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 1,551–1,600. 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
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	352	$1,530	About average	$1,215	$9,876
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	150	$1,531	About average	$1,215	$9,069
Lakeview Memorial HospitalStillwater, MN · CCN 240066	129	$1,531	About average	$1,212	$4,849
Advocate Trinity HospitalChicago, IL · CCN 140048	151	$1,531	About average	$1,216	$11,984
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	78	$1,531	About average	$1,209	$9,733
St Lukes HospitalDuluth, MN · CCN 240047	480	$1,531	About average	$1,218	$6,801
Parkview Medical Center, IncPueblo, CO · CCN 060020	100	$1,531	About average	$1,216	$12,778
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	602	$1,533	About average	$1,219	$12,581
Boulder Community HealthBoulder, CO · CCN 060027	208	$1,534	About average	$1,219	$13,617
Cheshire Medical CenterKeene, NH · CCN 300019	153	$1,534	About average	$1,222	$8,070
The University Of Chicago Medical CenterChicago, IL · CCN 140088 · +$162 outlier payments per case	383	$1,534	About average	$1,213	$17,252
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	129	$1,535	About average	$1,220	$13,580
M Health Fairview St John's HospitalMaplewood, MN · CCN 240210	200	$1,536	About average	$1,222	$8,703
Reston Hospital CenterReston, VA · CCN 490107	71	$1,536	About average	$1,224	$13,473
Exeter Hospital IncExeter, NH · CCN 300023	70	$1,537	About average	$1,221	$11,275
Legacy Silverton Medical CenterSilverton, OR · CCN 380029	15	$1,537	About average	$1,204	$6,335
Main Line Hospital LankenauWynnewood, PA · CCN 390195	161	$1,538	About average	$1,218	$7,195
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	278	$1,538	About average	$1,222	$7,452
Allina Health Faribault Medical CenterFaribault, MN · CCN 240071	25	$1,538	About average	$1,225	$5,962
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	84	$1,538	About average	$1,215	$9,581
Loyola University Medical CenterMaywood, IL · CCN 140276	359	$1,539	About average	$1,216	$9,307
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 140180	27	$1,539	About average	$1,225	$13,727
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	36	$1,539	About average	$1,225	$7,805
Swedish HospitalChicago, IL · CCN 140114	88	$1,539	About average	$1,224	$10,495
Ingalls Memorial HospitalHarvey, IL · CCN 140191	151	$1,539	About average	$1,224	$11,935
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	90	$1,539	About average	$1,223	$12,013
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	60	$1,539	About average	$1,223	$7,315
Saint Joseph Medical CenterJoliet, IL · CCN 140007	30	$1,539	About average	$1,220	$13,548
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	56	$1,539	About average	$1,219	$9,158
UCHealth Greeley HospitalGreeley, CO · CCN 060131	114	$1,540	About average	$1,220	$10,337
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	1,121	$1,541	About average	$1,220	$9,060
Maine General Medical CenterAugusta, ME · CCN 200039	133	$1,541	About average	$1,223	$7,108
St. George Regional HospitalSt George, UT · CCN 460021	451	$1,542	About average	$1,226	$9,298
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	31	$1,543	About average	$1,223	$8,123
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	163	$1,543	About average	$1,228	$7,466
Community HospitalGrand Junction, CO · CCN 060054	103	$1,543	About average	$1,230	$14,566
HCA Healthone Mountain RidgeThornton, CO · CCN 060065	20	$1,543	About average	$1,230	$39,543
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	80	$1,543	About average	$1,230	$14,935
AdventHealth LittletonLittleton, CO · CCN 060113	52	$1,543	About average	$1,229	$11,442
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	131	$1,543	About average	$1,229	$14,088
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	88	$1,543	About average	$1,228	$31,491
Medical Center Of The RockiesLoveland, CO · CCN 060119	65	$1,543	About average	$1,227	$12,623
St Mary-Corwin HospitalPueblo, CO · CCN 060012	75	$1,543	About average	$1,227	$13,535
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	57	$1,543	About average	$1,226	$38,951
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	58	$1,543	About average	$1,226	$5,840
HCA Healthone RoseDenver, CO · CCN 060032	98	$1,543	About average	$1,225	$28,034
Saint Joseph HospitalDenver, CO · CCN 060028	63	$1,544	About average	$1,223	$13,892
AdventHealth AvistaLouisville, CO · CCN 060103	35	$1,544	About average	$1,221	$12,260
Meadville Medical CenterMeadville, PA · CCN 390113	112	$1,544	About average	$1,229	$10,749
Phoenixville HospitalPhoenixville, PA · CCN 390127	62	$1,544	About average	$1,225	$13,068

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.