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 1,951–2,000. 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
Lowell General HospitalLowell, MA · CCN 220063	317	$1,724	12% above the national average	$1,368	$7,972
Mercy Medical CenterSpringfield, MA · CCN 220066	129	$1,724	12% above the national average	$1,369	$4,735
Winchester HospitalWinchester, MA · CCN 220105	247	$1,724	12% above the national average	$1,370	$4,807
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	228	$1,724	12% above the national average	$1,359	$17,528
Massachusetts General HospitalBoston, MA · CCN 220071	1,339	$1,725	12% above the national average	$1,372	$8,054
Swedish Medical CenterSeattle, WA · CCN 500027	302	$1,725	12% above the national average	$1,371	$8,271
Falmouth HospitalFalmouth, MA · CCN 220135	172	$1,725	12% above the national average	$1,371	$6,875
Milford Regional Medical CenterMilford, MA · CCN 220090	177	$1,726	12% above the national average	$1,370	$5,502
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	97	$1,727	12% above the national average	$1,371	$17,558
North Shore Medical Center -Salem, MA · CCN 220035	311	$1,727	12% above the national average	$1,375	$5,347
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	125	$1,727	12% above the national average	$1,369	$6,349
Anna Jaques HospitalNewburyport, MA · CCN 220029	128	$1,728	12% above the national average	$1,376	$6,106
Confluence Health HospitalWenatchee, WA · CCN 500016	251	$1,728	12% above the national average	$1,371	$7,029
Carson Tahoe Regional Medical CenterCarson City, NV · CCN 290019	250	$1,728	12% above the national average	$1,371	$8,985
St Vincent HospitalWorcester, MA · CCN 220176	111	$1,729	12% above the national average	$1,372	$13,156
Emerson Hospital -W Concord, MA · CCN 220084	211	$1,729	12% above the national average	$1,375	$5,263
St Michael Medical CenterSilverdale, WA · CCN 500039	302	$1,729	12% above the national average	$1,371	$9,742
Baystate Medical CenterSpringfield, MA · CCN 220077	603	$1,731	12% above the national average	$1,375	$5,397
Northeast Hospital CorporationBeverly, MA · CCN 220033	303	$1,731	12% above the national average	$1,378	$5,599
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	725	$1,731	12% above the national average	$1,378	$4,852
Mount Auburn HospitalCambridge, MA · CCN 220002	236	$1,732	13% above the national average	$1,377	$6,621
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	164	$1,733	13% above the national average	$1,378	$12,178
MelroseWakefield HealthcareMelrose, MA · CCN 220070	171	$1,733	13% above the national average	$1,379	$6,153
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	123	$1,733	13% above the national average	$1,371	$22,844
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224	46	$1,734	13% above the national average	$1,374	$7,311
Newton-Wellesley HospitalNewton, MA · CCN 220101	434	$1,734	13% above the national average	$1,381	$4,437
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	642	$1,735	13% above the national average	$1,379	$7,718
South Shore HospitalSouth Weymouth, MA · CCN 220100	670	$1,735	13% above the national average	$1,379	$4,083
Plainview HospitalPlainview, NY · CCN 330331	67	$1,736	13% above the national average	$1,363	$12,054
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	17	$1,736	13% above the national average	$1,383	$15,917
Renown South Meadows Medical CenterReno, NV · CCN 290049	26	$1,736	13% above the national average	$1,383	$17,482
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 290053	16	$1,736	13% above the national average	$1,377	$19,105
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	15	$1,737	13% above the national average	$1,371	$34,529
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	318	$1,737	13% above the national average	$1,382	$3,566
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	22	$1,737	13% above the national average	$1,384	$10,091
Olympic Medical CenterPort Angeles, WA · CCN 500072	280	$1,738	13% above the national average	$1,381	$3,803
Northern Westchester HospitalMount Kisco, NY · CCN 330162	187	$1,738	13% above the national average	$1,361	$10,275
Heywood Hospital -Gardner, MA · CCN 220095	54	$1,739	13% above the national average	$1,385	$5,800
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	35	$1,741	13% above the national average	$1,387	$3,425
Cambridge Health AllianceCambridge, MA · CCN 220011	56	$1,741	13% above the national average	$1,387	$3,049
Massachusetts Eye And Ear Infirmary -Boston, MA · CCN 220075	97	$1,741	13% above the national average	$1,387	$6,608
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	92	$1,741	13% above the national average	$1,386	$6,419
Holy Family HospitalMethuen, MA · CCN 220080	104	$1,741	13% above the national average	$1,386	$4,700
Baystate Noble HospitalWestfield, MA · CCN 220065	57	$1,741	13% above the national average	$1,386	$6,317
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	127	$1,741	13% above the national average	$1,385	$4,036
Norwood HospitalNorwood, MA · CCN 220126	23	$1,741	13% above the national average	$1,385	$3,136
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	230	$1,741	13% above the national average	$1,385	$4,870
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	103	$1,741	13% above the national average	$1,384	$4,290
Marlborough HospitalMarlborough, MA · CCN 220049	65	$1,741	13% above the national average	$1,382	$9,785
MetroWest Medical CenterFramingham, MA · CCN 220175	34	$1,741	13% above the national average	$1,381	$15,465

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.