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 1,701–1,750. 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
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	187	$1,578	About average	$1,253	$12,225
St Mary Medical CenterGalesburg, IL · CCN 140064	48	$1,578	About average	$1,255	$10,090
Ahs Hospital CorpHackettstown, NJ · CCN 310115	62	$1,580	About average	$1,250	$9,151
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 030101	50	$1,581	About average	$1,260	$23,375
Banner Ironwood Medical CenterQueen Creek, AZ · CCN 030130	13	$1,581	About average	$1,260	$10,000
HonorHealth Four Peaks Medical CenterMesa, AZ · CCN 030121	13	$1,581	About average	$1,260	$13,787
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	15	$1,581	About average	$1,260	$20,268
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	90	$1,581	About average	$1,259	$20,020
City Of Hope Cancer Center PhoenixGoodyear, AZ · CCN 030138	132	$1,581	About average	$1,258	$14,619
Valleywise Health Medical CenterPhoenix, AZ · CCN 030022	17	$1,581	About average	$1,258	$8,540
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	263	$1,581	About average	$1,257	$8,565
Oro Valley HospitalOro Valley, AZ · CCN 030114	20	$1,581	About average	$1,257	$25,405
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	107	$1,581	About average	$1,257	$14,387
Abrazo West CampusGoodyear, AZ · CCN 030110	33	$1,581	About average	$1,254	$21,786
St. Mary's HospitalTucson, AZ · CCN 030010	39	$1,581	About average	$1,253	$25,220
Ivinson Memorial HospitalLaramie, WY · CCN 530025	28	$1,582	About average	$1,250	$5,484
Sheridan Memorial HospitalSheridan, WY · CCN 530006	89	$1,582	About average	$1,255	$5,414
Presence Mercy Medical CenterAurora, IL · CCN 140174	18	$1,584	About average	$1,262	$24,883
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	30	$1,584	About average	$1,253	$17,829
St Mary Medical CenterLanghorne, PA · CCN 390258	175	$1,586	About average	$1,256	$6,908
Altru HospitalGrand Forks, ND · CCN 350019	337	$1,586	About average	$1,262	$7,506
Virginia Mason Medical CenterSeattle, WA · CCN 500005	435	$1,588	About average	$1,261	$8,704
Missouri Delta Medical CenterSikeston, MO · CCN 260113	63	$1,589	About average	$1,264	$7,740
Avera St Mary's HospitalPierre, SD · CCN 430015	83	$1,589	About average	$1,265	$5,627
Newport HospitalNewport, RI · CCN 410006	94	$1,590	About average	$1,251	$6,442
St Anthonys Memorial HospitalEffingham, IL · CCN 140032	88	$1,590	About average	$1,263	$10,048
Centracare- Rice Memorial HospitalWillmar, MN · CCN 240088	59	$1,595	About average	$1,266	$6,455
St Francis HospitalWilmington, DE · CCN 080003	56	$1,595	About average	$1,270	$7,036
Lake Region Healthcare CorporationFergus Falls, MN · CCN 240052	82	$1,597	About average	$1,269	$5,968
Asante Ashland Community HospitalAshland, OR · CCN 380005	20	$1,600	About average	$1,274	$7,289
Charlotte Hungerford HospitalTorrington, CT · CCN 070011	102	$1,601	About average	$1,265	$5,914
Rochester General HospitalRochester, NY · CCN 330125	127	$1,602	About average	$1,266	$8,568
Kadlec Regional Medical CenterRichland, WA · CCN 500058	500	$1,602	About average	$1,272	$7,901
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	93	$1,603	About average	$1,269	$4,822
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	139	$1,604	About average	$1,276	$14,370
Graham Hospital AssociationCanton, IL · CCN 140001	27	$1,605	About average	$1,279	$8,600
Harrisburg Medical CenterHarrisburg, IL · CCN 140210	16	$1,605	About average	$1,279	$11,062
Mc Donough District HospitalMacomb, IL · CCN 140089	21	$1,605	About average	$1,270	$9,814
Logan Health Medical CenterKalispell, MT · CCN 270051	263	$1,606	About average	$1,275	$7,707
Trinity HospitalsMinot, ND · CCN 350006	223	$1,608	About average	$1,272	$6,067
Alomere HealthAlexandria, MN · CCN 240030	95	$1,608	About average	$1,280	$4,953
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	69	$1,608	About average	$1,278	$11,117
MedStar Washington Hospital CenterWashington, DC · CCN 090011	274	$1,609	About average	$1,265	$11,602
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	88	$1,610	About average	$1,270	$15,414
Wynn HospitalUtica, NY · CCN 330044	156	$1,610	About average	$1,277	$16,126
St Joseph Medical CenterTacoma, WA · CCN 500108	66	$1,612	About average	$1,268	$14,302
Harborview Medical CenterSeattle, WA · CCN 500064	84	$1,612	About average	$1,280	$12,572
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	261	$1,612	About average	$1,277	$6,907
Christiana HospitalNewark, DE · CCN 080001	556	$1,612	About average	$1,280	$6,397
Deaconess Medical CenterSpokane, WA · CCN 500044	89	$1,613	About average	$1,279	$14,070

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.