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 1,251–1,300. 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
Trinity Rock IslandRock Island, IL · CCN 140280	143	$1,474	About average	$1,165	$7,121
Integris Grove HospitalGrove, OK · CCN 370113	15	$1,475	About average	$1,175	$11,255
Mcalester Regional Health CenterMcalester, OK · CCN 370034	29	$1,475	About average	$1,174	$5,813
Northern Light Mercy HospitalPortland, ME · CCN 200008	81	$1,475	About average	$1,168	$8,821
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026	254	$1,475	About average	$1,172	$8,047
Grady Memorial HospitalChickasha, OK · CCN 370054	29	$1,475	About average	$1,171	$5,906
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	48	$1,475	About average	$1,169	$10,009
Integris Health Ponca CityPonca City, OK · CCN 370006	16	$1,475	About average	$1,163	$15,731
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	114	$1,475	About average	$1,168	$8,240
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	332	$1,475	About average	$1,170	$11,128
Riverside Medical CenterKankakee, IL · CCN 140186	194	$1,475	About average	$1,164	$9,141
Shannon Medical CenterSan Angelo, TX · CCN 450571	230	$1,476	About average	$1,169	$12,077
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	77	$1,476	About average	$1,164	$5,788
White County Medical CenterSearcy, AR · CCN 040014	43	$1,476	About average	$1,176	$5,667
Ascension St Vincent KokomoKokomo, IN · CCN 150010	32	$1,477	About average	$1,176	$11,402
Ascension St Francis HospitalMilwaukee, WI · CCN 520078	13	$1,477	About average	$1,177	$7,254
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	54	$1,477	About average	$1,177	$9,130
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	64	$1,477	About average	$1,175	$9,844
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	89	$1,477	About average	$1,174	$5,089
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	127	$1,477	About average	$1,173	$6,859
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 520062	23	$1,477	About average	$1,172	$10,383
Watertown Memorial HospitalWatertown, WI · CCN 520116	23	$1,477	About average	$1,169	$10,442
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	130	$1,477	About average	$1,168	$15,492
Northside Hospital ForsythCumming, GA · CCN 110005	296	$1,477	About average	$1,166	$12,525
Stillwater Medical CenterStillwater, OK · CCN 370049	140	$1,477	About average	$1,168	$8,591
Ashtabula County Medical CenterAshtabula, OH · CCN 360125	38	$1,478	About average	$1,176	$7,837
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	37	$1,478	About average	$1,177	$23,486
Memorial Satilla HealthWaycross, GA · CCN 110003	52	$1,478	About average	$1,166	$22,509
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	11	$1,478	About average	$1,177	$6,298
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	51	$1,478	About average	$1,169	$5,227
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	126	$1,478	About average	$1,174	$7,505
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 340148	30	$1,478	About average	$1,174	$8,146
St Joseph Medical CenterBloomington, IL · CCN 140162	118	$1,478	About average	$1,171	$9,589
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	35	$1,478	About average	$1,178	$5,650
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	25	$1,478	About average	$1,177	$6,511
Aurora Medical Center - SummitSummit, WI · CCN 520206	96	$1,478	About average	$1,174	$9,003
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	35	$1,478	About average	$1,174	$6,549
CGH Medical CenterSterling, IL · CCN 140043	150	$1,478	About average	$1,176	$14,925
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	158	$1,478	About average	$1,177	$5,385
CHI Health St. FrancisGrand Island, NE · CCN 280023	98	$1,478	About average	$1,164	$8,226
AdventHealth Lake WalesLake Wales, FL · CCN 100099	11	$1,479	About average	$1,161	$28,504
Billings Clinic HospitalBillings, MT · CCN 270004	377	$1,479	About average	$1,175	$3,590
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080	16	$1,480	About average	$1,179	$8,953
Essentia Health VirginiaVirginia, MN · CCN 240084	62	$1,480	About average	$1,179	$4,817
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	46	$1,481	About average	$1,172	$6,392
Goshen HospitalGoshen, IN · CCN 150026	118	$1,481	About average	$1,176	$8,903
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	166	$1,482	About average	$1,173	$20,233
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	61	$1,482	About average	$1,181	$13,340
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	316	$1,482	About average	$1,169	$11,546
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021 · +$161 outlier payments per case	319	$1,482	About average	$1,178	$15,773

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.