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 2,201–2,250. 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
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	890	$1,985	29% above the national average	$1,579	$11,486
Clovis Community Medical CenterClovis, CA · CCN 050492	415	$1,986	29% above the national average	$1,581	$8,729
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	280	$1,986	29% above the national average	$1,580	$12,745
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	43	$1,986	29% above the national average	$1,578	$10,726
Scripps Green HospitalLa Jolla, CA · CCN 050424	473	$1,987	29% above the national average	$1,581	$30,773
St Johns Regional Medical CenterOxnard, CA · CCN 050082	254	$1,987	29% above the national average	$1,578	$10,888
Providence St. Joseph HospitalOrange, CA · CCN 050069	184	$1,988	29% above the national average	$1,581	$10,929
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	252	$1,989	29% above the national average	$1,583	$11,342
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	539	$1,991	29% above the national average	$1,584	$7,424
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	27	$1,993	30% above the national average	$1,588	$12,527
Mad River Community HospitalArcata, CA · CCN 050028	21	$1,993	30% above the national average	$1,588	$9,641
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	55	$1,993	30% above the national average	$1,588	$38,954
Sherman Oaks HospitalSherman Oaks, CA · CCN 050755	75	$1,993	30% above the national average	$1,588	$6,263
Adventist Health Twin CitiesTempleton, CA · CCN 050633	12	$1,993	30% above the national average	$1,588	$22,391
Casa Colina HospitalPomona, CA · CCN 050782	16	$1,993	30% above the national average	$1,588	$4,639
Centinela Hospital Medical CenterInglewood, CA · CCN 050739	12	$1,993	30% above the national average	$1,588	$17,294
Fresno Surgical HospitalFresno, CA · CCN 050708	18	$1,993	30% above the national average	$1,588	$13,471
Huntington HospitalPasadena, CA · CCN 050438	134	$1,993	30% above the national average	$1,588	$12,020
La Palma Intercommunity HospitalLa Palma, CA · CCN 050580	14	$1,993	30% above the national average	$1,588	$10,980
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	14	$1,993	30% above the national average	$1,588	$33,951
Sharp Coronado Hospital And Healthcare CenterCoronado, CA · CCN 050234	15	$1,993	30% above the national average	$1,588	$15,574
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	25	$1,993	30% above the national average	$1,587	$14,923
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	578	$1,993	30% above the national average	$1,587	$6,710
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	301	$1,993	30% above the national average	$1,587	$17,087
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	124	$1,993	30% above the national average	$1,587	$8,839
Antelope Valley HospitalLancaster, CA · CCN 050056	35	$1,993	30% above the national average	$1,587	$10,424
Adventist Health White MemorialLos Angeles, CA · CCN 050103	118	$1,993	30% above the national average	$1,587	$8,625
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	95	$1,993	30% above the national average	$1,586	$38,326
Oroville HospitalOroville, CA · CCN 050030	100	$1,993	30% above the national average	$1,586	$10,544
Goleta Valley Cottage HospitalSanta Barbara, CA · CCN 050357	87	$1,993	30% above the national average	$1,586	$8,602
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	41	$1,993	30% above the national average	$1,586	$7,062
Ventura County Medical CenterVentura, CA · CCN 050159	41	$1,993	30% above the national average	$1,585	$6,054
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	175	$1,993	30% above the national average	$1,585	$8,415
Adventist Health TulareTulare, CA · CCN 050784	19	$1,993	30% above the national average	$1,585	$15,180
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	57	$1,993	30% above the national average	$1,585	$4,828
Sharp Memorial HospitalSan Diego, CA · CCN 050100	257	$1,993	30% above the national average	$1,585	$11,590
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	51	$1,993	30% above the national average	$1,584	$12,722
Lac/Olive View-UCLA Medical CenterSylmar, CA · CCN 050040	40	$1,993	30% above the national average	$1,584	$7,813
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	133	$1,993	30% above the national average	$1,583	$10,354
Doctors Medical CenterModesto, CA · CCN 050464	59	$1,993	30% above the national average	$1,583	$30,506
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	113	$1,993	30% above the national average	$1,582	$18,633
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	54	$1,993	30% above the national average	$1,582	$14,340
Riverside Community HospitalRiverside, CA · CCN 050022	32	$1,993	30% above the national average	$1,582	$38,764
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	50	$1,993	30% above the national average	$1,581	$8,243
Uci Health - Fountain ValleyFountain Valley, CA · CCN 050570	56	$1,993	30% above the national average	$1,580	$15,500
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	46	$1,993	30% above the national average	$1,580	$10,831
Redlands Community HospitalRedlands, CA · CCN 050272	51	$1,993	30% above the national average	$1,579	$16,659
Whittier Hospital Medical CenterWhittier, CA · CCN 050735	20	$1,993	30% above the national average	$1,579	$18,381
Uci Health - Placentia LindaPlacentia, CA · CCN 050589	22	$1,994	30% above the national average	$1,571	$16,104
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	15	$1,994	30% above the national average	$1,563	$12,523

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.