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 1,201–1,250. 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
Cape Canaveral HospitalCocoa Beach, FL · CCN 100177	100	$1,469	About average	$1,168	$13,742
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	36	$1,469	About average	$1,168	$32,612
Baycare Hospital Wesley ChapelWesley Chapel, FL · CCN 100362	19	$1,469	About average	$1,168	$11,525
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	101	$1,469	About average	$1,168	$26,263
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	107	$1,469	About average	$1,168	$11,943
Winter Haven HospitalWinter Haven, FL · CCN 100052	79	$1,469	About average	$1,168	$8,802
HCA Florida Fawcett HospitalPort Charlotte, FL · CCN 100236	145	$1,469	About average	$1,168	$25,178
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	94	$1,469	About average	$1,168	$29,517
HCA Florida University HospitalDavie, FL · CCN 100360	23	$1,469	About average	$1,167	$26,486
Ascension Sacred Heart BayPanama City, FL · CCN 100026	96	$1,469	About average	$1,167	$14,884
Santa Rosa Medical CenterMilton, FL · CCN 100124	27	$1,469	About average	$1,166	$28,185
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	46	$1,469	About average	$1,166	$23,067
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	61	$1,469	About average	$1,166	$17,235
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	23	$1,469	About average	$1,165	$20,533
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	137	$1,469	About average	$1,165	$13,816
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 100264	124	$1,469	About average	$1,165	$19,052
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	107	$1,469	About average	$1,165	$14,719
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	60	$1,469	About average	$1,165	$10,941
HCA Florida Citrus HospitalInverness, FL · CCN 100023	69	$1,469	About average	$1,164	$23,913
HCA Florida South Shore HospitalSun City Center, FL · CCN 100259	41	$1,469	About average	$1,163	$24,786
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	23	$1,469	About average	$1,162	$11,201
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	79	$1,469	About average	$1,162	$16,878
Palmetto General HospitalHialeah, FL · CCN 100187	13	$1,469	About average	$1,160	$20,864
HCA Florida Northwest HospitalMargate, FL · CCN 100189	18	$1,469	About average	$1,160	$16,120
Reading HospitalWest Reading, PA · CCN 390044	284	$1,469	About average	$1,167	$11,385
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 100246	37	$1,469	About average	$1,159	$26,271
T J Samson Community HospitalGlasgow, KY · CCN 180017	129	$1,469	About average	$1,166	$6,861
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	155	$1,469	About average	$1,163	$13,385
HCA Florida South Tampa HospitalTampa, FL · CCN 100206	15	$1,469	About average	$1,158	$35,743
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	243	$1,469	About average	$1,162	$17,061
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	52	$1,469	About average	$1,155	$35,657
HCA Florida Putnam HospitalPalatka, FL · CCN 100232	12	$1,469	About average	$1,154	$16,654
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	109	$1,469	About average	$1,157	$9,305
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 040007	82	$1,469	About average	$1,163	$10,760
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	148	$1,470	About average	$1,162	$8,709
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	85	$1,470	About average	$1,171	$15,731
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	212	$1,470	About average	$1,166	$14,262
St Johns HospitalSpringfield, IL · CCN 140053	137	$1,470	About average	$1,167	$15,463
Indiana University HealthIndianapolis, IN · CCN 150056	437	$1,470	About average	$1,168	$13,484
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	73	$1,472	About average	$1,163	$7,071
Emory University Hospital MidtownAtlanta, GA · CCN 110078	212	$1,472	About average	$1,165	$11,106
Parkview Whitley HospitalColumbia City, IN · CCN 150101	12	$1,472	About average	$1,173	$12,882
HCA Houston Healthcare TomballTomball, TX · CCN 450670	74	$1,472	About average	$1,165	$23,237
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	54	$1,472	About average	$1,167	$13,115
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	238	$1,473	About average	$1,171	$11,812
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$101 outlier payments per case	1,041	$1,474	About average	$1,170	$9,721
Phelps County Regional Medical CenterRolla, MO · CCN 260017	89	$1,474	About average	$1,169	$10,912
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	287	$1,474	About average	$1,162	$10,534
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	70	$1,474	About average	$1,156	$5,894
Northside Hospital DuluthDuluth, GA · CCN 110252	104	$1,474	About average	$1,165	$13,488

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.