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

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Average payment across these 188 hospitals: $2,043National $1,539 · California $2,041
Median hospital: $1,993
Lowest to highest: $1,239–$2,333
Medicare procedures: 26,556

188 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Palomar Medical Center PowayPoway, CA · CCN 050636	40	$1,239	19% below the national average	$831	$13,744
Palomar Health Downtown CampusEscondido, CA · CCN 050115	55	$1,309	15% below the national average	$891	$14,123
Kaiser Foundation Hospital - Orange County - AnaheimAnaheim, CA · CCN 050609	12	$1,315	15% below the national average	$907	$13,740
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	111	$1,325	14% below the national average	$1,053	$6,174
San Antonio Regional HospitalUpland, CA · CCN 050099	121	$1,433	About average	$1,137	$17,820
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	491	$1,614	About average	$1,274	$10,382
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park, CA · CCN 050723	19	$1,627	About average	$1,229	$13,069
Kaiser Foundation Hospital Fontana/OntarioFontana, CA · CCN 050140	20	$1,643	About average	$1,236	$13,654
USC Arcadia HospitalArcadia, CA · CCN 050238	88	$1,687	About average	$1,277	$6,927
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	62	$1,762	15% above the national average	$1,398	$12,056
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	16	$1,807	17% above the national average	$1,390	$21,234
Kaiser Foundation Hospital - San DiegoSan Diego, CA · CCN 050515	28	$1,844	20% above the national average	$1,439	$10,719
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	270	$1,852	20% above the national average	$1,472	$14,254
Victor Valley Global Medical CenterVictorville, CA · CCN 050517	15	$1,860	21% above the national average	$1,482	$12,865
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	280	$1,880	22% above the national average	$1,493	$12,824
PIH Health Downey HospitalDowney, CA · CCN 050393	15	$1,887	23% above the national average	$1,482	$14,371
St Mary Medical CenterLong Beach, CA · CCN 050191	17	$1,900	23% above the national average	$1,495	$12,236
Kern Medical CenterBakersfield, CA · CCN 050315	19	$1,903	24% above the national average	$1,516	$13,101
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	221	$1,905	24% above the national average	$1,513	$12,841
Arrowhead Regional Medical CenterColton, CA · CCN 050245	23	$1,907	24% above the national average	$1,519	$15,193
Corona Regional Medical CenterCorona, CA · CCN 050329	19	$1,910	24% above the national average	$1,485	$12,715
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	53	$1,913	24% above the national average	$1,503	$16,684
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	20	$1,914	24% above the national average	$1,509	$17,681
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	176	$1,918	25% above the national average	$1,506	$7,051
Adventist Health HanfordHanford, CA · CCN 050121	67	$1,922	25% above the national average	$1,526	$9,328
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276	34	$1,926	25% above the national average	$1,525	$4,294
Kaiser Foundation Hospital-Santa ClaraSanta Clara, CA · CCN 050071	11	$1,932	26% above the national average	$1,459	$15,799
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	145	$1,935	26% above the national average	$1,526	$12,352
Uci Health-OrangeOrange, CA · CCN 050348 · +$225 outlier payments per case	427	$1,939	26% above the national average	$1,544	$15,624
Enloe HealthChico, CA · CCN 050039	392	$1,941	26% above the national average	$1,544	$14,955
Community Regional Medical CenterFresno, CA · CCN 050060	80	$1,944	26% above the national average	$1,544	$9,121
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	45	$1,949	27% above the national average	$1,553	$9,034
Palmdale Regional Medical CenterPalmdale, CA · CCN 050204	63	$1,950	27% above the national average	$1,541	$23,685
Keck Hospital Of USCLos Angeles, CA · CCN 050696	213	$1,950	27% above the national average	$1,547	$14,602
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	47	$1,951	27% above the national average	$1,549	$13,587
Memorial Medical CenterModesto, CA · CCN 050557	160	$1,954	27% above the national average	$1,547	$9,941
AHMC Anaheim Regional Medical CenterAnaheim, CA · CCN 050226	21	$1,955	27% above the national average	$1,557	$12,879
Kaiser Foundation Hospital - West LALos Angeles, CA · CCN 050561	12	$1,955	27% above the national average	$1,557	$10,135
Sierra View Medical CenterPorterville, CA · CCN 050261	107	$1,956	27% above the national average	$1,553	$9,752
Pioneers Memorial Healthcare DistrictBrawley, CA · CCN 050342	54	$1,957	27% above the national average	$1,551	$5,603
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	33	$1,958	27% above the national average	$1,545	$11,652
Uci Health-LakewoodLakewood, CA · CCN 050581	28	$1,958	27% above the national average	$1,546	$15,119
Grossmont HospitalLa Mesa, CA · CCN 050026	122	$1,959	27% above the national average	$1,554	$12,439
Tri-City Medical CenterOceanside, CA · CCN 050128	60	$1,960	27% above the national average	$1,559	$8,645
Adventist Health Simi ValleySimi Valley, CA · CCN 050236	61	$1,961	27% above the national average	$1,562	$5,426
Shasta Regional Medical CenterRedding, CA · CCN 050764	31	$1,961	27% above the national average	$1,550	$21,960
St Bernardine Medical CenterSan Bernardino, CA · CCN 050129	32	$1,962	28% above the national average	$1,550	$8,087
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	103	$1,963	28% above the national average	$1,554	$16,159
Sutter Tracy Community HospitalTracy, CA · CCN 050313	45	$1,964	28% above the national average	$1,544	$8,926
Mercy Medical CenterMerced, CA · CCN 050444	100	$1,965	28% above the national average	$1,556	$6,066

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.