanville, VA · CCN 490075	94	$1,421	About average	$1,128	$17,985
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	81	$1,421	About average	$1,128	$12,277
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 360203	60	$1,421	About average	$1,122	$6,584
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	167	$1,421	About average	$1,126	$10,764
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	65	$1,421	About average	$1,120	$17,112
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	135	$1,421	About average	$1,123	$19,251
McLaren Central MichiganMount Pleasant, MI · CCN 230080	24	$1,421	About average	$1,133	$6,677
Duke University HospitalDurham, NC · CCN 340030	879	$1,422	About average	$1,126	$8,020
Mayo ClinicJacksonville, FL · CCN 100151	1,128	$1,422	About average	$1,123	$7,036
North Okaloosa Medical CenterCrestview, FL · CCN 100122	46	$1,422	About average	$1,117	$38,046
Beaumont Hospital, TroyTroy, MI · CCN 230269	359	$1,422	About average	$1,128	$9,547
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	119	$1,422	About average	$1,129	$9,673
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	16	$1,422	About average	$1,130	$18,477
Grove City Medical CenterGrove City, PA · CCN 390266	28	$1,422	About average	$1,126	$10,825
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	121	$1,423	About average	$1,127	$7,602
Lone Peak HospitalDraper, UT · CCN 460060	39	$1,423	About average	$1,119	$14,121
Berkeley Medical CenterMartinsburg, WV · CCN 510008	93	$1,423	About average	$1,129	$6,865
Mercy Hospital WashingtonWashington, MO · CCN 260052	103	$1,424	About average	$1,123	$6,985
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	326	$1,424	About average	$1,121	$6,322
Ohio State University State Health SystemColumbus, OH · CCN 360085	240	$1,425	About average	$1,131	$9,506
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	551	$1,425	About average	$1,127	$10,009
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	562	$1,425	About average	$1,132	$5,877
ProMedica Toledo HospitalToledo, OH · CCN 360068	473	$1,425	About average	$1,129	$10,955
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	380	$1,425	About average	$1,125	$11,751
AdventHealth TampaTampa, FL · CCN 100173	73	$1,425	About average	$1,121	$14,069
Northeastern Health SystemTahlequah, OK · CCN 370089	30	$1,425	About average	$1,134	$4,633
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	34	$1,425	About average	$1,126	$11,186
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	52	$1,426	About average	$1,131	$5,342
Northwest Health-La PorteLa Porte, IN · CCN 150006	59	$1,426	About average	$1,130	$9,031
Mercy Hospital SouthSaint Louis, MO · CCN 260077	211	$1,426	About average	$1,129	$7,211

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.