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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Year of care

2,315 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,501–1,550. 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
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	48	$1,520	About average	$1,204	$8,179
Sioux Falls Specialty HospitalSioux Falls, SD · CCN 430090	21	$1,520	About average	$1,204	$9,134
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	105	$1,520	About average	$1,210	$7,311
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	16	$1,520	About average	$1,211	$13,970
Stonesprings Hospital CenterDulles, VA · CCN 490145	21	$1,520	About average	$1,211	$11,368
Warren Memorial HospitalFront Royal, VA · CCN 490033	13	$1,520	About average	$1,211	$8,599
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	69	$1,520	About average	$1,211	$8,177
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	260	$1,521	About average	$1,199	$13,758
Ridgeview Medical CenterWaconia, MN · CCN 240056	96	$1,521	About average	$1,206	$4,794
McLaren FlintFlint, MI · CCN 230141	138	$1,521	About average	$1,208	$5,657
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	84	$1,521	About average	$1,212	$7,095
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	156	$1,521	About average	$1,210	$9,373
Pottstown HospitalPottstown, PA · CCN 390123	54	$1,521	About average	$1,208	$12,860
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$97 outlier payments per case	490	$1,521	About average	$1,211	$6,861
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	422	$1,521	About average	$1,211	$5,578
AdventHealth ParkerParker, CO · CCN 060114	83	$1,522	About average	$1,208	$12,023
Edward HospitalNaperville, IL · CCN 140231	286	$1,522	About average	$1,201	$12,437
Tawas St Joseph HospitalTawas City, MI · CCN 230100	45	$1,522	About average	$1,208	$3,299
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	46	$1,523	About average	$1,208	$10,771
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	85	$1,523	About average	$1,210	$8,387
Kootenai HealthCoeur D'Alene, ID · CCN 130049	412	$1,523	About average	$1,207	$6,098
Southern Maine Health CareBiddeford, ME · CCN 200019	43	$1,523	About average	$1,213	$6,681
York HospitalYork, ME · CCN 200020	111	$1,523	About average	$1,213	$6,530
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	334	$1,523	About average	$1,205	$11,761
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	95	$1,524	About average	$1,209	$8,124
Longmont United HospitalLongmont, CO · CCN 060003	58	$1,524	About average	$1,207	$13,381
MacNeal HospitalBerwyn, IL · CCN 140054	24	$1,525	About average	$1,204	$17,466
Chelsea HospitalChelsea, MI · CCN 230259	68	$1,525	About average	$1,210	$7,022
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	181	$1,525	About average	$1,212	$8,999
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	38	$1,525	About average	$1,215	$9,655
Carle Richland Memorial HospitalOlney, IL · CCN 140147	16	$1,525	About average	$1,199	$10,184
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	110	$1,525	About average	$1,213	$8,841
Methodist Hospitals IncGary, IN · CCN 150002	65	$1,525	About average	$1,212	$11,512
St Catherine Hospital IncEast Chicago, IN · CCN 150008	37	$1,525	About average	$1,208	$9,176
Allina United HospitalSaint Paul, MN · CCN 240038	249	$1,525	About average	$1,209	$8,123
AdventHealth PorterDenver, CO · CCN 060064	60	$1,525	About average	$1,211	$12,663
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	266	$1,525	About average	$1,211	$11,486
Ascension All Saints HospitalRacine, WI · CCN 520096	66	$1,526	About average	$1,213	$6,725
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	140	$1,526	About average	$1,212	$11,706
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	89	$1,526	About average	$1,215	$13,344
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	98	$1,527	About average	$1,211	$13,710
Memorial HospitalLogansport, IN · CCN 150072	75	$1,527	About average	$1,217	$3,491
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	224	$1,528	About average	$1,213	$10,455
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	347	$1,528	About average	$1,214	$5,420
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	317	$1,528	About average	$1,211	$13,231
Olmsted Medical CenterRochester, MN · CCN 240006	80	$1,528	About average	$1,213	$2,316
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	78	$1,528	About average	$1,207	$16,086
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	11	$1,529	About average	$1,218	$7,685
Poudre Valley HospitalFort Collins, CO · CCN 060010	332	$1,529	About average	$1,213	$10,354
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	302	$1,530	About average	$1,217	$16,326

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.