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

Hospitals in California

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.

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Year of care

Average payment across these 188 hospitals: $2,043National $1,539 · California $2,041
Median hospital: $1,993
Lowest to highest: $1,239–$2,333
Medicare procedures: 26,556

188 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
Saint John's Health CenterSanta Monica, CA · CCN 050290	258	$1,967	28% above the national average	$1,562	$8,802
Saint Agnes Medical CenterFresno, CA · CCN 050093	292	$1,969	28% above the national average	$1,566	$8,418
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	109	$1,970	28% above the national average	$1,565	$22,367
Kaiser Foundation Hospital - Oakland/RichmondOakland, CA · CCN 050075	16	$1,970	28% above the national average	$1,484	$21,773
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	37	$1,970	28% above the national average	$1,560	$20,361
Mercy Medical Center ReddingRedding, CA · CCN 050280	207	$1,971	28% above the national average	$1,564	$11,027
Adventist Health BakersfieldBakersfield, CA · CCN 050455	214	$1,971	28% above the national average	$1,564	$5,816
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	72	$1,971	28% above the national average	$1,560	$11,580
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625 · +$50 outlier payments per case	831	$1,973	28% above the national average	$1,569	$30,657
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	54	$1,975	28% above the national average	$1,565	$19,226
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	223	$1,975	28% above the national average	$1,574	$9,038
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025 · +$79 outlier payments per case	693	$1,976	28% above the national average	$1,572	$9,299
Providence St Joseph HospitalEureka, CA · CCN 050006	177	$1,977	28% above the national average	$1,565	$17,432
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	98	$1,977	29% above the national average	$1,563	$19,189
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	266	$1,978	29% above the national average	$1,573	$10,915
Providence Mission HospitalMission Viejo, CA · CCN 050567	325	$1,979	29% above the national average	$1,572	$9,819
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	92	$1,979	29% above the national average	$1,567	$33,855
Scripps Mercy HospitalSan Diego, CA · CCN 050077 · +$514 outlier payments per case	122	$1,980	29% above the national average	$1,574	$34,159
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	325	$1,980	29% above the national average	$1,574	$13,452
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	79	$1,981	29% above the national average	$1,577	$11,754
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	101	$1,982	29% above the national average	$1,573	$15,508
Kaweah Health Medical CenterVisalia, CA · CCN 050057	161	$1,984	29% above the national average	$1,574	$8,060
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	161	$1,984	29% above the national average	$1,570	$9,465
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	518	$1,984	29% above the national average	$1,579	$11,777
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	890	$1,985	29% above the national average	$1,579	$11,486
Clovis Community Medical CenterClovis, CA · CCN 050492	415	$1,986	29% above the national average	$1,581	$8,729
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	280	$1,986	29% above the national average	$1,580	$12,745
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	43	$1,986	29% above the national average	$1,578	$10,726
Scripps Green HospitalLa Jolla, CA · CCN 050424	473	$1,987	29% above the national average	$1,581	$30,773
St Johns Regional Medical CenterOxnard, CA · CCN 050082	254	$1,987	29% above the national average	$1,578	$10,888
Providence St. Joseph HospitalOrange, CA · CCN 050069	184	$1,988	29% above the national average	$1,581	$10,929
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	252	$1,989	29% above the national average	$1,583	$11,342
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	539	$1,991	29% above the national average	$1,584	$7,424
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	27	$1,993	30% above the national average	$1,588	$12,527
Mad River Community HospitalArcata, CA · CCN 050028	21	$1,993	30% above the national average	$1,588	$9,641
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	55	$1,993	30% above the national average	$1,588	$38,954
Sherman Oaks HospitalSherman Oaks, CA · CCN 050755	75	$1,993	30% above the national average	$1,588	$6,263
Adventist Health Twin CitiesTempleton, CA · CCN 050633	12	$1,993	30% above the national average	$1,588	$22,391
Casa Colina HospitalPomona, CA · CCN 050782	16	$1,993	30% above the national average	$1,588	$4,639
Centinela Hospital Medical CenterInglewood, CA · CCN 050739	12	$1,993	30% above the national average	$1,588	$17,294
Fresno Surgical HospitalFresno, CA · CCN 050708	18	$1,993	30% above the national average	$1,588	$13,471
Huntington HospitalPasadena, CA · CCN 050438	134	$1,993	30% above the national average	$1,588	$12,020
La Palma Intercommunity HospitalLa Palma, CA · CCN 050580	14	$1,993	30% above the national average	$1,588	$10,980
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	14	$1,993	30% above the national average	$1,588	$33,951
Sharp Coronado Hospital And Healthcare CenterCoronado, CA · CCN 050234	15	$1,993	30% above the national average	$1,588	$15,574
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	25	$1,993	30% above the national average	$1,587	$14,923
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	578	$1,993	30% above the national average	$1,587	$6,710
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	301	$1,993	30% above the national average	$1,587	$17,087
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	124	$1,993	30% above the national average	$1,587	$8,839
Antelope Valley HospitalLancaster, CA · CCN 050056	35	$1,993	30% above the national average	$1,587	$10,424

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.