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 2,151–2,200. 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
Sharon HospitalSharon, CT · CCN 070004	26	$1,937	26% above the national average	$1,522	$5,636
Uci Health-OrangeOrange, CA · CCN 050348 · +$225 outlier payments per case	427	$1,939	26% above the national average	$1,544	$15,624
Enloe HealthChico, CA · CCN 050039	392	$1,941	26% above the national average	$1,544	$14,955
Community Regional Medical CenterFresno, CA · CCN 050060	80	$1,944	26% above the national average	$1,544	$9,121
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	45	$1,949	27% above the national average	$1,553	$9,034
Palmdale Regional Medical CenterPalmdale, CA · CCN 050204	63	$1,950	27% above the national average	$1,541	$23,685
Keck Hospital Of USCLos Angeles, CA · CCN 050696	213	$1,950	27% above the national average	$1,547	$14,602
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	47	$1,951	27% above the national average	$1,549	$13,587
Providence Medford Medical CenterMedford, OR · CCN 380075	161	$1,953	27% above the national average	$1,550	$5,796
Memorial Medical CenterModesto, CA · CCN 050557	160	$1,954	27% above the national average	$1,547	$9,941
AHMC Anaheim Regional Medical CenterAnaheim, CA · CCN 050226	21	$1,955	27% above the national average	$1,557	$12,879
Kaiser Foundation Hospital - West LALos Angeles, CA · CCN 050561	12	$1,955	27% above the national average	$1,557	$10,135
Sierra View Medical CenterPorterville, CA · CCN 050261	107	$1,956	27% above the national average	$1,553	$9,752
Pioneers Memorial Healthcare DistrictBrawley, CA · CCN 050342	54	$1,957	27% above the national average	$1,551	$5,603
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	33	$1,958	27% above the national average	$1,545	$11,652
Uci Health-LakewoodLakewood, CA · CCN 050581	28	$1,958	27% above the national average	$1,546	$15,119
Grossmont HospitalLa Mesa, CA · CCN 050026	122	$1,959	27% above the national average	$1,554	$12,439
Tri-City Medical CenterOceanside, CA · CCN 050128	60	$1,960	27% above the national average	$1,559	$8,645
Adventist Health Simi ValleySimi Valley, CA · CCN 050236	61	$1,961	27% above the national average	$1,562	$5,426
Shasta Regional Medical CenterRedding, CA · CCN 050764	31	$1,961	27% above the national average	$1,550	$21,960
St Bernardine Medical CenterSan Bernardino, CA · CCN 050129	32	$1,962	28% above the national average	$1,550	$8,087
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	103	$1,963	28% above the national average	$1,554	$16,159
Sutter Tracy Community HospitalTracy, CA · CCN 050313	45	$1,964	28% above the national average	$1,544	$8,926
Mercy Medical CenterMerced, CA · CCN 050444	100	$1,965	28% above the national average	$1,556	$6,066
Saint John's Health CenterSanta Monica, CA · CCN 050290	258	$1,967	28% above the national average	$1,562	$8,802
North Hawaii Community Hospital, IncKamuela, HI · CCN 120028	55	$1,968	28% above the national average	$1,561	$10,207
Northern Nevada Medical CenterSparks, NV · CCN 290032	54	$1,968	28% above the national average	$1,568	$14,711
Saint Agnes Medical CenterFresno, CA · CCN 050093	292	$1,969	28% above the national average	$1,566	$8,418
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	109	$1,970	28% above the national average	$1,565	$22,367
Kaiser Foundation Hospital - Oakland/RichmondOakland, CA · CCN 050075	16	$1,970	28% above the national average	$1,484	$21,773
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	37	$1,970	28% above the national average	$1,560	$20,361
Mercy Medical Center ReddingRedding, CA · CCN 050280	207	$1,971	28% above the national average	$1,564	$11,027
Adventist Health BakersfieldBakersfield, CA · CCN 050455	214	$1,971	28% above the national average	$1,564	$5,816
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	72	$1,971	28% above the national average	$1,560	$11,580
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625 · +$50 outlier payments per case	831	$1,973	28% above the national average	$1,569	$30,657
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	54	$1,975	28% above the national average	$1,565	$19,226
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	223	$1,975	28% above the national average	$1,574	$9,038
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025 · +$79 outlier payments per case	693	$1,976	28% above the national average	$1,572	$9,299
Providence St Joseph HospitalEureka, CA · CCN 050006	177	$1,977	28% above the national average	$1,565	$17,432
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	98	$1,977	29% above the national average	$1,563	$19,189
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	266	$1,978	29% above the national average	$1,573	$10,915
Providence Mission HospitalMission Viejo, CA · CCN 050567	325	$1,979	29% above the national average	$1,572	$9,819
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	92	$1,979	29% above the national average	$1,567	$33,855
Scripps Mercy HospitalSan Diego, CA · CCN 050077 · +$514 outlier payments per case	122	$1,980	29% above the national average	$1,574	$34,159
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	325	$1,980	29% above the national average	$1,574	$13,452
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	79	$1,981	29% above the national average	$1,577	$11,754
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	101	$1,982	29% above the national average	$1,573	$15,508
Kaweah Health Medical CenterVisalia, CA · CCN 050057	161	$1,984	29% above the national average	$1,574	$8,060
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	161	$1,984	29% above the national average	$1,570	$9,465
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	518	$1,984	29% above the national average	$1,579	$11,777

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.