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 301–350. 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
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	96	$1,356	12% below the national average	$1,070	$7,316
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	51	$1,356	12% below the national average	$1,070	$6,052
Jefferson HospitalJefferson Hills, PA · CCN 390265	104	$1,356	12% below the national average	$1,073	$10,637
Mercy Hospital JoplinJoplin, MO · CCN 260001	132	$1,356	12% below the national average	$1,077	$6,359
SGMC HealthValdosta, GA · CCN 110122	236	$1,357	12% below the national average	$1,077	$8,075
NMC HealthNewton, KS · CCN 170103	65	$1,357	12% below the national average	$1,075	$3,695
Maury Regional HospitalColumbia, TN · CCN 440073	167	$1,357	12% below the national average	$1,075	$7,305
Womans HospitalBaton Rouge, LA · CCN 190128	178	$1,357	12% below the national average	$1,078	$5,402
Kettering Health TroyTroy, OH · CCN 360368	61	$1,357	12% below the national average	$1,077	$11,261
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	569	$1,357	12% below the national average	$1,080	$11,331
Merit Health MadisonCanton, MS · CCN 250038	14	$1,357	12% below the national average	$1,081	$44,077
Lima Memorial Health SystemLima, OH · CCN 360009	104	$1,357	12% below the national average	$1,071	$14,516
Edward W Sparrow HospitalLansing, MI · CCN 230230	211	$1,357	12% below the national average	$1,076	$8,105
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	82	$1,357	12% below the national average	$1,068	$9,966
Parma Community General HospitalParma, OH · CCN 360041	154	$1,358	12% below the national average	$1,076	$8,076
Firelands Regional Medical CenterSandusky, OH · CCN 360025	104	$1,359	12% below the national average	$1,070	$9,641
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	308	$1,359	12% below the national average	$1,075	$10,023
Kaiser Foundation HospitalHonolulu, HI · CCN 120011	21	$1,359	12% below the national average	$974	$6,391
Oklahoma State University Medical CenterTulsa, OK · CCN 370078	30	$1,360	12% below the national average	$1,074	$10,481
St Bernards Medical CenterJonesboro, AR · CCN 040020	382	$1,360	12% below the national average	$1,080	$5,399
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	22	$1,360	12% below the national average	$1,074	$8,196
Owensboro Health Twin Lakes Medical CenterLeitchfield, KY · CCN 180070	13	$1,360	12% below the national average	$1,084	$6,075
Saint Joseph LondonLondon, KY · CCN 180011	33	$1,360	12% below the national average	$1,084	$5,322
Spring View HospitalLebanon, KY · CCN 180024	27	$1,360	12% below the national average	$1,084	$9,742
The Medical Center At RussellvilleRussellville, KY · CCN 180066	12	$1,360	12% below the national average	$1,084	$10,272
Murray-Calloway County HospitalMurray, KY · CCN 180027	44	$1,360	12% below the national average	$1,083	$11,425
Middlesboro ARH HospitalMiddlesboro, KY · CCN 180020	13	$1,360	12% below the national average	$1,081	$8,264
Terrebonne General Medical Center - ParishHouma, LA · CCN 190008	28	$1,360	12% below the national average	$1,084	$8,060
Harrison Memorial HospitalCynthiana, KY · CCN 180079	19	$1,360	12% below the national average	$1,074	$6,742
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	61	$1,360	12% below the national average	$1,080	$9,563
Baptist Health RichmondRichmond, KY · CCN 180049	20	$1,361	12% below the national average	$1,081	$13,022
MH St Joseph Warren HospitalWarren, OH · CCN 360161	59	$1,361	12% below the national average	$1,081	$11,490
Crisp Regional HospitalCordele, GA · CCN 110104	11	$1,361	12% below the national average	$1,063	$6,075
West Chester HospitalWest Chester, OH · CCN 360354	110	$1,361	12% below the national average	$1,077	$10,355
University Medical Center Of El PasoEl Paso, TX · CCN 450024	50	$1,362	11% below the national average	$1,085	$10,069
West Calcasieu Cameron HospitalSulphur, LA · CCN 190013	33	$1,362	11% below the national average	$1,085	$4,151
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	237	$1,362	11% below the national average	$1,078	$10,925
Christus Ochsner Lake Area HospitalLake Charles, LA · CCN 190201	31	$1,362	11% below the national average	$1,078	$12,830
Coastal Carolina HospitalHardeeville, SC · CCN 420101	209	$1,362	11% below the national average	$1,079	$20,608
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	104	$1,362	11% below the national average	$1,081	$6,470
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	136	$1,363	11% below the national average	$1,072	$9,948
Blanchard Valley HospitalFindlay, OH · CCN 360095	172	$1,363	11% below the national average	$1,079	$8,202
Upper Valley Medical CenterTroy, OH · CCN 360174	139	$1,363	11% below the national average	$1,077	$14,148
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	198	$1,363	11% below the national average	$1,080	$9,715
Riverside Regional Medical CenterNewport News, VA · CCN 490052	348	$1,363	11% below the national average	$1,079	$5,357
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	81	$1,363	11% below the national average	$1,079	$13,637
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	40	$1,363	11% below the national average	$1,077	$18,230
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	563	$1,364	11% below the national average	$1,079	$7,628
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	159	$1,364	11% below the national average	$1,075	$9,217
St Elizabeth FlorenceFlorence, KY · CCN 180045	49	$1,364	11% below the national average	$1,078	$12,385

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.