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 1,651–1,700. 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
Saint Anthony Medical CenterRockford, IL · CCN 140233	174	$1,561	About average	$1,237	$10,779
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	341	$1,561	About average	$1,241	$9,785
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	63	$1,561	About average	$1,238	$9,523
Cascade Valley HospitalArlington, WA · CCN 500060	14	$1,562	About average	$1,225	$13,999
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	65	$1,562	About average	$1,233	$10,632
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	375	$1,562	About average	$1,194	$10,629
Robert Wood Johnson University Hospital At RahwayRahway, NJ · CCN 310024	20	$1,562	About average	$1,217	$9,555
Paris Regional Medical CenterParis, TX · CCN 450196	78	$1,563	About average	$1,242	$12,753
North Texas Medical CenterGainesville, TX · CCN 450090	17	$1,563	About average	$1,241	$6,622
Augusta HealthFishersville, VA · CCN 490018	208	$1,563	About average	$1,245	$4,970
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	143	$1,564	About average	$1,240	$20,201
Paoli HospitalPaoli, PA · CCN 390153	204	$1,564	About average	$1,246	$8,005
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	166	$1,565	About average	$1,245	$9,490
Flagler HospitalSaint Augustine, FL · CCN 100090	161	$1,565	About average	$1,240	$11,109
Banner Desert Medical CenterMesa, AZ · CCN 030065	82	$1,566	About average	$1,238	$13,079
Southern NH Medical CenterNashua, NH · CCN 300020	107	$1,566	About average	$1,243	$11,455
Kingman Regional Medical CenterKingman, AZ · CCN 030055	220	$1,566	About average	$1,245	$13,214
Lehigh Valley HospitalAllentown, PA · CCN 390133	792	$1,566	About average	$1,242	$21,920
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	245	$1,567	About average	$1,240	$10,402
Wellspan Waynesboro HospitalWaynesboro, PA · CCN 390138	32	$1,567	About average	$1,249	$7,827
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 030146	109	$1,568	About average	$1,246	$18,915
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	97	$1,568	About average	$1,245	$13,872
Banner Baywood Medical CenterMesa, AZ · CCN 030088	200	$1,568	About average	$1,244	$11,776
Marion General HospitalMarion, IN · CCN 150011	68	$1,568	About average	$1,248	$12,658
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	152	$1,569	About average	$1,244	$12,010
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 130013	104	$1,569	About average	$1,247	$6,079
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	328	$1,569	About average	$1,247	$10,040
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	113	$1,570	About average	$1,247	$13,823
St Lukes HospitalBethlehem, PA · CCN 390049	441	$1,570	About average	$1,250	$15,697
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 240101	36	$1,571	About average	$1,250	$2,905
Riddle Memorial HospitalMedia, PA · CCN 390222	230	$1,572	About average	$1,251	$7,240
St John's Episcopal Hospital At South ShoreFar Rockaway, NY · CCN 330395	23	$1,573	About average	$1,227	$6,107
Banner Boswell Medical CenterSun City, AZ · CCN 030061	105	$1,573	About average	$1,249	$9,401
Ascension Sacred Heart GulfPort Saint Joe, FL · CCN 100313	18	$1,573	About average	$1,253	$8,435
HCA Florida Lake City HospitalLake City, FL · CCN 100156	17	$1,573	About average	$1,253	$16,578
Jackson HospitalMarianna, FL · CCN 100142	29	$1,573	About average	$1,249	$5,239
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	235	$1,573	About average	$1,249	$17,130
St Joseph HospitalNashua, NH · CCN 300011	80	$1,573	About average	$1,252	$9,321
Advocate Sherman HospitalElgin, IL · CCN 140030	136	$1,575	About average	$1,252	$11,996
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	257	$1,575	About average	$1,249	$8,269
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PA · CCN 390156	37	$1,575	About average	$1,255	$16,794
Wills Eye HospitalPhiladelphia, PA · CCN 390331	23	$1,575	About average	$1,255	$3,703
St Peters HealthHelena, MT · CCN 270003	135	$1,575	About average	$1,252	$5,794
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	73	$1,575	About average	$1,254	$25,384
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	59	$1,577	About average	$1,256	$11,448
Beloit Health SystemBeloit, WI · CCN 520100	100	$1,577	About average	$1,255	$5,314
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	75	$1,577	About average	$1,252	$7,880
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	132	$1,577	About average	$1,252	$12,834
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	62	$1,577	About average	$1,248	$9,191
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	114	$1,577	About average	$1,252	$10,473

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.