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 1,851–1,900. 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
OHSU Hospital And ClinicsPortland, OR · CCN 380009	399	$1,665	About average	$1,321	$9,287
Yuma Regional Medical CenterYuma, AZ · CCN 030013	463	$1,666	About average	$1,326	$9,317
Bayshore Medical CenterHolmdel, NJ · CCN 310112	250	$1,667	About average	$1,326	$9,406
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	210	$1,667	About average	$1,315	$6,982
Robert Wood Johnson University Hospital - SomersetSomerville, NJ · CCN 310048	192	$1,667	About average	$1,324	$9,091
University Medical CenterLas Vegas, NV · CCN 290007	40	$1,668	About average	$1,316	$24,680
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	42	$1,669	About average	$1,322	$6,298
Jefferson Stratford HospitalStratford, NJ · CCN 310086	217	$1,669	About average	$1,328	$8,669
Samaritan Albany General HospitalAlbany, OR · CCN 380022	98	$1,670	About average	$1,327	$4,217
St Clare HospitalLakewood, WA · CCN 500021	43	$1,670	About average	$1,330	$17,354
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	171	$1,672	About average	$1,322	$4,337
Hospital For Special SurgeryNew York, NY · CCN 330270	28	$1,673	About average	$1,311	$20,760
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	237	$1,673	About average	$1,327	$5,954
Community Medical CenterToms River, NJ · CCN 310041	251	$1,674	About average	$1,329	$7,265
JFK University Medical CenterEdison, NJ · CCN 310108	177	$1,675	About average	$1,324	$9,981
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	102	$1,675	About average	$1,328	$6,572
Crouse HospitalSyracuse, NY · CCN 330203	220	$1,675	About average	$1,325	$5,746
Corning HospitalCorning, NY · CCN 330277	95	$1,676	About average	$1,323	$10,048
Valley Hospital Medical CenterLas Vegas, NV · CCN 290021	23	$1,676	About average	$1,323	$26,798
Shore Medical CenterSomers Point, NJ · CCN 310047	65	$1,677	About average	$1,328	$16,715
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	108	$1,677	About average	$1,321	$9,436
Kaleida HealthBuffalo, NY · CCN 330005	119	$1,678	About average	$1,333	$6,698
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	119	$1,678	About average	$1,333	$10,805
Warren General HospitalWarren, PA · CCN 390146	37	$1,681	About average	$1,337	$6,549
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	45	$1,682	About average	$1,337	$5,577
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	276	$1,683	About average	$1,337	$8,489
Newton Medical CenterNewton, NJ · CCN 310028	82	$1,684	About average	$1,339	$22,542
Ocean Medical CenterBrick, NJ · CCN 310052	294	$1,685	About average	$1,338	$10,221
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	74	$1,686	About average	$1,341	$23,247
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	110	$1,686	About average	$1,338	$11,263
USC Arcadia HospitalArcadia, CA · CCN 050238	88	$1,687	About average	$1,277	$6,927
West Jersey HospitalVoorhees, NJ · CCN 310022	131	$1,687	About average	$1,341	$21,343
UPMC HamotErie, PA · CCN 390063	139	$1,689	About average	$1,341	$14,488
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	173	$1,690	About average	$1,341	$12,854
St Marys HealthcareAmsterdam, NY · CCN 330047	47	$1,690	About average	$1,339	$4,264
Spring Valley Hospital Medical CenterLas Vegas, NV · CCN 290046	31	$1,692	About average	$1,333	$24,895
Canyon Vista Medical CenterSierra Vista, AZ · CCN 030043	65	$1,693	10% above the national average	$1,349	$11,654
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	86	$1,693	10% above the national average	$1,349	$7,882
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	166	$1,693	10% above the national average	$1,348	$8,765
Banner Casa Grande Medical CenterCasa Grande, AZ · CCN 030016	33	$1,693	10% above the national average	$1,343	$11,504
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$281 outlier payments per case	326	$1,693	10% above the national average	$1,343	$13,004
Providence St Vincent Medical CenterPortland, OR · CCN 380004	199	$1,694	10% above the national average	$1,348	$7,545
St Peter's HospitalAlbany, NY · CCN 330057	264	$1,695	10% above the national average	$1,345	$6,630
Hunterdon Medical CenterFlemington, NJ · CCN 310005	99	$1,697	10% above the national average	$1,352	$7,059
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	60	$1,697	10% above the national average	$1,352	$9,245
Trinitas Regional Medical CenterElizabeth, NJ · CCN 310027	30	$1,697	10% above the national average	$1,352	$5,890
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 310029	49	$1,697	10% above the national average	$1,352	$22,429
Virtua Willingboro HospitalWillingboro, NJ · CCN 310061	19	$1,697	10% above the national average	$1,349	$20,018
Inspira Medical Center VinelandVineland, NJ · CCN 310032	60	$1,697	10% above the national average	$1,348	$11,094
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	72	$1,698	10% above the national average	$1,349	$9,016

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.