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 1,901–1,950. 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 Mary's Regional Medical CenterReno, NV · CCN 290009	96	$1,699	10% above the national average	$1,345	$10,956
Claxton-Hepburn Medical CenterOgdensburg, NY · CCN 330211	26	$1,700	10% above the national average	$1,348	$3,716
Summerlin Hospital Medical CenterLas Vegas, NV · CCN 290041	123	$1,700	10% above the national average	$1,348	$26,083
Henderson HospitalHenderson, NV · CCN 290057	39	$1,701	11% above the national average	$1,357	$34,781
Tufts Medical CenterBoston, MA · CCN 220116	172	$1,701	11% above the national average	$1,347	$7,961
Providence Portland Medical CenterPortland, OR · CCN 380061	168	$1,701	11% above the national average	$1,355	$7,580
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	30	$1,701	11% above the national average	$1,355	$6,473
Adventist Health PortlandPortland, OR · CCN 380060	72	$1,701	11% above the national average	$1,354	$11,035
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	32	$1,701	11% above the national average	$1,354	$6,136
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	78	$1,701	11% above the national average	$1,352	$6,007
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	25	$1,701	11% above the national average	$1,348	$9,947
CentraState Medical CenterFreehold, NJ · CCN 310111	135	$1,704	11% above the national average	$1,352	$8,378
Arnot Ogden Medical CenterElmira, NY · CCN 330090	89	$1,704	11% above the national average	$1,352	$5,518
Ellis HospitalSchenectady, NY · CCN 330153	89	$1,704	11% above the national average	$1,351	$8,192
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	243	$1,705	11% above the national average	$1,354	$18,458
Yakima Valley MemorialYakima, WA · CCN 500036	189	$1,705	11% above the national average	$1,354	$6,125
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	45	$1,706	11% above the national average	$1,353	$26,275
Holyoke Medical CenterHolyoke, MA · CCN 220024	88	$1,706	11% above the national average	$1,354	$5,345
St Charles Medical Center - BendBend, OR · CCN 380047	184	$1,706	11% above the national average	$1,357	$8,986
Saratoga HospitalSaratoga Springs, NY · CCN 330222	204	$1,706	11% above the national average	$1,355	$9,276
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	234	$1,707	11% above the national average	$1,355	$10,753
Mountainview HospitalLas Vegas, NV · CCN 290039	47	$1,707	11% above the national average	$1,354	$22,189
Saint Vincent HospitalErie, PA · CCN 390009	128	$1,709	11% above the national average	$1,355	$15,530
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	44	$1,710	11% above the national average	$1,357	$40,977
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	619	$1,711	11% above the national average	$1,357	$10,641
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 290003	55	$1,711	11% above the national average	$1,358	$28,461
Riverview Medical CenterRed Bank, NJ · CCN 310034	373	$1,712	11% above the national average	$1,360	$10,032
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	335	$1,712	11% above the national average	$1,360	$15,767
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	186	$1,712	11% above the national average	$1,361	$7,407
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	218	$1,713	11% above the national average	$1,361	$7,927
Saint Alphonsus Medical Center OntarioOntario, OR · CCN 380052	18	$1,713	11% above the national average	$1,365	$6,549
Southcoast Hospitals GroupFall River, MA · CCN 220074	432	$1,715	11% above the national average	$1,362	$8,197
Baystate Wing HospitalPalmer, MA · CCN 220030	34	$1,716	11% above the national average	$1,367	$3,077
Kings County Hospital CenterBrooklyn, NY · CCN 330202	13	$1,717	12% above the national average	$1,340	$8,025
Saint Anne's HospitalFall River, MA · CCN 220020	224	$1,717	12% above the national average	$1,365	$6,584
Cape Cod HospitalHyannis, MA · CCN 220012	446	$1,717	12% above the national average	$1,367	$7,132
Unity HospitalRochester, NY · CCN 330226	33	$1,719	12% above the national average	$1,370	$9,848
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	20	$1,719	12% above the national average	$1,370	$7,352
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	21	$1,719	12% above the national average	$1,370	$5,241
Highland HospitalRochester, NY · CCN 330164	102	$1,719	12% above the national average	$1,368	$6,977
Rome Memorial Hospital, IncRome, NY · CCN 330215	50	$1,719	12% above the national average	$1,366	$5,824
Columbia Memorial HospitalHudson, NY · CCN 330094	103	$1,719	12% above the national average	$1,364	$6,239
Glens Falls HospitalGlens Falls, NY · CCN 330191	201	$1,719	12% above the national average	$1,364	$5,274
Brown University Health Morton HospitalTaunton, MA · CCN 220073	65	$1,720	12% above the national average	$1,365	$6,237
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039	41	$1,720	12% above the national average	$1,370	$15,344
Boston Medical CenterBoston, MA · CCN 220031	201	$1,720	12% above the national average	$1,365	$7,281
Clara Maass Medical CenterBelleville, NJ · CCN 310009	66	$1,720	12% above the national average	$1,366	$8,211
Southside HospitalBay Shore, NY · CCN 330043	56	$1,721	12% above the national average	$1,350	$13,448
Brigham And Women's HospitalBoston, MA · CCN 220110	1,552	$1,723	12% above the national average	$1,369	$6,429
Renown Regional Medical CenterReno, NV · CCN 290001	374	$1,724	12% above the national average	$1,367	$20,747

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.