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 Illinois

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 95 hospitals: $1,493National $1,539 · Illinois $1,493
Median hospital: $1,511
Lowest to highest: $930–$1,605
Medicare procedures: 15,195

95 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
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	199	$930	40% below the national average	$737	$6,187
Javon Bea HospitalRockford, IL · CCN 140239	130	$1,132	26% below the national average	$890	$8,093
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	456	$1,325	14% below the national average	$1,053	$14,998
Carle Foundation HospitalUrbana, IL · CCN 140091	284	$1,381	10% below the national average	$1,096	$11,312
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	18	$1,386	About average	$1,087	$7,567
Blessing HospitalQuincy, IL · CCN 140015	216	$1,395	About average	$1,103	$12,759
Heartland Regional Medical CenterMarion, IL · CCN 140184	14	$1,413	About average	$1,109	$21,371
Palos Community HospitalPalos Heights, IL · CCN 140062	240	$1,420	About average	$1,128	$13,283
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	76	$1,429	About average	$1,132	$13,616
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	18	$1,432	About average	$1,127	$9,740
Memorial HospitalBelleville, IL · CCN 140185	187	$1,436	About average	$1,135	$8,695
Insight Hospital And Medical Center ChicagoChicago, IL · CCN 140158	12	$1,437	About average	$1,124	$29,851
FHN Memorial HospitalFreeport, IL · CCN 140160	34	$1,445	About average	$1,151	$7,860
Genesis Medical CenterSilvis, IL · CCN 140275	37	$1,450	About average	$1,145	$5,344
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	45	$1,452	About average	$1,143	$12,640
Memorial Medical CenterSpringfield, IL · CCN 140148	357	$1,454	About average	$1,153	$11,981
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	47	$1,454	About average	$1,152	$5,309
Carle Health Proctor HospitalPeoria, IL · CCN 140013	28	$1,456	About average	$1,151	$17,843
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	155	$1,458	About average	$1,154	$11,204
SSM Health St Mary's Hospital -CentraliaCentralia, IL · CCN 140034	32	$1,461	About average	$1,156	$10,626
St Johns HospitalSpringfield, IL · CCN 140053	137	$1,470	About average	$1,167	$15,463
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	287	$1,474	About average	$1,162	$10,534
Trinity Rock IslandRock Island, IL · CCN 140280	143	$1,474	About average	$1,165	$7,121
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	114	$1,475	About average	$1,168	$8,240
Riverside Medical CenterKankakee, IL · CCN 140186	194	$1,475	About average	$1,164	$9,141
St Joseph Medical CenterBloomington, IL · CCN 140162	118	$1,478	About average	$1,171	$9,589
CGH Medical CenterSterling, IL · CCN 140043	150	$1,478	About average	$1,176	$14,925
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223	316	$1,482	About average	$1,169	$11,546
Saint Francis Medical CenterPeoria, IL · CCN 140067	569	$1,484	About average	$1,178	$12,171
Decatur Memorial HospitalDecatur, IL · CCN 140135	414	$1,493	About average	$1,184	$10,746
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	196	$1,498	About average	$1,184	$11,479
Herrin HospitalHerrin, IL · CCN 140011	21	$1,498	About average	$1,193	$16,984
Anderson HospitalMaryville, IL · CCN 140289	70	$1,498	About average	$1,191	$9,488
St Marys HospitalDecatur, IL · CCN 140166	42	$1,498	About average	$1,191	$7,945
Alton Memorial HospitalAlton, IL · CCN 140002	71	$1,498	About average	$1,190	$10,043
St Josephs HospitalBreese, IL · CCN 140145	14	$1,498	About average	$1,190	$11,097
Carle Health Pekin HospitalPekin, IL · CCN 140120	33	$1,498	About average	$1,190	$10,584
Carle Bromenn Medical CenterNormal, IL · CCN 140127	108	$1,498	About average	$1,189	$6,655
Carle Health Methodist HospitalPeoria, IL · CCN 140209	132	$1,498	About average	$1,188	$12,866
Jersey Community HospitalJerseyville, IL · CCN 140059	16	$1,498	About average	$1,186	$8,805
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	48	$1,498	About average	$1,186	$9,602
OSF Sacred Heart Medical CenterDanville, IL · CCN 140093	30	$1,499	About average	$1,181	$8,670
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	946	$1,501	About average	$1,193	$8,116
Presence St Marys HospitalKankakee, IL · CCN 140155	51	$1,501	About average	$1,191	$16,295
Rush University Medical CenterChicago, IL · CCN 140119	558	$1,506	About average	$1,194	$8,574
Rush Oak Park HospitalOak Park, IL · CCN 140063	119	$1,508	About average	$1,191	$5,617
West Suburban Medical CenterOak Park, IL · CCN 140049	19	$1,509	About average	$1,202	$8,831
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	38	$1,511	About average	$1,185	$11,415
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	282	$1,513	About average	$1,199	$7,247
John H Stroger Jr HospitalChicago, IL · CCN 140124	59	$1,513	About average	$1,202	$8,048

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.