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 351–400. 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
Salem Regional Medical CenterSalem, OH · CCN 360185	71	$1,364	11% below the national average	$1,083	$6,167
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	169	$1,364	11% below the national average	$1,080	$8,260
Roper HospitalCharleston, SC · CCN 420087	201	$1,365	11% below the national average	$1,084	$10,298
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	124	$1,365	11% below the national average	$1,081	$5,586
Boone Hospital CenterColumbia, MO · CCN 260068	288	$1,365	11% below the national average	$1,081	$10,049
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	27	$1,365	11% below the national average	$1,070	$8,688
Southeast Health Medical CenterDothan, AL · CCN 010001	188	$1,365	11% below the national average	$1,081	$9,638
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	133	$1,366	11% below the national average	$1,086	$11,267
Akron General Medical CenterAkron, OH · CCN 360027	246	$1,366	11% below the national average	$1,084	$10,895
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	218	$1,366	11% below the national average	$1,083	$15,379
Hillcrest HospitalMayfield Heights, OH · CCN 360230	259	$1,366	11% below the national average	$1,084	$11,807
LDS HospitalSalt Lake City, UT · CCN 460006	40	$1,366	11% below the national average	$1,070	$9,433
SSM St Clare Health CenterFenton, MO · CCN 260081	99	$1,366	11% below the national average	$1,077	$7,812
Spectrum Health United HospitalGreenville, MI · CCN 230035	22	$1,367	11% below the national average	$1,071	$4,635
Hillcrest Hospital SouthTulsa, OK · CCN 370202	68	$1,367	11% below the national average	$1,080	$12,041
University Of Kentucky HospitalLexington, KY · CCN 180067	416	$1,367	11% below the national average	$1,083	$12,272
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	47	$1,367	11% below the national average	$1,083	$14,750
Surgical Hospital At SouthwoodsYoungstown, OH · CCN 360352	90	$1,367	11% below the national average	$1,084	$6,639
Atrium Health UnionMonroe, NC · CCN 340130	39	$1,368	11% below the national average	$1,067	$14,959
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	125	$1,368	11% below the national average	$1,080	$8,880
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	228	$1,368	11% below the national average	$1,084	$5,098
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	125	$1,368	11% below the national average	$1,086	$3,605
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	430	$1,368	11% below the national average	$1,086	$15,556
McLeod Loris HospitalLoris, SC · CCN 420105	164	$1,369	11% below the national average	$1,079	$11,828
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114	302	$1,369	11% below the national average	$1,085	$10,251
King's Daughters' Medical CenterAshland, KY · CCN 180009	269	$1,369	11% below the national average	$1,088	$11,349
Orlando Health Rockledge HospitalRockledge, FL · CCN 100092	53	$1,369	11% below the national average	$1,086	$16,250
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	130	$1,369	11% below the national average	$1,085	$9,012
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	331	$1,369	11% below the national average	$1,084	$4,935
Baptist Health HardinElizabethtown, KY · CCN 180012	225	$1,370	11% below the national average	$1,082	$18,207
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	225	$1,370	11% below the national average	$1,085	$7,289
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	33	$1,370	11% below the national average	$1,080	$12,698
Frankfort Regional Medical CenterFrankfort, KY · CCN 180127	28	$1,370	11% below the national average	$1,081	$14,148
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	184	$1,370	11% below the national average	$1,085	$11,789
Sierra Medical CenterEl Paso, TX · CCN 450668	57	$1,370	11% below the national average	$1,077	$17,515
Clark Regional Medical CenterWinchester, KY · CCN 180092	33	$1,370	11% below the national average	$1,079	$11,859
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	327	$1,370	11% below the national average	$1,083	$5,963
Alamance Regional Medical CenterBurlington, NC · CCN 340070	86	$1,370	11% below the national average	$1,085	$7,263
Stephens County HospitalToccoa, GA · CCN 110032	62	$1,370	11% below the national average	$1,089	$6,346
Tift Regional Medical CenterTifton, GA · CCN 110095	57	$1,370	11% below the national average	$1,087	$10,811
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	158	$1,371	11% below the national average	$1,084	$15,998
Hazard ARH Regional Medical CenterHazard, KY · CCN 180029	74	$1,371	11% below the national average	$1,086	$8,960
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036	184	$1,371	11% below the national average	$1,087	$9,542
Tristar Centennial Medical CenterNashville, TN · CCN 440161	112	$1,371	11% below the national average	$1,088	$28,307
Tristar Summit Medical CenterHermitage, TN · CCN 440150	110	$1,372	11% below the national average	$1,085	$17,970
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	277	$1,372	11% below the national average	$1,086	$19,367
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	78	$1,372	11% below the national average	$1,087	$12,893
Saline Memorial HospitalBenton, AR · CCN 040084	31	$1,372	11% below the national average	$1,081	$12,611
Doctors HospitalAugusta, GA · CCN 110177	162	$1,372	11% below the national average	$1,090	$29,332
Prisma Health BaptistColumbia, SC · CCN 420086	321	$1,372	11% below the national average	$1,087	$8,812

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.