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 Illinois

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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Average payment across these 95 hospitals: $1,493National $1,539 · Illinois $1,493
Median hospital: $1,511
Lowest to highest: $930–$1,605
Medicare procedures: 15,195

95 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–95. 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
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	102	$1,514	About average	$1,202	$15,191
Midwestern Region Medical Center, IncZion, IL · CCN 140100	131	$1,514	About average	$1,202	$17,343
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	418	$1,517	About average	$1,204	$18,617
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	110	$1,517	About average	$1,201	$14,024
Uw HealthRockford, IL · CCN 140228	271	$1,520	About average	$1,199	$19,602
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	260	$1,521	About average	$1,199	$13,758
Edward HospitalNaperville, IL · CCN 140231	286	$1,522	About average	$1,201	$12,437
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	334	$1,523	About average	$1,205	$11,761
MacNeal HospitalBerwyn, IL · CCN 140054	24	$1,525	About average	$1,204	$17,466
Carle Richland Memorial HospitalOlney, IL · CCN 140147	16	$1,525	About average	$1,199	$10,184
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	266	$1,525	About average	$1,211	$11,486
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	98	$1,527	About average	$1,211	$13,710
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	302	$1,530	About average	$1,217	$16,326
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	352	$1,530	About average	$1,215	$9,876
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	150	$1,531	About average	$1,215	$9,069
Advocate Trinity HospitalChicago, IL · CCN 140048	151	$1,531	About average	$1,216	$11,984
The University Of Chicago Medical CenterChicago, IL · CCN 140088 · +$162 outlier payments per case	383	$1,534	About average	$1,213	$17,252
Loyola University Medical CenterMaywood, IL · CCN 140276	359	$1,539	About average	$1,216	$9,307
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 140180	27	$1,539	About average	$1,225	$13,727
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	36	$1,539	About average	$1,225	$7,805
Swedish HospitalChicago, IL · CCN 140114	88	$1,539	About average	$1,224	$10,495
Ingalls Memorial HospitalHarvey, IL · CCN 140191	151	$1,539	About average	$1,224	$11,935
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	90	$1,539	About average	$1,223	$12,013
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	60	$1,539	About average	$1,223	$7,315
Saint Joseph Medical CenterJoliet, IL · CCN 140007	30	$1,539	About average	$1,220	$13,548
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	56	$1,539	About average	$1,219	$9,158
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	233	$1,545	About average	$1,224	$11,078
Copley Memorial HospitalAurora, IL · CCN 140029	148	$1,556	About average	$1,231	$11,958
Northwestern Memorial HospitalChicago, IL · CCN 140281	989	$1,558	About average	$1,237	$14,457
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	121	$1,559	About average	$1,239	$6,899
Saint Anthony Medical CenterRockford, IL · CCN 140233	174	$1,561	About average	$1,237	$10,779
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	152	$1,569	About average	$1,244	$12,010
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	235	$1,573	About average	$1,249	$17,130
Advocate Sherman HospitalElgin, IL · CCN 140030	136	$1,575	About average	$1,252	$11,996
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	59	$1,577	About average	$1,256	$11,448
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	75	$1,577	About average	$1,252	$7,880
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	132	$1,577	About average	$1,252	$12,834
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	62	$1,577	About average	$1,248	$9,191
St Mary Medical CenterGalesburg, IL · CCN 140064	48	$1,578	About average	$1,255	$10,090
Presence Mercy Medical CenterAurora, IL · CCN 140174	18	$1,584	About average	$1,262	$24,883
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	30	$1,584	About average	$1,253	$17,829
St Anthonys Memorial HospitalEffingham, IL · CCN 140032	88	$1,590	About average	$1,263	$10,048
Graham Hospital AssociationCanton, IL · CCN 140001	27	$1,605	About average	$1,279	$8,600
Harrisburg Medical CenterHarrisburg, IL · CCN 140210	16	$1,605	About average	$1,279	$11,062
Mc Donough District HospitalMacomb, IL · CCN 140089	21	$1,605	About average	$1,270	$9,814

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.