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 2,101–2,150. 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
Maimonides Medical CenterBrooklyn, NY · CCN 330194	322	$1,840	20% above the national average	$1,464	$9,499
Westchester Medical CenterValhalla, NY · CCN 330234	68	$1,840	20% above the national average	$1,466	$35,029
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 330085	34	$1,841	20% above the national average	$1,467	$1,464
Samaritan Medical CenterWatertown, NY · CCN 330157	157	$1,841	20% above the national average	$1,466	$3,508
St James HospitalHornell, NY · CCN 330151	41	$1,841	20% above the national average	$1,464	$4,019
Cayuga Medical Center At IthacaIthaca, NY · CCN 330307	173	$1,841	20% above the national average	$1,462	$8,334
Brooks-TLC Hospital System, IncDunkirk, NY · CCN 330229	32	$1,841	20% above the national average	$1,457	$2,864
Kaiser Foundation Hospital - San DiegoSan Diego, CA · CCN 050515	28	$1,844	20% above the national average	$1,439	$10,719
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	23	$1,845	20% above the national average	$1,470	$4,807
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	45	$1,845	20% above the national average	$1,470	$9,896
Carepoint Health - Bayonne Medical CenterBayonne, NJ · CCN 310025	17	$1,845	20% above the national average	$1,470	$17,690
Elmhurst Hospital CenterElmhurst, NY · CCN 330128	12	$1,845	20% above the national average	$1,470	$6,295
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	11	$1,845	20% above the national average	$1,470	$5,151
Hudson Regional HospitalSecaucus, NJ · CCN 310118	11	$1,845	20% above the national average	$1,470	$17,706
Hudson Valley Hospital CenterCortlandt Manor, NY · CCN 330267	127	$1,845	20% above the national average	$1,470	$14,184
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	16	$1,845	20% above the national average	$1,470	$4,631
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	15	$1,845	20% above the national average	$1,470	$10,836
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 330019	24	$1,845	20% above the national average	$1,470	$13,811
St Barnabas HospitalBronx, NY · CCN 330399	13	$1,845	20% above the national average	$1,470	$7,771
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	19	$1,845	20% above the national average	$1,470	$6,716
Wyckoff Heights Medical CenterBrooklyn, NY · CCN 330221	17	$1,845	20% above the national average	$1,470	$4,779
Holy Name Medical CenterTeaneck, NJ · CCN 310008	188	$1,845	20% above the national average	$1,466	$11,598
St John's Riverside HospitalYonkers, NY · CCN 330208	49	$1,845	20% above the national average	$1,466	$8,580
Jacobi Medical CenterBronx, NY · CCN 330127	22	$1,845	20% above the national average	$1,459	$6,441
South Brooklyn HealthBrooklyn, NY · CCN 330196	16	$1,845	20% above the national average	$1,458	$5,562
Bellevue Hospital CenterNew York, NY · CCN 330204	23	$1,845	20% above the national average	$1,453	$5,979
Harlem Hospital CenterNew York, NY · CCN 330240	11	$1,845	20% above the national average	$1,453	$5,813
Queens Hospital CenterJamaica, NY · CCN 330231	26	$1,846	20% above the national average	$1,439	$7,178
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	270	$1,852	20% above the national average	$1,472	$14,254
Victor Valley Global Medical CenterVictorville, CA · CCN 050517	15	$1,860	21% above the national average	$1,482	$12,865
Nantucket Cottage HospitalNantucket, MA · CCN 220177	14	$1,865	21% above the national average	$1,486	$4,532
Wilcox Memorial HospitalLihue, HI · CCN 120014	46	$1,875	22% above the national average	$1,468	$6,011
Garnet Health Medical Center CatskillsHarris, NY · CCN 330386	14	$1,878	22% above the national average	$1,496	$8,477
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	280	$1,880	22% above the national average	$1,493	$12,824
PIH Health Downey HospitalDowney, CA · CCN 050393	15	$1,887	23% above the national average	$1,482	$14,371
St Mary Medical CenterLong Beach, CA · CCN 050191	17	$1,900	23% above the national average	$1,495	$12,236
Kern Medical CenterBakersfield, CA · CCN 050315	19	$1,903	24% above the national average	$1,516	$13,101
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	221	$1,905	24% above the national average	$1,513	$12,841
Arrowhead Regional Medical CenterColton, CA · CCN 050245	23	$1,907	24% above the national average	$1,519	$15,193
Corona Regional Medical CenterCorona, CA · CCN 050329	19	$1,910	24% above the national average	$1,485	$12,715
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	53	$1,913	24% above the national average	$1,503	$16,684
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	20	$1,914	24% above the national average	$1,509	$17,681
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	176	$1,918	25% above the national average	$1,506	$7,051
Maui Memorial Medical CenterWailuku, HI · CCN 120002	42	$1,921	25% above the national average	$1,515	$9,475
Adventist Health HanfordHanford, CA · CCN 050121	67	$1,922	25% above the national average	$1,526	$9,328
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276	34	$1,926	25% above the national average	$1,525	$4,294
Hilo Benioff Medical CenterHilo, HI · CCN 120005	47	$1,930	25% above the national average	$1,517	$17,606
Kaiser Foundation Hospital-Santa ClaraSanta Clara, CA · CCN 050071	11	$1,932	26% above the national average	$1,459	$15,799
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	145	$1,935	26% above the national average	$1,526	$12,352
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	396	$1,935	26% above the national average	$1,538	$10,508

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.