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 Utah

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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Utah

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Year of care

Average payment across these 21 hospitals: $1,451National $1,539 · Utah $1,451
Median hospital: $1,444
Lowest to highest: $1,274–$1,556
Medicare procedures: 2,407

21 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
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	35	$1,274	17% below the national average	$972	$7,486
LDS HospitalSalt Lake City, UT · CCN 460006	40	$1,366	11% below the national average	$1,070	$9,433
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	73	$1,395	About average	$1,098	$7,427
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	167	$1,421	About average	$1,126	$10,764
Lone Peak HospitalDraper, UT · CCN 460060	39	$1,423	About average	$1,119	$14,121
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	562	$1,425	About average	$1,132	$5,877
Lakeview HospitalBountiful, UT · CCN 460042	48	$1,428	About average	$1,129	$15,801
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	209	$1,432	About average	$1,136	$9,324
Intermountain Medical CenterMurray, UT · CCN 460010	392	$1,435	About average	$1,137	$9,161
Ogden Regional Medical CenterOgden, UT · CCN 460005	69	$1,436	About average	$1,140	$15,150
St Mark's HospitalSalt Lake City, UT · CCN 460047	137	$1,444	About average	$1,144	$16,828
Brigham City Community HospitalBrigham City, UT · CCN 460017	12	$1,452	About average	$1,157	$30,916
Holy Cross Hospital-DavisLayton, UT · CCN 460041	32	$1,452	About average	$1,152	$6,315
American Fork HospitalAmerican Fork, UT · CCN 460023	33	$1,452	About average	$1,151	$10,003
Park City HospitalPark City, UT · CCN 460057	13	$1,452	About average	$1,151	$9,956
Timpanogos Regional HospitalOrem, UT · CCN 460052	12	$1,453	About average	$1,141	$15,118
Holy Cross Hospital - Salt LakeSalt Lake City, UT · CCN 460003	14	$1,453	About average	$1,138	$7,767
St. George Regional HospitalSt George, UT · CCN 460021	451	$1,542	About average	$1,226	$9,298
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	25	$1,555	About average	$1,239	$7,496
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	20	$1,556	About average	$1,235	$5,407
Castleview HospitalPrice, UT · CCN 460011	24	$1,556	About average	$1,230	$9,228

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.