Level 2 Excision/Biopsy/Incision and Drainage in Kentucky
What 60 hospitals in Kentucky charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$11,955
Hospital list price billed
Average allowed
$1,389
Medicare's payment + patient's share
Medicare paid
$1,100
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $11,955 for level 2 excision/biopsy/incision and drainage, about 8.6 times the average medicare-allowed amount of $1,389. That payment is 10% 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 $1,389Billed $11,955
About 12¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 2 excision/biopsy/incision and drainage
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 683 | $8,258 | $1,377 | $1,093 |
| University of Kentucky HospLexington | 416 | $12,272 | $1,367 | $1,083 |
| Baptist Hospital EastLouisville | 413 | $16,799 | $1,373 | $1,085 |
| St Elizabeth Med Center-SouthEdgewood | 308 | $10,023 | $1,359 | $1,075 |
| Central Baptist HospitalLexington | 286 | $17,898 | $1,386 | $1,098 |
| King's Daughters' Medical CenterAshland | 269 | $11,349 | $1,369 | $1,088 |
| Owensboro Medical Health SystemOwensboro | 263 | $10,684 | $1,483 | $1,175 |
| Baptist Hospital NortheastLa Grange | 260 | $18,363 | $1,384 | $1,099 |
| University of Louisville HospitalLouisville | 254 | $11,146 | $1,349 | $1,066 |
| Hardin Memorial HospitalElizabethtown | 225 | $18,207 | $1,370 | $1,082 |
| Western Baptist HospitalPaducah | 222 | $17,144 | $1,462 | $1,157 |
| The Medical Center at Bowling GreenBowling Green | 179 | $7,848 | $1,382 | $1,095 |
| Pikeville Medical CenterPikeville | 162 | $11,421 | $1,444 | $1,142 |
| Jewish HospitalLouisville | 136 | $9,948 | $1,363 | $1,072 |
| T J Samson Community HospitalGlasgow | 129 | $6,861 | $1,469 | $1,166 |
| Lourdes HospitalPaducah | 105 | $13,828 | $1,465 | $1,155 |
| Ephraim McDowell Regional Medical CenterDanville | 81 | $4,163 | $1,240 | $987 |
| St Claire Regional Medical CenterMorehead | 78 | $5,244 | $1,494 | $1,189 |
| Hazard Arh Regional Medical CenterHazard | 74 | $8,960 | $1,371 | $1,086 |
| Baptist Health Deaconess MadisonvilleMadisonville | 73 | $16,480 | $1,484 | $1,177 |
| Saint Joseph HospitalLexington | 67 | $9,291 | $1,354 | $1,069 |
| Baptist Regional Medical CtrCorbin | 66 | $15,646 | $1,333 | $1,057 |
| Deaconess Henderson HospitalHenderson | 63 | $7,478 | $1,428 | $1,138 |
| Saint Joseph EastLexington | 61 | $9,435 | $1,386 | $1,091 |
| Jennie Stuart Medical CenterHopkinsville | 57 | $5,914 | $1,390 | $1,105 |
| Lake Cumberland Regional HospitalSomerset | 54 | $13,115 | $1,472 | $1,167 |
| St Elizabeth Ft ThomasFort Thomas | 52 | $10,845 | $1,383 | $1,102 |
| St Elizabeth FlorenceFlorence | 49 | $12,385 | $1,364 | $1,078 |
| Murray-Calloway County HospitalMurray | 44 | $11,425 | $1,360 | $1,083 |
| Taylor Regional HospitalCampbellsville | 42 | $5,468 | $1,328 | $1,056 |
| Saint Joseph LondonLondon | 33 | $5,322 | $1,360 | $1,084 |
| Clark Regional Medical CenterWinchester | 33 | $11,859 | $1,370 | $1,079 |
| Highlands Regional Medical CenterPrestonsburg | 32 | $10,288 | $1,341 | $1,058 |
| Jackson Purchase Medical CenterMayfield | 31 | $12,439 | $1,483 | $1,182 |
| Frankfort Regional Medical CenterFrankfort | 28 | $14,148 | $1,370 | $1,081 |
| Spring View HospitalLebanon | 27 | $9,742 | $1,360 | $1,084 |
| Flaget Memorial HospitalBardstown | 23 | $7,281 | $1,300 | $1,016 |
| Georgetown Community HospitalGeorgetown | 21 | $10,433 | $1,410 | $1,123 |
| Baptist Health RichmondRichmond | 20 | $13,022 | $1,361 | $1,081 |
| Harrison Memorial HospitalCynthiana | 19 | $6,742 | $1,360 | $1,074 |
| Whitesburg Arh HospitalWhitesburg | 14 | $10,664 | $1,374 | $1,078 |
| Jewish Hospital - ShelbyvilleShelbyville | 14 | $12,462 | $1,397 | $1,113 |
| Meadowview Regional Medical CenterMaysville | 14 | $10,800 | $1,457 | $1,158 |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | 13 | $8,264 | $1,360 | $1,081 |
| Twin Lakes Regional Medical CenterLeitchfield | 13 | $6,075 | $1,360 | $1,084 |
| The Medical Center at RussellvilleRussellville | 12 | $10,272 | $1,360 | $1,084 |
| Muhlenberg Community HospitalGreenville | – | – | – | – |
| Memorial HospitalManchester | – | – | – | – |
| Bourbon Community HospitalParis | – | – | – | – |
| Harlan Appalachian Regional Healthcare HospitalHarlan | – | – | – | – |
| Saint Joseph Mount SterlingMt Sterling | – | – | – | – |
| Williamson Arh HospitalSouth Williamson | – | – | – | – |
| Paintsville Arh HospitalPaintsville | – | – | – | – |
| Crittenden Community HospitalMarion | – | – | – | – |
| Rockcastle Reg Hospital & Respiratory Care CtrMt Vernon | – | – | – | – |
| Greenview Regional HospitalBowling Green | – | – | – | – |
| Three Rivers Medical CenterLouisa | – | – | – | – |
| Kentucky River Medical CenterJackson | – | – | – | – |
| Pineville Community Health Center, INCPineville | – | – | – | – |
| Crittenden Community HospitalMarion | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Ephraim McDowell Regional Medical CenterDanville, KY | $1,240 |
|---|---|
| Flaget Memorial HospitalBardstown, KY | $1,300 |
| Taylor Regional HospitalCampbellsville, KY | $1,328 |
| Baptist Regional Medical CtrCorbin, KY | $1,333 |
| Highlands Regional Medical CenterPrestonsburg, KY | $1,341 |
Highest
| St Claire Regional Medical CenterMorehead, KY | $1,494 |
|---|---|
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $1,484 |
| Jackson Purchase Medical CenterMayfield, KY | $1,483 |
| Owensboro Medical Health SystemOwensboro, KY | $1,483 |
| Lake Cumberland Regional HospitalSomerset, KY | $1,472 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Kentucky?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 60 hospitals in Kentucky was billed at $11,955 on average, while the average medicare-allowed amount was $1,389, of which Medicare paid $1,100. 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 Kentucky, average charges were 8.6 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.