Level 2 Excision/Biopsy/Incision and Drainage in Iowa
What 30 hospitals in Iowa charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$8,028
Hospital list price billed
Average allowed
$1,414
Medicare's payment + patient's share
Medicare paid
$1,123
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $8,028 for level 2 excision/biopsy/incision and drainage, about 5.7 times the average medicare-allowed amount of $1,414. 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 $1,414Billed $8,028
About 18¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 2 excision/biopsy/incision and drainage
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Iowa Hospital & ClinicsIowa City | 670 | $9,430 | $1,415 | $1,122 |
| Iowa Methodist Medical CenterDes Moines | 463 | $8,635 | $1,386 | $1,101 |
| Mercy Medical Center-North IowaMason City | 341 | $9,785 | $1,561 | $1,241 |
| Genesis Medical Center-DavenportDavenport | 331 | $4,935 | $1,369 | $1,084 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 286 | $6,418 | $1,384 | $1,101 |
| Mary Greeley Medical CenterAmes | 260 | $6,565 | $1,385 | $1,100 |
| Mercy Medical Center-Des MoinesDes Moines | 249 | $10,086 | $1,374 | $1,091 |
| Allen Memorial HospitalWaterloo | 248 | $5,648 | $1,353 | $1,074 |
| St Lukes HospitalCedar Rapids | 203 | $7,073 | $1,389 | $1,102 |
| Southeast Iowa Regional Medical CenterWest Burlington | 158 | $5,385 | $1,478 | $1,177 |
| Mercy Medical Center-DubuqueDubuque | 152 | $8,770 | $1,463 | $1,161 |
| Mercyone Waterloo Medical CenterWaterloo | 122 | $14,458 | $1,387 | $1,103 |
| Jennie Edmundson HospitalCouncil Bluffs | 95 | $8,256 | $1,461 | $1,163 |
| St Lukes Regional Medical CenterSioux City | 92 | $5,771 | $1,379 | $1,094 |
| The Finley HospitalDubuque | 60 | $7,379 | $1,387 | $1,105 |
| Spencer Municipal HospitalSpencer | 58 | $6,693 | $1,387 | $1,105 |
| Mercy HospitalIowa City | 53 | $11,399 | $1,447 | $1,146 |
| Mercyone Siouxland Medical CenterSioux City | 52 | $7,293 | $1,461 | $1,160 |
| Mercy Medical Center-ClintonClinton | 50 | $9,893 | $1,485 | $1,178 |
| Broadlawns Medical CenterDes Moines | 41 | $8,400 | $1,392 | $1,109 |
| Trinity Regional Medical CenterFort Dodge | 40 | $5,958 | $1,485 | $1,179 |
| Alegent Health Mercy HospitalCouncil Bluffs | 39 | $10,122 | $1,414 | $1,110 |
| Marshalltown Medical & Surgical CenterMarshalltown | 34 | $7,082 | $1,490 | $1,186 |
| Trinity Medical CenterDavenport | 27 | $7,834 | $1,348 | $1,061 |
| Lakes Regional HealthcareSpirit Lake | 17 | $3,796 | $1,387 | $1,105 |
| Trinity MuscatineMuscatine | – | – | – | – |
| Mercyone Newton Medical CenterNewton | – | – | – | – |
| Sartori Memorial HospitalCedar Falls | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
Lowest and highest allowed amounts in Iowa
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
| Trinity Medical CenterDavenport, IA | $1,348 |
|---|---|
| Allen Memorial HospitalWaterloo, IA | $1,353 |
| Genesis Medical Center-DavenportDavenport, IA | $1,369 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $1,374 |
| St Lukes Regional Medical CenterSioux City, IA | $1,379 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $1,561 |
|---|---|
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $1,490 |
| Mercy Medical Center-ClintonClinton, IA | $1,485 |
| Trinity Regional Medical CenterFort Dodge, IA | $1,485 |
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $1,478 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Iowa?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 30 hospitals in Iowa was billed at $8,028 on average, while the average medicare-allowed amount was $1,414, of which Medicare paid $1,123. 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 Iowa, average charges were 5.7 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.