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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Year of care

2,315 hospitals reported at least 11 Medicare procedures for this in 2024; showing 2,001–2,050. 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
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	71	$1,741	13% above the national average	$1,381	$6,470
Boston Medical Center-BrightonBrighton, MA · CCN 220036	34	$1,741	13% above the national average	$1,377	$5,806
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	55	$1,742	13% above the national average	$1,381	$10,029
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	18	$1,742	13% above the national average	$1,388	$12,028
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	172	$1,743	13% above the national average	$1,387	$13,089
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	135	$1,743	13% above the national average	$1,386	$6,945
Samaritan HospitalMoses Lake, WA · CCN 500033	30	$1,743	13% above the national average	$1,385	$10,774
Jersey City Medical CenterJersey City, NJ · CCN 310074	43	$1,744	13% above the national average	$1,367	$7,054
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	121	$1,747	14% above the national average	$1,383	$5,926
Waterbury HospitalWaterbury, CT · CCN 070005	53	$1,747	14% above the national average	$1,386	$19,757
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	33	$1,748	14% above the national average	$1,382	$8,770
Mercy Medical CenterRoseburg, OR · CCN 380027	84	$1,750	14% above the national average	$1,391	$7,735
Hartford HospitalHartford, CT · CCN 070025	177	$1,752	14% above the national average	$1,383	$9,172
Lincoln Medical & Mental Health CenterBronx, NY · CCN 330080	12	$1,753	14% above the national average	$1,361	$6,632
Northwell Hospital Glen CoveGlen Cove, NY · CCN 330181	20	$1,754	14% above the national average	$1,383	$17,948
The Queens Medical CenterHonolulu, HI · CCN 120001	316	$1,755	14% above the national average	$1,386	$9,876
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	245	$1,755	14% above the national average	$1,385	$7,287
Windham Community Memorial HospitalWillimantic, CT · CCN 070021	28	$1,757	14% above the national average	$1,383	$9,340
Bay Area HospitalCoos Bay, OR · CCN 380090	196	$1,757	14% above the national average	$1,396	$5,131
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	62	$1,762	15% above the national average	$1,398	$12,056
Central Peninsula General HospitalSoldotna, AK · CCN 020024	105	$1,765	15% above the national average	$1,400	$10,010
Garnet Health Medical CenterMiddletown, NY · CCN 330126	321	$1,768	15% above the national average	$1,402	$7,932
North Shore University HospitalManhasset, NY · CCN 330106	1,154	$1,769	15% above the national average	$1,398	$10,266
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	80	$1,770	15% above the national average	$1,409	$20,270
Morristown Medical CenterMorristown, NJ · CCN 310015	721	$1,770	15% above the national average	$1,405	$12,984
St Anthony Community HospitalWarwick, NY · CCN 330205	27	$1,771	15% above the national average	$1,387	$15,930
Guthrie Cortland Regional Medical CenterCortland, NY · CCN 330175	44	$1,774	15% above the national average	$1,400	$10,517
Staten Island University HospitalStaten Island, NY · CCN 330160	212	$1,778	16% above the national average	$1,406	$10,545
William W Backus HospitalNorwich, CT · CCN 070024	159	$1,778	16% above the national average	$1,410	$8,521
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	74	$1,778	16% above the national average	$1,415	$12,224
Rockville General HospitalVernon, CT · CCN 070012	37	$1,779	16% above the national average	$1,407	$7,953
Lawrence & Memorial HospitalNew London, CT · CCN 070007	157	$1,781	16% above the national average	$1,412	$8,186
Greenwich Hospital Association -Greenwich, CT · CCN 070018	186	$1,782	16% above the national average	$1,411	$9,030
Lenox Hill HospitalNew York, NY · CCN 330119	172	$1,782	16% above the national average	$1,409	$16,794
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	273	$1,783	16% above the national average	$1,414	$7,246
Phelps HospitalSleepy Hollow, NY · CCN 330261	158	$1,784	16% above the national average	$1,407	$15,920
Olean General HospitalOlean, NY · CCN 330103	37	$1,786	16% above the national average	$1,399	$3,902
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	263	$1,787	16% above the national average	$1,420	$12,826
Overlook Medical CenterSummit, NJ · CCN 310051	299	$1,788	16% above the national average	$1,418	$13,693
Bristol HospitalBristol, CT · CCN 070029	69	$1,788	16% above the national average	$1,416	$9,969
Auburn Community HospitalAuburn, NY · CCN 330235	45	$1,788	16% above the national average	$1,415	$6,495
Providence Centralia HospitalCentralia, WA · CCN 500019	18	$1,789	16% above the national average	$1,425	$12,836
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	94	$1,790	16% above the national average	$1,413	$6,368
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	608	$1,791	16% above the national average	$1,422	$16,211
St Charles HospitalPort Jefferson, NY · CCN 330246	75	$1,792	16% above the national average	$1,422	$11,644
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	76	$1,792	16% above the national average	$1,422	$11,127
Bartlett Regional HospitalJuneau, AK · CCN 020008	26	$1,792	16% above the national average	$1,428	$6,618
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	35	$1,792	16% above the national average	$1,421	$11,873
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	162	$1,794	17% above the national average	$1,429	$12,456
Salem HospitalSalem, OR · CCN 380051	182	$1,795	17% above the national average	$1,427	$8,808

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.