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 401–450. 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
Kearney Regional Medical CenterKearney, NE · CCN 280134	143	$1,373	11% below the national average	$1,092	$10,122
Wooster Community HospitalWooster, OH · CCN 360036	77	$1,373	11% below the national average	$1,090	$5,322
St Joseph HospitalBangor, ME · CCN 200001	60	$1,373	11% below the national average	$1,090	$8,240
Baptist Health LouisvilleLouisville, KY · CCN 180130	413	$1,373	11% below the national average	$1,085	$16,799
Fairview HospitalCleveland, OH · CCN 360077	204	$1,373	11% below the national average	$1,087	$10,718
Ochsner Medical Center-KennerKenner, LA · CCN 190274	47	$1,373	11% below the national average	$1,090	$6,427
Lexington Medical CenterWest Columbia, SC · CCN 420073	604	$1,374	11% below the national average	$1,086	$13,106
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	48	$1,374	11% below the national average	$1,090	$14,597
Whitesburg ARH HospitalWhitesburg, KY · CCN 180002	14	$1,374	11% below the national average	$1,078	$10,664
Avoyelles HospitalMarksville, LA · CCN 190099	11	$1,374	11% below the national average	$1,095	$12,106
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 170142	137	$1,374	11% below the national average	$1,095	$4,992
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	27	$1,374	11% below the national average	$1,083	$17,675
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	249	$1,374	11% below the national average	$1,091	$10,086
Oaklawn HospitalMarshall, MI · CCN 230217	49	$1,374	11% below the national average	$1,089	$7,863
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	112	$1,374	11% below the national average	$1,089	$9,993
Sentara Obici HospitalSuffolk, VA · CCN 490044	193	$1,374	11% below the national average	$1,090	$12,647
Saint Francis HospitalCharleston, WV · CCN 510031	29	$1,374	11% below the national average	$1,095	$7,935
Beckley ARH HospitalBeckley, WV · CCN 510062	16	$1,374	11% below the national average	$1,091	$15,314
Licking Memorial HospitalNewark, OH · CCN 360218	100	$1,375	11% below the national average	$1,088	$9,232
Atrium Health ClevelandShelby, NC · CCN 340021	68	$1,375	11% below the national average	$1,089	$11,338
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	293	$1,375	11% below the national average	$1,091	$9,013
Lewisgale Medical CenterSalem, VA · CCN 490048	155	$1,375	11% below the national average	$1,087	$21,587
Christian Hospital NortheastSaint Louis, MO · CCN 260180	51	$1,375	11% below the national average	$1,079	$10,582
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 360064	157	$1,375	11% below the national average	$1,094	$10,348
Aiken Regional Medical CenterAiken, SC · CCN 420082	83	$1,375	11% below the national average	$1,086	$17,785
Carilion Medical CenterRoanoke, VA · CCN 490024	602	$1,376	11% below the national average	$1,093	$7,727
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	71	$1,376	11% below the national average	$1,078	$8,190
Trident Medical CenterCharleston, SC · CCN 420079	238	$1,376	11% below the national average	$1,089	$19,988
Henrico Doctors' HospitalRichmond, VA · CCN 490118	217	$1,376	11% below the national average	$1,082	$26,973
University Health SystemSan Antonio, TX · CCN 450213	323	$1,376	11% below the national average	$1,086	$10,233
St Mary's Regional Medical CenterEnid, OK · CCN 370026	39	$1,377	11% below the national average	$1,096	$12,328
Integris Health Enid HospitalEnid, OK · CCN 370016	70	$1,377	11% below the national average	$1,095	$11,922
Prisma Health Richland HospitalColumbia, SC · CCN 420018	129	$1,377	11% below the national average	$1,092	$15,273
Norton Hospitals, IncLouisville, KY · CCN 180088	683	$1,377	11% below the national average	$1,093	$8,258
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	22	$1,377	11% below the national average	$1,088	$6,287
Phoebe Sumter Medical CenterAmericus, GA · CCN 110044	13	$1,377	11% below the national average	$1,097	$7,804
Archbold Memorial HospitalThomasville, GA · CCN 110038	86	$1,377	11% below the national average	$1,094	$6,611
UPMC St MargaretPittsburgh, PA · CCN 390102	51	$1,377	10% below the national average	$1,095	$11,880
Hillcrest Hospital ClaremoreClaremore, OK · CCN 370039	14	$1,377	10% below the national average	$1,076	$17,614
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	57	$1,377	10% below the national average	$1,093	$17,011
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	11	$1,377	10% below the national average	$1,097	$11,992
Norman RegionalNorman, OK · CCN 370008	174	$1,378	10% below the national average	$1,093	$10,261
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	185	$1,378	10% below the national average	$1,094	$8,021
Ecu Health Medical CenterGreenville, NC · CCN 340040	331	$1,378	10% below the national average	$1,093	$10,360
Erlanger Medical CenterChattanooga, TN · CCN 440104	134	$1,378	10% below the national average	$1,093	$9,414
St Francis-DowntownGreenville, SC · CCN 420023	273	$1,378	10% below the national average	$1,091	$10,679
Holland HospitalHolland, MI · CCN 230072	79	$1,378	10% below the national average	$1,088	$5,692
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	33	$1,378	10% below the national average	$1,077	$11,278
Medina HospitalMedina, OH · CCN 360091	127	$1,379	10% below the national average	$1,098	$8,955
Hillcrest Medical CenterTulsa, OK · CCN 370001	198	$1,379	10% below the national average	$1,095	$15,037

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.