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 951–1,000. 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
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	234	$1,445	About average	$1,151	$15,242
Parkland Health & Hospital SystemDallas, TX · CCN 450015	84	$1,445	About average	$1,149	$12,282
Norton Clark HospitalJeffersonville, IN · CCN 150009	43	$1,445	About average	$1,147	$11,190
Mercy Health System CorpJanesville, WI · CCN 520066	157	$1,445	About average	$1,139	$8,181
Hamilton Medical CenterDalton, GA · CCN 110001	120	$1,446	About average	$1,144	$9,119
Medical City PlanoPlano, TX · CCN 450651	177	$1,446	About average	$1,149	$19,974
Duke Regional HospitalDurham, NC · CCN 340155	73	$1,446	About average	$1,149	$6,832
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 450771	116	$1,447	About average	$1,145	$9,470
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	890	$1,447	About average	$1,146	$12,149
Medical City AllianceFort Worth, TX · CCN 670103	69	$1,447	About average	$1,148	$18,955
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	179	$1,447	About average	$1,148	$15,449
St Vincent HospitalGreen Bay, WI · CCN 520075	90	$1,447	About average	$1,150	$11,453
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	223	$1,447	About average	$1,149	$10,893
Community Hospital EastIndianapolis, IN · CCN 150074	275	$1,447	About average	$1,148	$8,408
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	53	$1,447	About average	$1,146	$11,399
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	115	$1,447	About average	$1,148	$11,059
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	68	$1,447	About average	$1,150	$15,976
Union Hospital IncTerre Haute, IN · CCN 150023	265	$1,447	About average	$1,147	$8,971
Naples Community HospitalNaples, FL · CCN 100018	301	$1,447	About average	$1,147	$10,573
CHI Health Nebraska HeartLincoln, NE · CCN 280128	23	$1,448	About average	$1,153	$9,202
Sinai-Grace HospitalDetroit, MI · CCN 230024	17	$1,448	About average	$1,153	$19,165
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	220	$1,448	About average	$1,152	$16,378
McLaren Greater LansingLansing, MI · CCN 230167	148	$1,448	About average	$1,149	$6,131
ACMH HospitalKittanning, PA · CCN 390163	19	$1,448	About average	$1,154	$12,946
Lecom Medical Center And Behavioral Health PavErie, PA · CCN 390198	28	$1,448	About average	$1,154	$7,673
UPMC HorizonGreenville, PA · CCN 390178	46	$1,448	About average	$1,154	$9,271
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	18	$1,448	About average	$1,154	$10,699
UPMC MercyPittsburgh, PA · CCN 390028	32	$1,448	About average	$1,154	$16,158
UPMC NorthwestSeneca, PA · CCN 390091	47	$1,448	About average	$1,154	$12,116
Chan Soon- Shiong Medical Center At WindberWindber, PA · CCN 390112	43	$1,448	About average	$1,151	$4,369
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	13	$1,448	About average	$1,139	$12,017
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	21	$1,448	About average	$1,138	$13,058
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	115	$1,448	About average	$1,141	$18,661
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	110	$1,449	About average	$1,149	$9,511
South Miami HospitalMiami, FL · CCN 100154	49	$1,449	About average	$1,142	$14,289
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	35	$1,449	About average	$1,151	$10,234
Longs Peak HospitalLongmont, CO · CCN 060128	78	$1,449	About average	$1,143	$12,476
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	151	$1,449	About average	$1,149	$9,702
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	143	$1,449	About average	$1,147	$7,170
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	192	$1,449	About average	$1,148	$12,304
Medical City Dallas HospitalDallas, TX · CCN 450647	244	$1,450	About average	$1,152	$19,384
Madison HealthLondon, OH · CCN 360189	18	$1,450	About average	$1,155	$11,481
Grady Memorial HospitalDelaware, OH · CCN 360210	29	$1,450	About average	$1,153	$13,286
Fairfield Medical CenterLancaster, OH · CCN 360072	76	$1,450	About average	$1,150	$7,918
Genesis Medical CenterSilvis, IL · CCN 140275	37	$1,450	About average	$1,145	$5,344
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	53	$1,450	About average	$1,140	$10,085
Wellstar Spalding Medical CenterGriffin, GA · CCN 110031	44	$1,450	About average	$1,144	$16,907
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	469	$1,450	About average	$1,150	$8,199
Pratt Regional Medical CenterPratt, KS · CCN 170027	37	$1,450	About average	$1,149	$5,492
Marshfield Medical Center - WestonWeston, WI · CCN 520202	31	$1,451	About average	$1,156	$4,027

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.