Level 2 Excision/Biopsy/Incision and Drainage in Illinois
What 112 hospitals in Illinois charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$11,825
Hospital list price billed
Average allowed
$1,493
Medicare's payment + patient's share
Medicare paid
$1,183
Average per service
State rank
#30 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $11,825 for level 2 excision/biopsy/incision and drainage, about 7.9 times the average medicare-allowed amount of $1,493. That payment is 3% 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 $1,493Billed $11,825
About 13¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 2 excision/biopsy/incision and drainage
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northwestern Memorial HospitalChicago | 989 | $14,457 | $1,558 | $1,237 |
| Evanston HospitalEvanston | 946 | $8,116 | $1,501 | $1,193 |
| Saint Francis Medical CenterPeoria | 569 | $12,171 | $1,484 | $1,178 |
| Rush University Medical CenterChicago | 558 | $8,574 | $1,506 | $1,194 |
| Lake Forest HospitalLake Forest | 456 | $14,998 | $1,325 | $1,053 |
| Central Dupage HospitalWinfield | 418 | $18,617 | $1,517 | $1,204 |
| Decatur Memorial HospitalDecatur | 414 | $10,746 | $1,493 | $1,184 |
| The University of Chicago Medical CenterChicago | 383 | $17,252 | $1,534 | $1,213 |
| Loyola University Medical CenterMaywood | 359 | $9,307 | $1,539 | $1,216 |
| Memorial Medical CenterSpringfield | 357 | $11,981 | $1,454 | $1,153 |
| Northwest Community HospitalArlington Heights | 352 | $9,876 | $1,530 | $1,215 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 334 | $11,761 | $1,523 | $1,205 |
| Advocate Lutheran General HospitalPark Ridge | 316 | $11,546 | $1,482 | $1,169 |
| Northwestern Medicine McHenryMcHenry | 302 | $16,326 | $1,530 | $1,217 |
| Memorial Hospital of CarbondaleCarbondale | 287 | $10,534 | $1,474 | $1,162 |
| Edward HospitalNaperville | 286 | $12,437 | $1,522 | $1,201 |
| Carle Foundation HospitalUrbana | 284 | $11,312 | $1,381 | $1,096 |
| Silver Cross HospitalJoliet | 282 | $7,247 | $1,513 | $1,199 |
| Swedish American HospitalRockford | 271 | $19,602 | $1,520 | $1,199 |
| Advocate Good Shepherd HospitalBarrington | 266 | $11,486 | $1,525 | $1,211 |
| Elmhurst Memorial HospitalElmhurst | 260 | $13,758 | $1,521 | $1,199 |
| Palos Community HospitalPalos Heights | 240 | $13,283 | $1,420 | $1,128 |
| Delnor Community HospitalGeneva | 235 | $17,130 | $1,573 | $1,249 |
| University of Illinois Hospital and ClinicsChicago | 233 | $11,078 | $1,545 | $1,224 |
| Blessing HospitalQuincy | 216 | $12,759 | $1,395 | $1,103 |
| Hinsdale HospitalHinsdale | 199 | $6,187 | $930 | $737 |
| Advocate Good Samaritan HospitalDowners Grove | 196 | $11,479 | $1,498 | $1,184 |
| Riverside Medical CenterKankakee | 194 | $9,141 | $1,476 | $1,164 |
| Memorial HospitalBelleville | 187 | $8,695 | $1,436 | $1,135 |
| Saint Anthony Medical CenterRockford | 174 | $10,779 | $1,561 | $1,237 |
| St Elizabeth HospitalBelleville | 155 | $11,204 | $1,458 | $1,154 |
| Alexian Brothers Medical CenterElk Grove Village | 152 | $12,010 | $1,569 | $1,244 |
| Advocate Trinity HospitalChicago | 151 | $11,984 | $1,531 | $1,216 |
| Ingalls Memorial HospitalHarvey | 151 | $11,935 | $1,539 | $1,224 |
| Cgh Medical CenterSterling | 150 | $14,925 | $1,478 | $1,176 |
| Sarah Bush Lincoln Health CenterMattoon | 150 | $9,069 | $1,531 | $1,215 |
| Copley Memorial HospitalAurora | 148 | $11,958 | $1,556 | $1,231 |
| Trinity Rock IslandRock Island | 143 | $7,121 | $1,474 | $1,165 |
| St Johns HospitalSpringfield | 137 | $15,463 | $1,470 | $1,167 |
| Sherman HospitalElgin | 136 | $11,996 | $1,575 | $1,252 |
| Methodist Medical Center of IllinoisPeoria | 132 | $12,866 | $1,498 | $1,188 |
| Kishwaukee Community HospitalDekalb | 132 | $12,834 | $1,577 | $1,252 |
| Midwestern Region Med CenterZion | 131 | $17,343 | $1,514 | $1,202 |
| Javon Bea HospitalRockford | 130 | $8,093 | $1,132 | $890 |
| OSF Saint Elizabeth Mdl CtrOttawa | 121 | $6,899 | $1,559 | $1,239 |
| Rush Oak Park HospitalOak Park | 119 | $5,617 | $1,508 | $1,191 |
| St Joseph Medical CenterBloomington | 118 | $9,589 | $1,478 | $1,171 |
| Good Samaritan Regional Hlth CenterMt Vernon | 114 | $8,240 | $1,475 | $1,168 |
| Advocate Illinois Masonic Medical CenterChicago | 110 | $14,024 | $1,517 | $1,202 |
| Bromenn Healthcare SystemNormal | 108 | $6,655 | $1,498 | $1,189 |
| Advocate Condell Medical CenterLibertyville | 102 | $15,191 | $1,514 | $1,202 |
| Resurrection Medical CenterChicago | 98 | $13,710 | $1,527 | $1,211 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 90 | $12,013 | $1,539 | $1,223 |
| St Anthonys Memorial HospitalEffingham | 88 | $10,048 | $1,590 | $1,263 |
| Swedish Covenant HospitalChicago | 88 | $10,495 | $1,539 | $1,224 |
| St Alexius Medical CenterSchaumburg | 76 | $13,616 | $1,429 | $1,132 |
| Little Company of Mary HospitalEvergreen Park | 75 | $7,880 | $1,577 | $1,252 |
| Alton Memorial HospitalAlton | 71 | $10,043 | $1,498 | $1,190 |
| Anderson HospitalMaryville | 70 | $9,488 | $1,498 | $1,191 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 62 | $9,191 | $1,577 | $1,248 |
| Adventist la Grange Memorial HospitalLa Grange | 60 | $7,315 | $1,539 | $1,223 |
| Rhc St Francis HospitalEvanston | 59 | $11,448 | $1,577 | $1,256 |
| John H Stroger Jr HospitalChicago | 59 | $8,048 | $1,513 | $1,202 |
| Morris Hospital & Healthcare CentersMorris | 56 | $9,158 | $1,539 | $1,219 |
| Provena St Marys HospitalKankakee | 51 | $16,295 | $1,501 | $1,191 |
| Saint Anthony's Health CenterAlton | 48 | $9,602 | $1,498 | $1,186 |
| St Mary Medical CenterGalesburg | 48 | $10,090 | $1,578 | $1,255 |
| Adventist Bolingbrook HospitalBolingbrook | 47 | $5,309 | $1,454 | $1,152 |
| OSF Saint Katharine Medical CenterDixon | 45 | $12,640 | $1,452 | $1,143 |
| St Marys HospitalDecatur | 42 | $7,945 | $1,498 | $1,191 |
| Saint Joseph HospitalChicago | 38 | $11,415 | $1,511 | $1,185 |
| Illini HospitalSilvis | 37 | $5,344 | $1,450 | $1,145 |
| Mt Sinai Hospital Medical CenterChicago | 36 | $7,805 | $1,539 | $1,225 |
| Fhn Memorial HospitalFreeport | 34 | $7,860 | $1,445 | $1,151 |
| Pekin Memorial HospitalPekin | 33 | $10,584 | $1,498 | $1,190 |
| St Marys HospitalCentralia | 32 | $10,626 | $1,461 | $1,156 |
| Provena St Joseph Medical CenterJoliet | 30 | $13,548 | $1,539 | $1,220 |
| OSF Sacred Heart Medical CenterDanville | 30 | $8,670 | $1,499 | $1,181 |
| Provena - Saint Joseph HospitalElgin | 30 | $17,829 | $1,584 | $1,253 |
| Proctor HospitalPeoria | 28 | $17,843 | $1,456 | $1,151 |
| Graham Hospital AssociationCanton | 27 | $8,600 | $1,605 | $1,279 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 27 | $13,727 | $1,539 | $1,225 |
| Macneal HospitalBerwyn | 24 | $17,466 | $1,524 | $1,204 |
| Herrin HospitalHerrin | 21 | $16,984 | $1,498 | $1,193 |
| Mc Donough District HospitalMacomb | 21 | $9,814 | $1,605 | $1,270 |
| West Suburban Hosp Med CenterOak Park | 19 | $8,831 | $1,509 | $1,202 |
| Provena Mercy Medical CenterAurora | 18 | $24,883 | $1,584 | $1,262 |
| Adventist GlenoaksGlendale Heights | 18 | $7,567 | $1,386 | $1,087 |
| Crossroads Community HospitalMt Vernon | 18 | $9,740 | $1,432 | $1,127 |
| Jersey Community HospitalJerseyville | 16 | $8,805 | $1,498 | $1,186 |
| Carle Richland Memorial HospitalOlney | 16 | $10,184 | $1,525 | $1,199 |
| Harrisburg Medical CenterHarrisburg | 16 | $11,062 | $1,605 | $1,279 |
| St Josephs HospitalBreese | 14 | $11,097 | $1,498 | $1,190 |
| Heartland Regional Medical CenterMarion | 14 | $21,371 | $1,413 | $1,109 |
| Insight Hospital and Medical Center ChicagoChicago | 12 | $29,851 | $1,437 | $1,124 |
| Touchette Regional HospitalEast St Louis | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| Vista Medical Center EastWaukegan | – | – | – | – |
| Saint Anthony HospitalChicago | – | – | – | – |
| St Bernard HospitalChicago | – | – | – | – |
| OSF Heart of Mary Medical CenterUrbana | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Gateway Regional Medical CenterGranite City | – | – | – | – |
| Holy Cross HospitalChicago | – | – | – | – |
| OSF Saint James HospitalPontiac | – | – | – | – |
| Jackson Park HospitalChicago | – | – | – | – |
| Humboldt Park HealthChicago | – | – | – | – |
| Community First Medical CenterChicago | – | – | – | – |
| Provident Hospital of ChicagoChicago | – | – | – | – |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | – | – | – | – |
| Holy Family Medical CenterDes Plaines | – | – | – | – |
| Children's Memorial HospitalChicago | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Hinsdale HospitalHinsdale, IL | $930 |
|---|---|
| Javon Bea HospitalRockford, IL | $1,132 |
| Lake Forest HospitalLake Forest, IL | $1,325 |
| Carle Foundation HospitalUrbana, IL | $1,381 |
| Adventist GlenoaksGlendale Heights, IL | $1,386 |
Highest
| Mc Donough District HospitalMacomb, IL | $1,605 |
|---|---|
| Graham Hospital AssociationCanton, IL | $1,605 |
| Harrisburg Medical CenterHarrisburg, IL | $1,605 |
| St Anthonys Memorial HospitalEffingham, IL | $1,590 |
| Provena - Saint Joseph HospitalElgin, IL | $1,584 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Illinois?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 112 hospitals in Illinois was billed at $11,825 on average, while the average medicare-allowed amount was $1,493, of which Medicare paid $1,183. 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 Illinois, average charges were 7.9 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.