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 1,751–1,800. 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
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 080009	94	$1,613	About average	$1,278	$11,775
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	491	$1,614	About average	$1,274	$10,382
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 080006	101	$1,614	About average	$1,282	$5,882
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004	338	$1,614	About average	$1,284	$9,101
Beebe Medical CenterLewes, DE · CCN 080007	440	$1,615	About average	$1,284	$8,679
Monmouth Medical Center-Southern CampusLakewood, NJ · CCN 310084	58	$1,615	About average	$1,282	$8,155
Cheyenne Regional Medical CenterCheyenne, WY · CCN 530014	108	$1,616	About average	$1,285	$10,576
Essentia Health St Joseph's Medical CenterBrainerd, MN · CCN 240075	86	$1,616	About average	$1,288	$6,800
Swedish IssaquahIssaquah, WA · CCN 500152	100	$1,617	About average	$1,280	$8,950
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	203	$1,618	About average	$1,286	$9,453
George Washington University HospitalWashington, DC · CCN 090001	214	$1,618	About average	$1,279	$14,584
Monument Health Spearfish HospitalSpearfish, SD · CCN 430048	82	$1,618	About average	$1,285	$6,342
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	2,366	$1,618	About average	$1,280	$7,826
MedStar Georgetown University HospitalWashington, DC · CCN 090004	427	$1,619	About average	$1,279	$11,991
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	301	$1,619	About average	$1,288	$7,642
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	217	$1,620	About average	$1,289	$13,216
Island HospitalAnacortes, WA · CCN 500007	69	$1,620	About average	$1,287	$3,496
Highline Medical CenterBurien, WA · CCN 500011	61	$1,621	About average	$1,287	$9,756
Banner Wyoming Medical CenterCasper, WY · CCN 530012	121	$1,621	About average	$1,290	$7,442
University Of Washington Medical CenterSeattle, WA · CCN 500008	493	$1,621	About average	$1,290	$11,296
Hillsboro Medical CenterHillsboro, OR · CCN 380021	35	$1,623	About average	$1,291	$9,595
The Miriam HospitalProvidence, RI · CCN 410012	81	$1,625	About average	$1,293	$7,716
Roger Williams Medical CenterProvidence, RI · CCN 410004	57	$1,626	About average	$1,286	$13,516
Valley Medical CenterRenton, WA · CCN 500088	179	$1,626	About average	$1,289	$9,022
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park, CA · CCN 050723	19	$1,627	About average	$1,229	$13,069
Trios HealthKennewick, WA · CCN 500053	57	$1,627	About average	$1,289	$11,696
UNC Health Care WayneGoldsboro, NC · CCN 340010	94	$1,627	About average	$1,292	$7,368
St Francis Community HospitalFederal Way, WA · CCN 500141	47	$1,628	About average	$1,287	$14,330
Avera Sacred Heart HospitalYankton, SD · CCN 430012	48	$1,628	About average	$1,297	$7,876
Memorial Hospital Sweetwater CountyRock Springs, WY · CCN 530011	16	$1,628	About average	$1,297	$6,979
Sagewest Health CareRiverton, WY · CCN 530008	17	$1,628	About average	$1,297	$2,348
St James HospitalButte, MT · CCN 270017	52	$1,628	About average	$1,297	$10,804
Brookings Health SystemBrookings, SD · CCN 430008	21	$1,628	About average	$1,297	$4,986
Prairie Lakes Healthcare System, IncWatertown, SD · CCN 430005	113	$1,628	About average	$1,296	$5,143
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	162	$1,628	About average	$1,295	$8,596
St Johns Medical CenterJackson, WY · CCN 530015	49	$1,628	About average	$1,292	$6,000
Campbell County HealthGillette, WY · CCN 530002	43	$1,628	About average	$1,290	$4,794
Skagit Valley HospitalMount Vernon, WA · CCN 500003	162	$1,629	About average	$1,297	$9,620
Providence Newberg Medical CenterNewberg, OR · CCN 380037	57	$1,630	About average	$1,283	$7,762
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	75	$1,630	About average	$1,292	$11,290
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	74	$1,631	About average	$1,263	$16,774
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	130	$1,632	About average	$1,298	$7,683
Rhode Island HospitalProvidence, RI · CCN 410007	349	$1,632	About average	$1,297	$7,908
Kent County Memorial HospitalWarwick, RI · CCN 410009	123	$1,632	About average	$1,299	$6,010
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	58	$1,633	About average	$1,299	$22,746
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	77	$1,634	About average	$1,290	$16,528
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	54	$1,634	About average	$1,297	$9,194
Hutchinson HealthHutchinson, MN · CCN 240187	67	$1,634	About average	$1,301	$4,383
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	147	$1,634	About average	$1,295	$10,910
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 240043	46	$1,636	About average	$1,303	$3,615

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.