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 2,251–2,300. 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
University Of California Davis Medical CenterSacramento, CA · CCN 050599 · +$77 outlier payments per case	677	$1,998	30% above the national average	$1,590	$11,344
Sutter Davis HospitalDavis, CA · CCN 050537	25	$2,005	30% above the national average	$1,584	$9,736
Sutter Surgical Hospital - North ValleyYuba City, CA · CCN 050766	15	$2,005	30% above the national average	$1,598	$16,874
Adventist Health Lodi MemorialLodi, CA · CCN 050336	69	$2,013	31% above the national average	$1,598	$17,568
Doctors Hospital Of MantecaManteca, CA · CCN 050118	36	$2,036	32% above the national average	$1,618	$24,474
San Joaquin General HospitalFrench Camp, CA · CCN 050167	17	$2,036	32% above the national average	$1,611	$25,224
Emanuel Medical CenterTurlock, CA · CCN 050179	86	$2,037	32% above the national average	$1,623	$21,738
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	250	$2,051	33% above the national average	$1,629	$9,292
Sierra Nevada Memorial HospitalGrass Valley, CA · CCN 050150	154	$2,057	34% above the national average	$1,636	$9,258
Adventist Health And RideoutMarysville, CA · CCN 050133	97	$2,069	34% above the national average	$1,648	$12,066
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	52	$2,071	35% above the national average	$1,650	$17,670
Sutter Auburn Faith HospitalAuburn, CA · CCN 050498	20	$2,071	35% above the national average	$1,650	$15,153
Woodland Memorial HospitalWoodland, CA · CCN 050127	31	$2,071	35% above the national average	$1,650	$14,341
Mercy General HospitalSacramento, CA · CCN 050017	36	$2,071	35% above the national average	$1,649	$14,391
Marshall Medical CenterPlacerville, CA · CCN 050254	199	$2,071	35% above the national average	$1,648	$7,864
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	183	$2,079	35% above the national average	$1,654	$16,657
Adventist Health St HelenaSaint Helena, CA · CCN 050013	45	$2,081	35% above the national average	$1,657	$21,552
Kaiser Foundation Hospital South SacramentoSacramento, CA · CCN 050674	12	$2,085	35% above the national average	$1,626	$17,681
Natividad Medical CenterSalinas, CA · CCN 050248	26	$2,097	36% above the national average	$1,651	$8,314
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	111	$2,099	36% above the national average	$1,668	$9,218
Adventist Health SonoraSonora, CA · CCN 050335	313	$2,117	38% above the national average	$1,684	$8,115
Petaluma Valley HospitalPetaluma, CA · CCN 050136	42	$2,123	38% above the national average	$1,678	$14,386
Dominican HospitalSanta Cruz, CA · CCN 050242	79	$2,124	38% above the national average	$1,690	$14,218
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	92	$2,127	38% above the national average	$1,684	$12,662
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	100	$2,135	39% above the national average	$1,700	$14,837
St Elizabeth Community HospitalRed Bluff, CA · CCN 050042	55	$2,135	39% above the national average	$1,697	$9,077
Sonoma Valley HospitalSonoma, CA · CCN 050090	29	$2,164	41% above the national average	$1,718	$15,613
Watsonville Community HospitalWatsonville, CA · CCN 050194	24	$2,166	41% above the national average	$1,726	$4,169
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	186	$2,199	43% above the national average	$1,749	$20,990
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	78	$2,205	43% above the national average	$1,743	$10,031
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	138	$2,216	44% above the national average	$1,761	$12,754
Sutter Amador HospitalJackson, CA · CCN 050014	19	$2,218	44% above the national average	$1,739	$4,959
Novato Community HospitalNovato, CA · CCN 050131	39	$2,218	44% above the national average	$1,742	$14,326
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	256	$2,230	45% above the national average	$1,773	$17,055
Eden Medical CenterCastro Valley, CA · CCN 050488	117	$2,236	45% above the national average	$1,776	$11,120
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	282	$2,239	46% above the national average	$1,774	$9,124
Alameda HospitalAlameda, CA · CCN 050211	18	$2,252	46% above the national average	$1,788	$9,842
Highland HospitalOakland, CA · CCN 050320	69	$2,252	46% above the national average	$1,784	$12,077
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	499	$2,254	46% above the national average	$1,789	$17,843
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	280	$2,255	47% above the national average	$1,796	$24,825
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	31	$2,257	47% above the national average	$1,799	$25,427
Sutter Delta Medical CenterAntioch, CA · CCN 050523	27	$2,258	47% above the national average	$1,792	$11,053
El Camino HealthMountain View, CA · CCN 050308	345	$2,259	47% above the national average	$1,793	$25,084
Washington HospitalFremont, CA · CCN 050195	171	$2,259	47% above the national average	$1,794	$14,295
Stanford Health CareStanford, CA · CCN 050441 · +$103 outlier payments per case	1,384	$2,261	47% above the national average	$1,799	$24,492
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	175	$2,271	48% above the national average	$1,808	$11,007
UCSF Medical CenterSan Francisco, CA · CCN 050454 · +$128 outlier payments per case	831	$2,271	48% above the national average	$1,807	$15,859
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 050009	99	$2,271	48% above the national average	$1,804	$13,668
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	252	$2,276	48% above the national average	$1,810	$14,995
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	404	$2,280	48% above the national average	$1,816	$9,874

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.