Level 2 Excision/Biopsy/Incision and Drainage
What 2,895 hospitals in the U.S. charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$11,310
Hospital list price billed
Average allowed
$1,539
Medicare's payment + patient's share
Medicare paid
$1,220
Average per service
Volume
323,855
Medicare services
Hospitals in the U.S. billed an average of $11,310 for level 2 excision/biopsy/incision and drainage, about 7.4 times the average medicare-allowed amount of $1,539.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $1,539Billed $11,310
About 14¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Central Vermont Medical CenterGraniteville-East Barre, VT | $622 |
|---|---|
| Northwestern Medical CenterSt Albans, VT | $633 |
| Metrohealth SystemCleveland, OH | $705 |
| Latrobe Area HospitalLatrobe, PA | $716 |
| Fletcher Allen Hospital of VermontBurlington, VT | $763 |
| Presbyterian Santa Fe Medical CenterSanta Fe, NM | $796 |
| Marietta Memorial HospitalMarietta, OH | $817 |
| Rutland Regional Medical CenterRutland, VT | $836 |
| Brattleboro Memorial HospitalBrattleboro, VT | $856 |
| Mary Lanning Memorial HospitalHastings, NE | $909 |
Highest
| Sutter Solano Medical CenterVallejo, CA | $2,333 |
|---|---|
| Northbay Medical CenterFairfield, CA | $2,333 |
| California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA | $2,318 |
| St Mary's Medical CenterSan Francisco, CA | $2,318 |
| Seton Medical CenterDaly City, CA | $2,318 |
| California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA | $2,318 |
| Peninsula Medical CenterBurlingame, CA | $2,304 |
| San Francisco General HospitalSan Francisco, CA | $2,286 |
| Santa Clara Valley Medical CenterSan Jose, CA | $2,283 |
| Regional Medical Center of San JoseSan Jose, CA | $2,283 |
Level 2 Excision/Biopsy/Incision and Drainage cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 69 | $11,321 | $1,321 | $973 – $1,485 |
| Alaska | 6 | $11,706 | $1,706 | $1,654 – $1,792 |
| Arizona | 55 | $11,501 | $1,584 | $1,344 – $1,733 |
| Arkansas | 40 | $8,210 | $1,359 | $1,151 – $1,476 |
| California | 261 | $14,704 | $2,041 | $1,239 – $2,333 |
| Colorado | 49 | $13,888 | $1,548 | $1,449 – $1,653 |
| Connecticut | 27 | $10,236 | $1,776 | $1,248 – $1,937 |
| Delaware | 7 | $7,916 | $1,613 | $1,595 – $1,615 |
| Florida | 169 | $14,505 | $1,444 | $1,198 – $1,573 |
| Georgia | 93 | $12,947 | $1,428 | $876 – $1,505 |
| Hawaii | 12 | $8,007 | $1,804 | $1,359 – $1,968 |
| Idaho | 15 | $8,248 | $1,484 | $1,404 – $1,569 |
| Illinois | 112 | $11,825 | $1,493 | $930 – $1,605 |
| Indiana | 80 | $10,755 | $1,422 | $1,067 – $1,568 |
| Iowa | 30 | $8,028 | $1,414 | $1,348 – $1,561 |
| Kansas | 43 | $11,406 | $1,394 | $1,080 – $1,557 |
| Kentucky | 60 | $11,955 | $1,389 | $1,240 – $1,494 |
| Louisiana | 79 | $9,871 | $1,344 | $1,209 – $1,444 |
| Maine | 17 | $7,674 | $1,455 | $1,373 – $1,541 |
| Massachusetts | 56 | $6,585 | $1,724 | $1,232 – $1,865 |
| Michigan | 85 | $7,324 | $1,425 | $1,010 – $1,531 |
| Minnesota | 45 | $7,313 | $1,567 | $1,387 – $1,646 |
| Mississippi | 45 | $9,443 | $1,340 | $1,149 – $1,457 |
| Missouri | 65 | $9,874 | $1,394 | $1,160 – $1,589 |
| Montana | 10 | $6,661 | $1,536 | $1,479 – $1,628 |
| Nebraska | 24 | $8,849 | $1,404 | $909 – $1,549 |
| Nevada | 21 | $20,026 | $1,725 | $1,668 – $1,968 |
| New Hampshire | 13 | $9,741 | $1,430 | $1,028 – $1,656 |
| New Jersey | 61 | $12,753 | $1,725 | $1,558 – $1,845 |
| New Mexico | 21 | $10,268 | $1,428 | $796 – $1,642 |
| New York | 129 | $12,841 | $1,771 | $1,243 – $1,878 |
| North Carolina | 79 | $9,429 | $1,418 | $1,089 – $1,627 |
| North Dakota | 6 | $6,326 | $1,539 | $1,510 – $1,608 |
| Ohio | 120 | $10,164 | $1,349 | $705 – $1,558 |
| Oklahoma | 61 | $11,152 | $1,355 | $1,155 – $1,505 |
| Oregon | 31 | $8,078 | $1,747 | $1,537 – $2,099 |
| Pennsylvania | 132 | $13,648 | $1,478 | $716 – $1,709 |
| Rhode Island | 10 | $7,430 | $1,631 | $1,590 – $1,645 |
| South Carolina | 51 | $11,694 | $1,374 | $1,065 – $1,512 |
| South Dakota | 15 | $8,297 | $1,526 | $1,484 – $1,628 |
| Tennessee | 71 | $10,280 | $1,324 | $1,039 – $1,487 |
| Texas | 258 | $13,990 | $1,441 | $765 – $1,563 |
| Utah | 32 | $9,354 | $1,451 | $1,274 – $1,556 |
| Vermont | 6 | $6,527 | $787 | $622 – $949 |
| Virginia | 69 | $11,203 | $1,410 | $1,190 – $1,575 |
| Washington | 48 | $9,654 | $1,656 | $1,388 – $1,789 |
| West Virginia | 25 | $9,488 | $1,328 | $1,129 – $1,511 |
| Wisconsin | 66 | $8,889 | $1,480 | $1,344 – $1,577 |
| Wyoming | 10 | $7,070 | $1,612 | $1,582 – $1,628 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Mem Sloan-Kettering Cancer CtrNew York, NY | 3,575 | $14,605 | $1,835 |
| Univ of Tx M D Anderson CtrHouston, TX | 3,472 | $12,423 | $1,489 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 2,366 | $7,826 | $1,618 |
| NYU Hospitals CenterNew York, NY | 1,796 | $26,239 | $1,801 |
| H Lee Moffitt Cancer CenterTampa, FL | 1,724 | $11,315 | $1,454 |
| Brigham and Women's HosptialBoston, MA | 1,552 | $6,429 | $1,723 |
| Stanford HospitalPalo Alto, CA | 1,384 | $24,492 | $2,261 |
| Massachusetts General HospitalBoston, MA | 1,339 | $8,054 | $1,725 |
| North Shore University HospitalManhasset, NY | 1,154 | $10,266 | $1,769 |
| Mayo ClinicJacksonville, FL | 1,128 | $7,036 | $1,422 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 1,125 | $10,311 | $1,494 |
| Cleveland Clinic - Main CampusCleveland, OH | 1,123 | $9,331 | $1,352 |
| Mayo Clinic HospitalPhoenix, AZ | 1,121 | $9,060 | $1,541 |
| New York-Presbyterian HospitalNew York, NY | 1,050 | $15,495 | $1,825 |
| Hospital of the Univ of PaPhiladelphia, PA | 1,049 | $20,804 | $1,462 |
Questions
How much does level 2 excision/biopsy/incision and drainage cost in the U.S.?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 2,895 hospitals in the U.S. was billed at $11,310 on average, while the average medicare-allowed amount was $1,539, of which Medicare paid $1,220. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 2 excision/biopsy/incision and drainage?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($2,041), Hawaii ($1,804), Connecticut ($1,776) and lowest in Vermont ($787), Alabama ($1,321), Tennessee ($1,324).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in the U.S., average charges were 7.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.