Level 2 Excision/Biopsy/Incision and Drainage in Maine
What 17 hospitals in Maine charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$7,674
Hospital list price billed
Average allowed
$1,455
Medicare's payment + patient's share
Medicare paid
$1,154
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Maine billed an average of $7,674 for level 2 excision/biopsy/incision and drainage, about 5.3 times the average medicare-allowed amount of $1,455. That payment is 5% 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 $1,455Billed $7,674
About 19¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 2 excision/biopsy/incision and drainage
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 421 | $7,632 | $1,460 | $1,161 |
| Eastern Maine Medical CenterBangor | 276 | $9,156 | $1,387 | $1,100 |
| Maine General Medical CenterWaterville | 133 | $7,108 | $1,541 | $1,223 |
| York HospitalYork | 111 | $6,530 | $1,523 | $1,213 |
| Central Maine Medical CenterLewiston | 93 | $7,842 | $1,439 | $1,134 |
| Penobscot Bay Medical CenterRockport | 84 | $4,449 | $1,490 | $1,186 |
| Mercy HospitalPortland | 81 | $8,821 | $1,475 | $1,168 |
| Mid Coast HospitalBrunswick | 77 | $5,788 | $1,476 | $1,164 |
| Northern Light a R Gould HospitalPresque Isle | 71 | $6,923 | $1,391 | $1,106 |
| St Joseph HospitalBangor | 60 | $8,240 | $1,373 | $1,090 |
| St Marys Regional Medical CenterLewiston | 50 | $8,891 | $1,385 | $1,093 |
| Maine Coast Memorial HospitalEllsworth | 46 | $10,064 | $1,516 | $1,200 |
| Southern Maine Health CareBiddeford | 43 | $6,681 | $1,523 | $1,213 |
| Northern Maine Medical CenterFort Kent | 28 | $7,751 | $1,463 | $1,166 |
| Northern Light Inland HospitalWaterville | 11 | $8,280 | $1,415 | $1,128 |
| Cary Medical CenterCaribou | – | – | – | – |
| Franklin Memorial HospitalFarmington | – | – | – | – |
Lowest and highest allowed amounts in Maine
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
| St Joseph HospitalBangor, ME | $1,373 |
|---|---|
| St Marys Regional Medical CenterLewiston, ME | $1,385 |
| Eastern Maine Medical CenterBangor, ME | $1,387 |
| Northern Light a R Gould HospitalPresque Isle, ME | $1,391 |
| Northern Light Inland HospitalWaterville, ME | $1,415 |
Highest
| Maine General Medical CenterWaterville, ME | $1,541 |
|---|---|
| York HospitalYork, ME | $1,523 |
| Southern Maine Health CareBiddeford, ME | $1,523 |
| Maine Coast Memorial HospitalEllsworth, ME | $1,516 |
| Penobscot Bay Medical CenterRockport, ME | $1,490 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Maine?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 17 hospitals in Maine was billed at $7,674 on average, while the average medicare-allowed amount was $1,455, of which Medicare paid $1,154. 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 Maine, average charges were 5.3 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.