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 Kentucky

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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Kentucky

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Average payment across these 46 hospitals: $1,389National $1,539 · Kentucky $1,389
Median hospital: $1,371
Lowest to highest: $1,240–$1,494
Medicare procedures: 5,518

46 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	81	$1,240	19% below the national average	$987	$4,163
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	23	$1,300	16% below the national average	$1,016	$7,281
Taylor Regional HospitalCampbellsville, KY · CCN 180087	42	$1,328	14% below the national average	$1,056	$5,468
Baptist Health CorbinCorbin, KY · CCN 180080	66	$1,333	13% below the national average	$1,057	$15,646
Highlands ARH Regional Medical CenterPrestonsburg, KY · CCN 180005	32	$1,341	13% below the national average	$1,058	$10,288
University Of Louisville HospitalLouisville, KY · CCN 180141	254	$1,349	12% below the national average	$1,066	$11,146
Saint Joseph HospitalLexington, KY · CCN 180010	67	$1,354	12% below the national average	$1,069	$9,291
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	308	$1,359	12% below the national average	$1,075	$10,023
Owensboro Health Twin Lakes Medical CenterLeitchfield, KY · CCN 180070	13	$1,360	12% below the national average	$1,084	$6,075
Saint Joseph LondonLondon, KY · CCN 180011	33	$1,360	12% below the national average	$1,084	$5,322
Spring View HospitalLebanon, KY · CCN 180024	27	$1,360	12% below the national average	$1,084	$9,742
The Medical Center At RussellvilleRussellville, KY · CCN 180066	12	$1,360	12% below the national average	$1,084	$10,272
Murray-Calloway County HospitalMurray, KY · CCN 180027	44	$1,360	12% below the national average	$1,083	$11,425
Middlesboro ARH HospitalMiddlesboro, KY · CCN 180020	13	$1,360	12% below the national average	$1,081	$8,264
Harrison Memorial HospitalCynthiana, KY · CCN 180079	19	$1,360	12% below the national average	$1,074	$6,742
Baptist Health RichmondRichmond, KY · CCN 180049	20	$1,361	12% below the national average	$1,081	$13,022
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	136	$1,363	11% below the national average	$1,072	$9,948
St Elizabeth FlorenceFlorence, KY · CCN 180045	49	$1,364	11% below the national average	$1,078	$12,385
University Of Kentucky HospitalLexington, KY · CCN 180067	416	$1,367	11% below the national average	$1,083	$12,272
King's Daughters' Medical CenterAshland, KY · CCN 180009	269	$1,369	11% below the national average	$1,088	$11,349
Baptist Health HardinElizabethtown, KY · CCN 180012	225	$1,370	11% below the national average	$1,082	$18,207
Frankfort Regional Medical CenterFrankfort, KY · CCN 180127	28	$1,370	11% below the national average	$1,081	$14,148
Clark Regional Medical CenterWinchester, KY · CCN 180092	33	$1,370	11% below the national average	$1,079	$11,859
Hazard ARH Regional Medical CenterHazard, KY · CCN 180029	74	$1,371	11% below the national average	$1,086	$8,960
Baptist Health LouisvilleLouisville, KY · CCN 180130	413	$1,373	11% below the national average	$1,085	$16,799
Whitesburg ARH HospitalWhitesburg, KY · CCN 180002	14	$1,374	11% below the national average	$1,078	$10,664
Norton Hospitals, IncLouisville, KY · CCN 180088	683	$1,377	11% below the national average	$1,093	$8,258
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	179	$1,382	10% below the national average	$1,095	$7,848
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	52	$1,383	10% below the national average	$1,102	$10,845
Baptist Health LagrangeLa Grange, KY · CCN 180138	260	$1,384	10% below the national average	$1,099	$18,363
Saint Joseph EastLexington, KY · CCN 180143	61	$1,386	About average	$1,091	$9,435
Baptist Health LexingtonLexington, KY · CCN 180103	286	$1,386	About average	$1,098	$17,898
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	57	$1,390	About average	$1,105	$5,914
Uofl Health - Shelbyville HospitalShelbyville, KY · CCN 180016	14	$1,397	About average	$1,113	$12,462
Georgetown Community HospitalGeorgetown, KY · CCN 180101	21	$1,410	About average	$1,123	$10,433
Deaconess Henderson HospitalHenderson, KY · CCN 180056	63	$1,428	About average	$1,138	$7,478
Pikeville Medical CenterPikeville, KY · CCN 180044	162	$1,444	About average	$1,142	$11,421
Meadowview Regional Medical CenterMaysville, KY · CCN 180019	14	$1,457	About average	$1,158	$10,800
Baptist Health PaducahPaducah, KY · CCN 180104	222	$1,462	About average	$1,157	$17,144
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	105	$1,465	About average	$1,155	$13,828
T J Samson Community HospitalGlasgow, KY · CCN 180017	129	$1,469	About average	$1,166	$6,861
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	54	$1,472	About average	$1,167	$13,115
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	263	$1,483	About average	$1,175	$10,684
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	31	$1,483	About average	$1,182	$12,439
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	73	$1,484	About average	$1,177	$16,480
St Claire Regional Medical CenterMorehead, KY · CCN 180018	78	$1,494	About average	$1,189	$5,244

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.