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 Tennessee

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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Tennessee

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Average payment across these 53 hospitals: $1,324National $1,539 · Tennessee $1,324
Median hospital: $1,357
Lowest to highest: $1,039–$1,487
Medicare procedures: 6,148

53 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
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	60	$1,039	33% below the national average	$822	$5,439
Vanderbilt University Medical CenterNashville, TN · CCN 440039	763	$1,084	30% below the national average	$858	$12,474
St Francis HospitalMemphis, TN · CCN 440183	48	$1,145	26% below the national average	$860	$16,983
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	36	$1,158	25% below the national average	$879	$20,832
Sweetwater Hospital AssociationSweetwater, TN · CCN 440084	13	$1,234	20% below the national average	$977	$3,926
Hardin Medical CenterSavannah, TN · CCN 440109	25	$1,252	19% below the national average	$980	$8,914
Physicians Regional Medical CenterPowell, TN · CCN 440120	150	$1,302	15% below the national average	$1,028	$13,978
Regional One HealthMemphis, TN · CCN 440152	30	$1,307	15% below the national average	$1,025	$9,918
Fort Loudoun Medical CenterLenoir City, TN · CCN 440110	40	$1,314	15% below the national average	$1,039	$6,018
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	95	$1,315	15% below the national average	$1,038	$5,388
University Health System, IncKnoxville, TN · CCN 440015	478	$1,318	14% below the national average	$1,047	$7,144
Parkwest Medical CenterKnoxville, TN · CCN 440173	114	$1,320	14% below the national average	$1,041	$4,477
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	98	$1,321	14% below the national average	$1,048	$6,117
Starr Regional Medical Center AthensAthens, TN · CCN 440068	59	$1,322	14% below the national average	$1,050	$11,937
Dyersburg Regional Medical CenterDyersburg, TN · CCN 440072	34	$1,332	13% below the national average	$1,031	$7,451
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	37	$1,337	13% below the national average	$1,053	$15,408
Claiborne Medical CenterTazewell, TN · CCN 440057	14	$1,337	13% below the national average	$1,065	$4,139
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	50	$1,337	13% below the national average	$1,065	$6,090
Roane Medical CenterHarriman, TN · CCN 440031	26	$1,337	13% below the national average	$1,064	$4,735
Leconte Medical CenterSevierville, TN · CCN 440081	46	$1,337	13% below the national average	$1,057	$5,674
Greeneville Community HospitalGreeneville, TN · CCN 440050	41	$1,338	13% below the national average	$1,066	$9,462
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	307	$1,338	13% below the national average	$1,058	$9,531
Unity Medical CenterManchester, TN · CCN 440007	18	$1,344	13% below the national average	$1,067	$3,904
Parkridge Medical CenterChattanooga, TN · CCN 440156	32	$1,348	12% below the national average	$1,067	$18,863
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN · CCN 440144	29	$1,350	12% below the national average	$1,068	$10,271
Baptist Memorial HospitalMemphis, TN · CCN 440048	474	$1,351	12% below the national average	$1,066	$10,348
Maury Regional HospitalColumbia, TN · CCN 440073	167	$1,357	12% below the national average	$1,075	$7,305
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	22	$1,360	12% below the national average	$1,074	$8,196
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	159	$1,364	11% below the national average	$1,075	$9,217
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	125	$1,368	11% below the national average	$1,080	$8,880
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	33	$1,370	11% below the national average	$1,080	$12,698
Tristar Centennial Medical CenterNashville, TN · CCN 440161	112	$1,371	11% below the national average	$1,088	$28,307
Tristar Summit Medical CenterHermitage, TN · CCN 440150	110	$1,372	11% below the national average	$1,085	$17,970
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	48	$1,374	11% below the national average	$1,090	$14,597
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	293	$1,375	11% below the national average	$1,091	$9,013
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	57	$1,377	10% below the national average	$1,093	$17,011
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	11	$1,377	10% below the national average	$1,097	$11,992
Erlanger Medical CenterChattanooga, TN · CCN 440104	134	$1,378	10% below the national average	$1,093	$9,414
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	49	$1,382	10% below the national average	$1,100	$15,958
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	144	$1,384	10% below the national average	$1,097	$10,006
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	278	$1,385	About average	$1,101	$12,566
Southern Tennessee Regional Health System PulaskiPulaski, TN · CCN 440020	12	$1,389	About average	$1,106	$5,865
Blount Memorial HospitalMaryville, TN · CCN 440011	138	$1,393	About average	$1,103	$7,866
Johnson City Medical CenterJohnson City, TN · CCN 440063	129	$1,394	About average	$1,103	$11,831
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	59	$1,397	About average	$1,113	$13,987
Tristar Horizon Medical CenterDickson, TN · CCN 440046	84	$1,397	About average	$1,113	$6,878
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	17	$1,397	About average	$1,113	$11,087
Williamson Medical CenterFranklin, TN · CCN 440029	161	$1,397	About average	$1,112	$7,521
Tristar Skyline Medical CenterNashville, TN · CCN 440006	39	$1,397	About average	$1,107	$29,473
Jackson-Madison County General HospitalJackson, TN · CCN 440002	398	$1,420	About average	$1,123	$6,605

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.