facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Indiana: 80 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Indiana

What 80 hospitals in Indiana 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 $10,755 Hospital list price billed
Average allowed $1,422 Medicare's payment + patient's share
Medicare paid $1,127 Average per service
State rank #18 of 49 1 = lowest average payment

Hospitals in Indiana billed an average of $10,755 for level 2 excision/biopsy/incision and drainage, about 7.6 times the average medicare-allowed amount of $1,422. That payment is 8% 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 $1,422Billed $10,755

About 13¢ was paid for every $1 hospitals in Indiana billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Deaconess Hospital INCEvansville 834 $6,853 $1,067 $847
Clarian Health PartnersIndianapolis 437 $13,484 $1,470 $1,168
Parkview HospitalFort Wayne 319 $15,773 $1,482 $1,178
Community HospitalMunster 302 $9,578 $1,513 $1,198
Reid Hosp & Hlth Care ServicesRichmond 275 $8,159 $1,519 $1,208
Community Hospital EastIndianapolis 275 $8,408 $1,447 $1,148
Union Hospital INCTerre Haute 265 $8,971 $1,447 $1,147
Franciscan Health IndianapolisIndianapolis 259 $12,751 $1,460 $1,155
St Mary Medical Center INCHobart 234 $9,442 $1,494 $1,175
St Mary's Medical Center of Evansville INCEvansville 234 $15,242 $1,445 $1,151
Community Hospital NorthIndianapolis 226 $8,780 $1,461 $1,164
Memorial Hospital and Health Care CenterJasper 209 $9,747 $1,409 $1,116
Elkhart General HospitalElkhart 205 $8,750 $1,490 $1,183
Floyd Memorial Hospital and Health ServicesNew Albany 196 $16,958 $1,418 $1,123
Memorial Hospital of South BendSouth Bend 195 $8,748 $1,438 $1,141
St Vincent Hospital & Health ServicesIndianapolis 192 $12,304 $1,449 $1,148
Saint Joseph Reg Medical CtrSouth Bend 191 $8,034 $1,467 $1,158
Ball Memorial Hospital INCMuncie 179 $15,449 $1,447 $1,148
Porter, Valparaiso HospitalValparaiso 168 $16,169 $1,427 $1,126
Good Samaritan HospitalVincennes 167 $8,024 $1,431 $1,134
Hendricks Regional HealthDanville 148 $12,239 $1,428 $1,128
Women's Hospital theNewburgh 146 $6,635 $1,429 $1,133
Columbus Regional HospitalColumbus 143 $5,902 $1,492 $1,187
Indiana University Health North HospitalCarmel 138 $13,450 $1,462 $1,163
Indiana University Health Arnett HospitalLafayette 121 $15,684 $1,437 $1,138
IU Health Goshen HospitalGoshen 118 $8,903 $1,481 $1,176
Hancock Regional HospitalGreenfield 114 $7,396 $1,464 $1,164
Franciscan Health LafayetteLafayette 114 $13,541 $1,427 $1,127
Community Hospital of Anderson and Madison CountyAnderson 113 $8,796 $1,454 $1,155
Lutheran Hospital of IndianaFort Wayne 111 $11,721 $1,466 $1,166
Community Hospital SouthIndianapolis 109 $11,267 $1,442 $1,144
Franciscan St Anthony Health - Crown PointCrown Point 101 $10,365 $1,453 $1,148
Indiana University Health West HospitalAvon 92 $14,264 $1,464 $1,166
St Vincent Carmel Hospital INCCarmel 84 $12,699 $1,437 $1,137
Franciscan St Anthony Health - Michigan CityMichigan City 80 $10,110 $1,406 $1,107
Memorial HospitalLogansport 75 $3,491 $1,527 $1,217
Howard Regional Health SystemKokomo 73 $8,769 $1,466 $1,165
Riverview HospitalNoblesville 69 $11,005 $1,431 $1,133
Marion General HospitalMarion 68 $12,658 $1,568 $1,248
Bloomington HospitalBloomington 68 $15,976 $1,447 $1,150
Franciscan St Margaret Health - DyerDyer 68 $10,955 $1,507 $1,193
Franciscan Physicians Hospital LLCMunster 66 $11,291 $1,507 $1,188
Methodist Hospitals, INCGary 65 $11,512 $1,525 $1,212
La Porte Regional Health SystLa Porte 59 $9,031 $1,426 $1,130
Witham Health ServicesLebanon 59 $9,750 $1,464 $1,166
Dupont Hospital LLCFort Wayne 55 $18,591 $1,451 $1,149
Schneck Medical CenterSeymour 51 $7,133 $1,431 $1,125
Eskenazi HealthIndianapolis 50 $12,136 $1,441 $1,130
King's Daughters' Hospital and Health Services,TheMadison 48 $6,558 $1,548 $1,226
Major HospitalShelbyville 48 $11,449 $1,441 $1,142
Clark Memorial HospitalJeffersonville 43 $11,190 $1,445 $1,147
St Catherine Hospital INCEast Chicago 37 $9,176 $1,525 $1,208
Saint John's Health SystemAnderson 37 $12,194 $1,465 $1,150
Terre Haute Regional HospitalTerre Haute 35 $22,922 $1,412 $1,115
Dearborn County HospitalLawrenceburg 33 $11,278 $1,378 $1,077
St Joseph Hospital & Health Center INCKokomo 32 $11,402 $1,477 $1,176
Daviess Community HospitalWashington 32 $5,528 $1,490 $1,180
Johnson Memorial HospitalFranklin 31 $7,530 $1,389 $1,091
St Francis Hospital MooresvilleMooresville 28 $12,803 $1,464 $1,163
Franciscan Health CrawfordsvilleCrawfordsville 22 $11,460 $1,465 $1,153
Kosciusko Community HospitalWarsaw 22 $18,162 $1,397 $1,095
Pinnacle HospitalCrown Point 19 $20,736 $1,284 $1,006
Henry County Memorial HospitalNew Castle 18 $7,485 $1,400 $1,097
Parkview Noble HospitalKendallville 18 $7,413 $1,497 $1,193
Monroe HospitalBloomington 18 $9,901 $1,445 $1,151
Ascension St Vincent FishersFishers 17 $13,426 $1,465 $1,155
Orthoindy HospitalIndianapolis 13 $14,336 $1,464 $1,167
Parkview Whitley HospitalColumbia City 12 $12,882 $1,472 $1,173
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne 11 $19,556 $1,232 $964
Dekalb Memorial Hospital INCAuburn – – – –
St Joseph HospitalFort Wayne – – – –
Bluffton Regional Medical CenterBluffton – – – –
Saint Joseph's Regional Medical Center - PlymouthPlymouth – – – –
Parkview Huntington HospitalHuntington – – – –
Starke Memorial HospitalKnox – – – –
Orthopaedic Hospital at Parkview North LLCFort Wayne – – – –
Physicians' Medical Center LLCNew Albany – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
Franciscan Health Orthopedic Hospital CarmelCarmel – – – –
Uchicago Medicine Northwest IndianaCrown Point – – – –
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Lowest and highest allowed amounts in Indiana

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

Deaconess Hospital INCEvansville, IN$1,067
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN$1,232
Pinnacle HospitalCrown Point, IN$1,284
Dearborn County HospitalLawrenceburg, IN$1,378
Johnson Memorial HospitalFranklin, IN$1,389

Highest

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

Questions

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

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 80 hospitals in Indiana was billed at $10,755 on average, while the average medicare-allowed amount was $1,422, of which Medicare paid $1,127. 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 Indiana, average charges were 7.6 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.