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 Pennsylvania

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 113 hospitals: $1,475National $1,539 · Pennsylvania $1,478
Median hospital: $1,464
Lowest to highest: $716–$1,709
Medicare procedures: 15,108

113 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
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	38	$716	53% below the national average	$571	$5,539
Forbes HospitalMonroeville, PA · CCN 390267	55	$961	38% below the national average	$754	$9,958
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 390062	41	$982	36% below the national average	$782	$6,217
UPMC LititzLititz, PA · CCN 390068	77	$985	36% below the national average	$775	$8,220
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	110	$1,073	30% below the national average	$845	$8,013
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 390114	384	$1,166	24% below the national average	$925	$11,413
Heritage Valley SewickleySewickley, PA · CCN 390037	44	$1,172	24% below the national average	$933	$5,016
Regional Hospital Of ScrantonScranton, PA · CCN 390237	104	$1,295	16% below the national average	$1,030	$17,849
Sharon Regional Medical CenterSharon, PA · CCN 390211	25	$1,344	13% below the national average	$1,067	$16,053
Gettysburg HospitalGettysburg, PA · CCN 390065	105	$1,351	12% below the national average	$1,076	$6,037
Jefferson HospitalJefferson Hills, PA · CCN 390265	104	$1,356	12% below the national average	$1,073	$10,637
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	47	$1,367	11% below the national average	$1,083	$14,750
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	277	$1,372	11% below the national average	$1,086	$19,367
UPMC St MargaretPittsburgh, PA · CCN 390102	51	$1,377	10% below the national average	$1,095	$11,880
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	44	$1,384	10% below the national average	$1,096	$15,366
UPMC MemorialYork, PA · CCN 390101	118	$1,391	About average	$1,107	$8,842
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	90	$1,395	About average	$1,109	$13,473
UPMC JamesonNew Castle, PA · CCN 390016	54	$1,400	About average	$1,112	$7,397
Allegheny General HospitalPittsburgh, PA · CCN 390050	116	$1,405	About average	$1,110	$15,016
Temple University HospitalPhiladelphia, PA · CCN 390027	177	$1,406	About average	$1,120	$30,189
Uniontown HospitalUniontown, PA · CCN 390041	66	$1,409	About average	$1,117	$6,888
Penn Highlands Mon ValleyMonongahela, PA · CCN 390147	62	$1,411	About average	$1,108	$7,528
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	67	$1,414	About average	$1,119	$20,810
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	193	$1,415	About average	$1,120	$21,564
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	88	$1,417	About average	$1,123	$19,702
Milton S Hershey Medical CenterHershey, PA · CCN 390256	403	$1,418	About average	$1,125	$14,821
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	86	$1,420	About average	$1,125	$5,830
Grove City Medical CenterGrove City, PA · CCN 390266	28	$1,422	About average	$1,126	$10,825
Allegheny Valley HospitalNatrona, PA · CCN 390032	36	$1,428	About average	$1,133	$8,910
Geisinger-Community Medical CenterScranton, PA · CCN 390001	230	$1,429	About average	$1,135	$17,954
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	26	$1,429	About average	$1,139	$16,084
UPMC EastMonroeville, PA · CCN 390328	41	$1,430	About average	$1,140	$15,661
Heritage Valley BeaverBeaver, PA · CCN 390036	99	$1,433	About average	$1,141	$4,537
UPMC HanoverHanover, PA · CCN 390233	81	$1,434	About average	$1,139	$7,656
UPMC PassavantPittsburgh, PA · CCN 390107	87	$1,435	About average	$1,137	$14,653
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	308	$1,435	About average	$1,140	$24,859
Geisinger Medical CenterDanville, PA · CCN 390006	378	$1,436	About average	$1,138	$23,397
West Penn HospitalPittsburgh, PA · CCN 390090	63	$1,437	About average	$1,139	$12,900
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	49	$1,439	About average	$1,142	$13,100
The Washington HospitalWashington, PA · CCN 390042	81	$1,439	About average	$1,144	$6,432
UPMC WilliamsportWilliamsport, PA · CCN 390045	221	$1,440	About average	$1,145	$13,563
St Clair HospitalPittsburgh, PA · CCN 390228	137	$1,440	About average	$1,144	$7,203
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	259	$1,441	About average	$1,144	$9,401
ACMH HospitalKittanning, PA · CCN 390163	19	$1,448	About average	$1,154	$12,946
Lecom Medical Center And Behavioral Health PavErie, PA · CCN 390198	28	$1,448	About average	$1,154	$7,673
UPMC HorizonGreenville, PA · CCN 390178	46	$1,448	About average	$1,154	$9,271
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	18	$1,448	About average	$1,154	$10,699
UPMC MercyPittsburgh, PA · CCN 390028	32	$1,448	About average	$1,154	$16,158
UPMC NorthwestSeneca, PA · CCN 390091	47	$1,448	About average	$1,154	$12,116
Chan Soon- Shiong Medical Center At WindberWindber, PA · CCN 390112	43	$1,448	About average	$1,151	$4,369

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.