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 1,301–1,350. 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
Integris Miami HospitalMiami, OK · CCN 370004	14	$1,482	About average	$1,186	$8,685
Houston Methodist West HospitalHouston, TX · CCN 670077	171	$1,482	About average	$1,174	$20,683
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	228	$1,482	About average	$1,176	$14,007
Robert Packer HospitalSayre, PA · CCN 390079	173	$1,482	About average	$1,178	$9,679
Centura St. Catherine-Dodge CityDodge City, KS · CCN 170175	25	$1,482	About average	$1,177	$9,907
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	263	$1,483	About average	$1,175	$10,684
Piedmont Eastside Medical CenterSnellville, GA · CCN 110192	109	$1,483	About average	$1,172	$16,328
Regional West Medical CenterScottsbluff, NE · CCN 280061	176	$1,483	About average	$1,169	$10,314
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	41	$1,483	About average	$1,182	$9,120
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	31	$1,483	About average	$1,182	$12,439
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	169	$1,483	About average	$1,177	$6,447
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	73	$1,484	About average	$1,177	$16,480
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	125	$1,484	About average	$1,178	$5,831
Saint Francis Medical CenterPeoria, IL · CCN 140067	569	$1,484	About average	$1,178	$12,171
Sanford USDMedical CenterSioux Falls, SD · CCN 430027	761	$1,484	About average	$1,181	$7,037
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	325	$1,484	About average	$1,175	$5,836
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	139	$1,485	About average	$1,177	$13,064
Highlands Medical CenterScottsboro, AL · CCN 010061	18	$1,485	About average	$1,174	$9,334
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	16	$1,485	About average	$1,167	$24,306
Northeast Regional Medical CenterKirksville, MO · CCN 260022	15	$1,485	About average	$1,183	$22,217
Emory Decatur HospitalDecatur, GA · CCN 110076	101	$1,485	About average	$1,172	$6,172
Hays Medical CenterHays, KS · CCN 170013	216	$1,485	About average	$1,180	$5,017
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	40	$1,485	About average	$1,179	$5,958
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	50	$1,485	About average	$1,178	$9,893
Northwest Specialty HospitalPost Falls, ID · CCN 130066	38	$1,486	About average	$1,179	$5,135
Hendrick Medical CenterAbilene, TX · CCN 450229	247	$1,486	About average	$1,177	$20,713
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	38	$1,486	About average	$1,181	$6,338
Lancaster General HospitalLancaster, PA · CCN 390100	462	$1,486	About average	$1,180	$10,031
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	73	$1,486	About average	$1,170	$10,471
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	541	$1,487	About average	$1,180	$10,255
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	51	$1,487	About average	$1,183	$15,799
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	109	$1,487	About average	$1,175	$6,990
Grand Island Regional Medical CenterGrand Island, NE · CCN 280139	78	$1,488	About average	$1,182	$7,619
AdventHealth Castle RockCastle Rock, CO · CCN 060125	28	$1,488	About average	$1,184	$14,006
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	90	$1,489	About average	$1,179	$15,203
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	175	$1,489	About average	$1,186	$10,236
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	186	$1,489	About average	$1,181	$15,012
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	105	$1,489	About average	$1,185	$19,491
Northside Hospital CherokeeCanton, GA · CCN 110008	348	$1,489	About average	$1,183	$13,081
Concord HospitalConcord, NH · CCN 300001	216	$1,489	About average	$1,183	$9,484
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	86	$1,490	About average	$1,179	$3,857
Emory University HospitalAtlanta, GA · CCN 110010	161	$1,490	About average	$1,183	$8,048
Inova Fairfax HospitalFalls Church, VA · CCN 490063	248	$1,490	About average	$1,180	$9,391
Mainehealth Pen Bay HospitalRockport, ME · CCN 200063	84	$1,490	About average	$1,186	$4,449
Elkhart General HospitalElkhart, IN · CCN 150018	205	$1,490	About average	$1,183	$8,750
UNC Lenoir Health CareKinston, NC · CCN 340027	20	$1,490	About average	$1,175	$5,016
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	34	$1,490	About average	$1,186	$7,082
Daviess Community HospitalWashington, IN · CCN 150061	32	$1,490	About average	$1,180	$5,528
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	94	$1,491	About average	$1,183	$9,496
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	729	$1,491	About average	$1,185	$10,963

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.