facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Georgia: 93 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Georgia

What 93 hospitals in Georgia charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.

APC 5072 Outpatient 2024 Medicare data
Average charge $12,947 Hospital list price billed
Average allowed $1,428 Medicare's payment + patient's share
Medicare paid $1,131 Average per service
State rank #20 of 49 1 = lowest average payment

Hospitals in Georgia billed an average of $12,947 for level 2 excision/biopsy/incision and drainage, about 9.1 times the average medicare-allowed amount of $1,428. That payment is 7% below the U.S. average 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 $1,428Billed $12,947

About 11¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 2 excision/biopsy/incision and drainage

Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Northeast Georgia Medical Center, INCGainesville 446 $14,238 $1,445 $1,142
Candler HospitalSavannah 428 $10,212 $1,355 $1,075
Northside HospitalAtlanta 400 $12,072 $1,457 $1,154
Northside Hospital CherokeeCanton 348 $13,081 $1,489 $1,183
Piedmont HospitalAtlanta 341 $15,570 $1,463 $1,157
Northside Hospital ForsythCumming 296 $12,525 $1,477 $1,166
Athens Regional Medical CenterAthens 285 $14,806 $1,406 $1,109
Wellstar Kennestone HospitalMarietta 256 $19,823 $1,466 $1,163
Sgmc HealthValdosta 236 $8,075 $1,356 $1,077
Piedmont Fayette HospitalFayetteville 228 $14,007 $1,482 $1,176
Emory University Hospital MidtownAtlanta 212 $11,106 $1,472 $1,165
Atrium Health Navicent the Medical CenterMacon 212 $9,867 $1,411 $1,117
Southeast Georgia Reg Med CtrBrunswick 192 $5,793 $1,451 $1,146
Tanner Medical Center - CarrolltonCarrollton 169 $6,447 $1,483 $1,177
Doctors HospitalAugusta 162 $29,332 $1,372 $1,090
Emory University HospitalAtlanta 161 $8,048 $1,490 $1,183
Memorial Health Univ Med Cen, INCSavannah 158 $15,998 $1,371 $1,084
Piedmont Columbus Regional MidtownColumbus 155 $12,348 $1,300 $1,020
Gwinnett Medical CenterLawrenceville 155 $13,385 $1,469 $1,163
Phoebe Putney Memorial HospitalAlbany 148 $8,709 $1,470 $1,162
Piedmont Augusta HospitalAugusta 144 $10,020 $1,330 $1,051
Piedmont Mountainside Hospital INCJasper 139 $13,064 $1,485 $1,177
Floyd Medical CenterRome 135 $19,251 $1,421 $1,123
Piedmont Newnan Hospital, INCNewnan 135 $12,941 $1,083 $863
Medical College of Ga Hospitals and ClinicsAugusta 133 $11,267 $1,366 $1,086
Saint Joseph's Hosp of AtlantaAtlanta 123 $7,926 $1,415 $1,115
Henry Medical Center, INCStockbridge 122 $14,979 $1,456 $1,148
Hamilton Medical CenterDalton 120 $9,119 $1,446 $1,144
St Mary's HospitalAthens 117 $10,285 $1,458 $1,153
Emory Eastside Medical CenterSnellville 109 $16,328 $1,483 $1,172
Southeastern Regional Medical Center, INCNewnan 106 $22,894 $1,505 $1,198
Northside Hospital DuluthDuluth 104 $13,488 $1,474 $1,165
Emory Decatur HospitalDecatur 101 $6,172 $1,485 $1,172
St Francis Hospital, INCColumbus 92 $8,975 $1,335 $1,056
John D Archbold Memorial HospitalThomasville 86 $6,611 $1,377 $1,094
Wellstar Cobb HospitalAustell 85 $19,069 $1,445 $1,141
Coliseum Medical CenterMacon 84 $12,093 $1,353 $1,064
Houston Medical CenterWarner Robins 82 $8,289 $1,385 $1,102
St Joseph's Hospital - SavannahSavannah 81 $9,587 $1,323 $1,048
Newton Medical CenterCovington 75 $11,542 $1,453 $1,151
Emory Johns Creek HospitalJohns Creek 73 $7,071 $1,472 $1,163
Cartersville Medical CenterCartersville 70 $19,914 $1,409 $1,103
Wellstar Paulding HospitalDallas 67 $18,310 $1,505 $1,199
North Fulton Regional HospitalRoswell 66 $18,889 $1,505 $1,196
Stephens County HospitalToccoa 62 $6,346 $1,370 $1,089
Gordon HospitalCalhoun 61 $15,968 $1,431 $1,127
Grady Memorial HospitalAtlanta 61 $16,845 $1,505 $1,199
Tift Regional Medical CenterTifton 57 $10,811 $1,370 $1,087
Rockdale Medical CenterConyers 55 $15,740 $1,505 $1,195
Satilla Regional Medical CenterWaycross 52 $22,509 $1,478 $1,166
Meadows Regional Medical Center INCVidalia 49 $12,122 $1,444 $1,142
Fairview Park HospitalDublin 45 $26,404 $1,400 $1,102
West Georgia Medical CenterLagrange 44 $18,192 $1,458 $1,161
Spalding Regional Medical CenterGriffin 44 $16,907 $1,450 $1,144
East Georgia Regional Medical CenterStatesboro 42 $14,779 $1,468 $1,169
Southeast Georgia Health System- Camden CampusSt Marys 41 $6,125 $1,444 $1,140
Redmond Regional Medical CenterRome 39 $23,369 $1,428 $1,128
Union General HospitalBlairsville 38 $5,685 $1,468 $1,169
Coffee Regional Medical CenterDouglas 34 $9,684 $1,463 $1,152
Wellstar Douglas HospitalDouglasville 32 $17,938 $1,467 $1,161
Colquitt Reg Medical CenterMoultrie 31 $7,942 $1,430 $1,132
Wayne Memorial HospitalJesup 23 $10,944 $1,468 $1,169
Dekalb Medical Center at HillandaleLithonia 23 $6,148 $1,505 $1,199
Barrow Regional Medical CenterWinder 19 $12,269 $1,442 $1,136
Athur M Blank HospitalAtlanta 19 $19,878 $1,505 $1,199
Navicent Health BaldwinMilledgeville 15 $5,347 $876 $692
Tanner Medical Center Villa RicaVilla Rica 14 $9,884 $1,433 $1,113
Wellstar Windy Hill HospitalMarietta 14 $23,907 $1,419 $1,091
Sumter Regional HospitalAmericus 13 $7,804 $1,377 $1,097
Upson Regional Medical CenterThomaston 11 $13,072 $1,439 $1,147
Crisp Regional HospitalCordele 11 $6,075 $1,361 $1,063
Cobb Memorial HospitalRoyston – – – –
Habersham County Med CenterDemorest – – – –
Walton Regional Medical CenterMonroe – – – –
Murray Medical CenterChatsworth – – – –
Dorminy Medical CenterFitzgerald – – – –
Washington County Regional Medical CenterSandersville – – – –
Dodge County HospitalEastman – – – –
Jefferson HospitalLouisville – – – –
Southwell Medical, a Campus of TrmcAdel – – – –
Emanuel Medical CenterSwainsboro – – – –
McDuffie Regional Medical CenterThomson – – – –
Burke Medical CenterWaynesboro – – – –
Memorial Hospital and ManorBainbridge – – – –
Taylor Regional HospitalHawkinsville – – – –
Evans Memorial HospitalClaxton – – – –
Southern Regional Medical CenterRiverdale – – – –
Donalsonville HospitalDonalsonville – – – –
Piedmont Columbus Regional NorthsideColumbus – – – –
Piedmont Macon North HospitalMacon – – – –
Northeast Georgia Medical Center LumpkinDahlonega – – – –
Blue Ridge Medical CenterBlue Ridge – – – –
Taylor Regional HospitalHawkinsville – – – –
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Lowest and highest allowed amounts in Georgia

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Level 2 Excision/Biopsy/Incision and Drainage in other states

Questions

How much does level 2 excision/biopsy/incision and drainage cost in Georgia?

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 93 hospitals in Georgia was billed at $12,947 on average, while the average medicare-allowed amount was $1,428, of which Medicare paid $1,131. Your own cost depends on your insurance, deductible and the hospital.

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 Georgia, average charges were 9.1 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.