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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 Idaho

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.

Location
Idaho
Specific hospitals up to 10
Average payment across these 13 hospitals
$1,484National $1,539 · Idaho $1,484
Median hospital
$1,486
Lowest to highest
$1,404–$1,569
Medicare procedures
2,029

13 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 2 Excision/Biopsy/Incision and Drainage by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
West Valley Medical CenterCaldwell, ID · CCN 13001421$1,404About average$1,103$14,640
Mountain View HospitalIdaho Falls, ID · CCN 13006584$1,410About average$1,122$5,162
St Luke's Regional Medical CenterBoise, ID · CCN 130006487$1,413About average$1,121$7,809
St Luke's Nampa Medical CenterNampa, ID · CCN 130071128$1,418About average$1,124$8,142
Idaho Falls Community Hospital, LLCIdaho Falls, ID · CCN 13007440$1,459About average$1,162$5,838
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 130018100$1,459About average$1,155$19,111
Northwest Specialty HospitalPost Falls, ID · CCN 13006638$1,486About average$1,179$5,135
St Joseph Regional Medical CenterLewiston, ID · CCN 130003160$1,512About average$1,197$8,184
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007127$1,519About average$1,202$5,965
Kootenai HealthCoeur D'Alene, ID · CCN 130049412$1,523About average$1,207$6,098
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002191$1,544About average$1,226$8,936
Portneuf Medical CenterPocatello, ID · CCN 130028137$1,557About average$1,235$13,797
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 130013104$1,569About average$1,247$6,079

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont61,080$787$666–$851
Alabama454,814$1,321$1,281–$1,347
Tennessee536,148$1,324$1,322–$1,384
West Virginia212,823$1,328$1,309–$1,374
Mississippi363,960$1,340$1,314–$1,355
Louisiana464,679$1,344$1,333–$1,362
Ohio10714,062$1,349$1,354–$1,409
Oklahoma394,483$1,355$1,368–$1,463
Arkansas273,570$1,359$1,333–$1,450
South Carolina437,381$1,374$1,359–$1,399
Kentucky465,518$1,389$1,360–$1,407
Missouri597,560$1,394$1,385–$1,460
Kansas313,743$1,394$1,383–$1,443
Nebraska212,935$1,404$1,438–$1,478
Virginia609,999$1,410$1,381–$1,499
Iowa254,141$1,414$1,385–$1,461
North Carolina699,206$1,418$1,398–$1,442
Indiana698,494$1,422$1,431–$1,472
Michigan779,509$1,425$1,406–$1,474
Georgia718,386$1,428$1,392–$1,472
New Mexico151,273$1,428$1,393–$1,506
New Hampshire132,357$1,430$1,489–$1,566
Texas16820,036$1,441$1,407–$1,464
Florida14620,444$1,444$1,441–$1,469
Utah212,407$1,451$1,425–$1,453
Maine151,585$1,455$1,403–$1,503
Pennsylvania11415,588$1,478$1,428–$1,551
Wisconsin566,950$1,480$1,451–$1,504
Idaho132,029$1,484$1,418–$1,523
Illinois9515,195$1,493$1,475–$1,539
South Dakota122,368$1,526$1,520–$1,622
Montana101,708$1,536$1,504–$1,598
North Dakota61,934$1,539$1,516–$1,570
Colorado424,089$1,548$1,525–$1,544
Minnesota417,162$1,567$1,520–$1,571
Arizona416,071$1,584$1,562–$1,581
Wyoming8471$1,612$1,607–$1,628
Delaware61,585$1,613$1,613–$1,614
District of Columbia51,304$1,625$1,618–$1,647
Rhode Island10987$1,631$1,627–$1,645
Washington456,327$1,656$1,617–$1,705
Alaska6733$1,706$1,683–$1,769
Massachusetts5213,195$1,724$1,723–$1,741
Nevada171,295$1,725$1,700–$1,736
New Jersey548,474$1,725$1,671–$1,764
Oregon283,266$1,747$1,668–$1,722
New York11320,231$1,771$1,700–$1,827
Connecticut253,630$1,776$1,779–$1,809
Hawaii11983$1,804$1,801–$1,898
California19027,687$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.