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 201–250. 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
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	165	$1,337	13% below the national average	$1,037	$28,335
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	37	$1,337	13% below the national average	$1,053	$15,408
Anderson Regional Medical CenterMeridian, MS · CCN 250104	142	$1,337	13% below the national average	$1,065	$5,974
North Oaks Medical CenterHammond, LA · CCN 190015	81	$1,337	13% below the national average	$1,059	$15,893
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	132	$1,337	13% below the national average	$1,062	$9,233
Claiborne Medical CenterTazewell, TN · CCN 440057	14	$1,337	13% below the national average	$1,065	$4,139
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	50	$1,337	13% below the national average	$1,065	$6,090
Roane Medical CenterHarriman, TN · CCN 440031	26	$1,337	13% below the national average	$1,064	$4,735
Leconte Medical CenterSevierville, TN · CCN 440081	46	$1,337	13% below the national average	$1,057	$5,674
Bay Park Community HospitalOregon, OH · CCN 360259	24	$1,338	13% below the national average	$1,056	$10,902
Parrish Medical CenterTitusville, FL · CCN 100028	124	$1,338	13% below the national average	$1,033	$9,570
Greeneville Community HospitalGreeneville, TN · CCN 440050	41	$1,338	13% below the national average	$1,066	$9,462
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	307	$1,338	13% below the national average	$1,058	$9,531
Berger HospitalCircleville, OH · CCN 360170	26	$1,338	13% below the national average	$1,057	$10,492
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	58	$1,339	13% below the national average	$1,050	$6,566
St Vincent's BirminghamBirmingham, AL · CCN 010056	145	$1,339	13% below the national average	$1,061	$9,154
St Tammany Parish HospitalCovington, LA · CCN 190045	254	$1,339	13% below the national average	$1,056	$14,796
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	78	$1,340	13% below the national average	$1,059	$12,563
Baptist Memorial Hospital Union CountyNew Albany, MS · CCN 250006	46	$1,340	13% below the national average	$1,058	$8,787
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	36	$1,340	13% below the national average	$1,068	$6,621
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 360211	76	$1,340	13% below the national average	$1,057	$8,605
Weirton Medical Center, IncWeirton, WV · CCN 510023	110	$1,340	13% below the national average	$1,064	$12,890
Caldwell Memorial HospitalLenoir, NC · CCN 340041	56	$1,341	13% below the national average	$1,059	$6,268
Highlands ARH Regional Medical CenterPrestonsburg, KY · CCN 180005	32	$1,341	13% below the national average	$1,058	$10,288
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 250048	280	$1,341	13% below the national average	$1,061	$7,915
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	142	$1,341	13% below the national average	$1,061	$11,598
Mercy Regional Medical CenterLorain, OH · CCN 360172	52	$1,342	13% below the national average	$1,060	$11,583
Van Wert County HospitalVan Wert, OH · CCN 360071	27	$1,342	13% below the national average	$1,065	$7,499
De Tar Hospital NavarroVictoria, TX · CCN 450147	59	$1,342	13% below the national average	$1,048	$32,592
Alliance Community HospitalAlliance, OH · CCN 360131	29	$1,342	13% below the national average	$1,054	$5,652
Charleston Area Medical CenterCharleston, WV · CCN 510022	430	$1,342	13% below the national average	$1,064	$8,390
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	392	$1,342	13% below the national average	$1,065	$10,908
Summa Health SystemAkron, OH · CCN 360020	205	$1,342	13% below the national average	$1,061	$10,392
Huntsville HospitalHuntsville, AL · CCN 010039	432	$1,342	13% below the national average	$1,063	$9,070
USA Health Children's & Women's HospitalMobile, AL · CCN 013301	31	$1,343	13% below the national average	$1,063	$5,612
Cox Medical CentersSpringfield, MO · CCN 260040	360	$1,344	13% below the national average	$1,066	$8,465
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	20	$1,344	13% below the national average	$1,068	$5,977
Sharon Regional Medical CenterSharon, PA · CCN 390211	25	$1,344	13% below the national average	$1,067	$16,053
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	210	$1,344	13% below the national average	$1,067	$7,344
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	314	$1,344	13% below the national average	$1,067	$10,435
Unity Medical CenterManchester, TN · CCN 440007	18	$1,344	13% below the national average	$1,067	$3,904
Jackson Hospital & Clinic IncMontgomery, AL · CCN 010024	53	$1,344	13% below the national average	$1,071	$8,880
Riverview Regional Medical CenterGadsden, AL · CCN 010046	16	$1,344	13% below the national average	$1,066	$18,994
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	71	$1,344	13% below the national average	$1,069	$5,244
Aspirus Wausau HospitalWausau, WI · CCN 520030	224	$1,344	13% below the national average	$1,068	$7,568
Mercy Medical CenterCanton, OH · CCN 360070	148	$1,345	13% below the national average	$1,064	$10,807
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	25	$1,345	13% below the national average	$1,063	$15,788
Three Crosses Regional Hospital LLCLas Cruces, NM · CCN 320091	28	$1,345	13% below the national average	$1,064	$9,650
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	42	$1,346	13% below the national average	$1,057	$18,733
North Baldwin InfirmaryBay Minette, AL · CCN 010129	11	$1,346	13% below the national average	$1,066	$5,397

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.