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 2,051–2,100. 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
Mercy Medical CenterRockville Centre, NY · CCN 330259	101	$1,795	17% above the national average	$1,422	$11,612
MidState Medical CenterMeriden, CT · CCN 070017	113	$1,796	17% above the national average	$1,428	$9,360
Saint Mary's HospitalWaterbury, CT · CCN 070016	80	$1,797	17% above the national average	$1,427	$8,718
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	119	$1,797	17% above the national average	$1,424	$7,793
St Vincent's Medical CenterBridgeport, CT · CCN 070028	88	$1,797	17% above the national average	$1,426	$11,409
Long Island Community HospitalPatchogue, NY · CCN 330141	120	$1,799	17% above the national average	$1,428	$26,273
Kuakini Medical CenterHonolulu, HI · CCN 120007	57	$1,799	17% above the national average	$1,431	$4,615
White Plains Hospital CenterWhite Plains, NY · CCN 330304	421	$1,799	17% above the national average	$1,430	$15,404
Putnam Hospital CenterCarmel, NY · CCN 330273	39	$1,800	17% above the national average	$1,425	$8,960
Middlesex HospitalMiddletown, CT · CCN 070020	164	$1,801	17% above the national average	$1,427	$8,125
Nyu Langone HospitalsNew York, NY · CCN 330214 · +$32 outlier payments per case	1,796	$1,801	17% above the national average	$1,432	$26,239
Pali Momi Medical CenterAiea, HI · CCN 120026	148	$1,802	17% above the national average	$1,424	$5,919
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	149	$1,803	17% above the national average	$1,434	$11,458
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	26	$1,803	17% above the national average	$1,429	$7,808
Bassett HealthcareCooperstown, NY · CCN 330136	216	$1,805	17% above the national average	$1,432	$3,020
Montefiore St Luke's CornwallNewburgh, NY · CCN 330264	113	$1,806	17% above the national average	$1,435	$15,160
Chilton Medical CenterPompton Plains, NJ · CCN 310017	243	$1,807	17% above the national average	$1,434	$17,592
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	16	$1,807	17% above the national average	$1,390	$21,234
Adventist Health CastleKailua, HI · CCN 120006	52	$1,808	17% above the national average	$1,429	$6,864
Straub Clinic And HospitalHonolulu, HI · CCN 120022	127	$1,808	17% above the national average	$1,432	$5,874
Richmond University Medical CenterStaten Island, NY · CCN 330028	50	$1,808	18% above the national average	$1,435	$13,424
Manchester Memorial HospitalManchester, CT · CCN 070027	68	$1,809	18% above the national average	$1,440	$12,224
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	109	$1,809	18% above the national average	$1,439	$10,191
Day Kimball HospitalPutnam, CT · CCN 070003	65	$1,809	18% above the national average	$1,437	$6,056
Mount Sinai HospitalNew York, NY · CCN 330024	364	$1,810	18% above the national average	$1,434	$9,575
Yale-New Haven HospitalNew Haven, CT · CCN 070022	590	$1,810	18% above the national average	$1,437	$9,987
Montefiore Medical CenterBronx, NY · CCN 330059	143	$1,813	18% above the national average	$1,444	$19,019
New York-Presbyterian/QueensFlushing, NY · CCN 330055	122	$1,813	18% above the national average	$1,438	$9,894
St Mary's General HospitalPassaic, NJ · CCN 310006	48	$1,814	18% above the national average	$1,431	$10,608
Nyack HospitalNyack, NY · CCN 330104	181	$1,817	18% above the national average	$1,441	$12,593
Bridgeport HospitalBridgeport, CT · CCN 070010	204	$1,819	18% above the national average	$1,447	$9,205
Mount Sinai Beth IsraelNew York, NY · CCN 330169	124	$1,819	18% above the national average	$1,448	$8,199
Stamford HospitalStamford, CT · CCN 070006	482	$1,819	18% above the national average	$1,447	$13,714
Danbury HospitalDanbury, CT · CCN 070033	227	$1,822	18% above the national average	$1,450	$12,014
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	67	$1,823	18% above the national average	$1,445	$10,854
Kapiolani Medical Center For Women & ChildrenHonolulu, HI · CCN 123300	72	$1,824	19% above the national average	$1,444	$4,307
The University HospitalNewark, NJ · CCN 310119	37	$1,825	19% above the national average	$1,454	$12,747
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	72	$1,825	19% above the national average	$1,451	$12,982
New York-Presbyterian HospitalNew York, NY · CCN 330101	1,050	$1,825	19% above the national average	$1,452	$15,495
Hackensack University Medical CenterHackensack, NJ · CCN 310001	552	$1,825	19% above the national average	$1,445	$11,499
Griffin HospitalDerby, CT · CCN 070031	48	$1,826	19% above the national average	$1,453	$9,684
Mount Sinai WestNew York, NY · CCN 330046	87	$1,826	19% above the national average	$1,451	$13,099
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	366	$1,826	19% above the national average	$1,452	$18,639
Nassau University Medical CenterEast Meadow, NY · CCN 330027	21	$1,827	19% above the national average	$1,456	$7,092
St Joseph HospitalBethpage, NY · CCN 330332	29	$1,827	19% above the national average	$1,456	$11,280
Mount Sinai South NassauOceanside, NY · CCN 330198	229	$1,827	19% above the national average	$1,454	$16,478
Berkshire Medical CenterPittsfield, MA · CCN 220046	341	$1,829	19% above the national average	$1,456	$7,943
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	125	$1,829	19% above the national average	$1,450	$7,362
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	107	$1,831	19% above the national average	$1,454	$23,699
Valley HospitalParamus, NJ · CCN 310012	399	$1,837	19% above the national average	$1,461	$8,277

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.