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 Wisconsin

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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Wisconsin

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Average payment across these 56 hospitals: $1,480National $1,539 · Wisconsin $1,480
Median hospital: $1,477
Lowest to highest: $1,344–$1,577
Medicare procedures: 6,950

56 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
Aspirus Wausau HospitalWausau, WI · CCN 520030	224	$1,344	13% below the national average	$1,068	$7,568
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	61	$1,360	12% below the national average	$1,080	$9,563
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	27	$1,365	11% below the national average	$1,070	$8,688
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	52	$1,406	About average	$1,111	$7,059
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	173	$1,414	About average	$1,119	$10,853
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	46	$1,415	About average	$1,118	$10,528
West Allis Memorial HospitalWest Allis, WI · CCN 520139	100	$1,435	About average	$1,135	$9,340
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	50	$1,436	About average	$1,139	$8,375
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	116	$1,440	About average	$1,140	$9,011
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	33	$1,443	About average	$1,140	$10,750
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	68	$1,444	About average	$1,144	$8,587
Mercy Health System CorpJanesville, WI · CCN 520066	157	$1,445	About average	$1,139	$8,181
St Vincent HospitalGreen Bay, WI · CCN 520075	90	$1,447	About average	$1,150	$11,453
Marshfield Medical Center - WestonWeston, WI · CCN 520202	31	$1,451	About average	$1,156	$4,027
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	105	$1,451	About average	$1,155	$7,853
St Nicholas HospitalSheboygan, WI · CCN 520044	43	$1,453	About average	$1,148	$10,608
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	60	$1,454	About average	$1,154	$10,033
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	187	$1,454	About average	$1,153	$12,447
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	13	$1,457	About average	$1,161	$6,949
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	117	$1,457	About average	$1,159	$4,414
Holy Family MemorialManitowoc, WI · CCN 520107	32	$1,458	About average	$1,157	$9,320
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	583	$1,458	About average	$1,149	$11,793
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	98	$1,460	About average	$1,160	$9,999
The Monroe ClinicMonroe, WI · CCN 520028	150	$1,465	About average	$1,164	$5,593
Aurora Medical CenterGrafton, WI · CCN 520207	120	$1,467	About average	$1,166	$9,964
Ascension St Francis HospitalMilwaukee, WI · CCN 520078	13	$1,477	About average	$1,177	$7,254
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	54	$1,477	About average	$1,177	$9,130
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	64	$1,477	About average	$1,175	$9,844
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	89	$1,477	About average	$1,174	$5,089
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	127	$1,477	About average	$1,173	$6,859
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 520062	23	$1,477	About average	$1,172	$10,383
Watertown Memorial HospitalWatertown, WI · CCN 520116	23	$1,477	About average	$1,169	$10,442
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	35	$1,478	About average	$1,178	$5,650
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	25	$1,478	About average	$1,177	$6,511
Aurora Medical Center - SummitSummit, WI · CCN 520206	96	$1,478	About average	$1,174	$9,003
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	35	$1,478	About average	$1,174	$6,549
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	73	$1,486	About average	$1,170	$10,471
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	1,125	$1,494	About average	$1,183	$10,311
UnityPoint Health - MeriterMadison, WI · CCN 520089	49	$1,498	About average	$1,190	$14,777
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	218	$1,499	About average	$1,187	$11,185
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	39	$1,501	About average	$1,195	$10,781
Mile Bluff Medical CenterMauston, WI · CCN 520109	24	$1,502	About average	$1,178	$7,544
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	207	$1,510	About average	$1,199	$5,599
Froedtert South Inc.Kenosha, WI · CCN 520021	75	$1,510	About average	$1,199	$9,654
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	203	$1,513	About average	$1,206	$10,137
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$97 outlier payments per case	490	$1,521	About average	$1,211	$6,861
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	422	$1,521	About average	$1,211	$5,578
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	38	$1,525	About average	$1,215	$9,655
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	110	$1,525	About average	$1,213	$8,841
Ascension All Saints HospitalRacine, WI · CCN 520096	66	$1,526	About average	$1,213	$6,725

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.