Level 2 Excision/Biopsy/Incision and Drainage in Massachusetts
What 56 hospitals in Massachusetts charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$6,585
Hospital list price billed
Average allowed
$1,724
Medicare's payment + patient's share
Medicare paid
$1,371
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $6,585 for level 2 excision/biopsy/incision and drainage, about 3.8 times the average medicare-allowed amount of $1,724. That payment is 12% above 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 $1,724Billed $6,585
About 26¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 2 excision/biopsy/incision and drainage
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 1,552 | $6,429 | $1,723 | $1,369 |
| Massachusetts General HospitalBoston | 1,339 | $8,054 | $1,725 | $1,372 |
| Lahey Clinic HospitalBurlington | 725 | $4,852 | $1,731 | $1,378 |
| South Shore HospitalSouth Weymouth | 670 | $4,083 | $1,735 | $1,379 |
| Beth Israel Deaconess Medical CenterBoston | 642 | $7,718 | $1,735 | $1,379 |
| Umass Memorial Medical Center INCWorcester | 619 | $10,641 | $1,711 | $1,357 |
| Baystate Medical CenterSpringfield | 603 | $5,397 | $1,731 | $1,375 |
| Cape Cod HospitalHyannis | 446 | $7,132 | $1,717 | $1,367 |
| Newton-Wellesley HospitalNewton Lower Falls | 434 | $4,437 | $1,734 | $1,381 |
| Southcoast Hospital Group, INCFall River | 432 | $8,197 | $1,715 | $1,362 |
| Berkshire Medical Center INCPittsfield | 341 | $7,943 | $1,829 | $1,456 |
| Faulkner HospitalBoston | 318 | $3,566 | $1,737 | $1,382 |
| Lowell General HospitalLowell | 317 | $7,972 | $1,724 | $1,368 |
| Union HospitalLynn | 311 | $5,347 | $1,727 | $1,375 |
| Beverly Hospital CorporationBeverly | 303 | $5,599 | $1,731 | $1,378 |
| Winchester HospitalWinchester | 247 | $4,807 | $1,724 | $1,370 |
| Mount Auburn HospitalCambridge | 236 | $6,621 | $1,732 | $1,377 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 230 | $4,870 | $1,741 | $1,385 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 224 | $6,584 | $1,717 | $1,365 |
| Emerson HospitalConcord | 211 | $5,263 | $1,729 | $1,375 |
| Boston Medical Center CorporationBoston | 201 | $7,281 | $1,720 | $1,365 |
| Milford Regional Medical CenterMilford | 177 | $5,502 | $1,726 | $1,370 |
| Tufts Medical CenterBoston | 172 | $7,961 | $1,701 | $1,347 |
| Falmouth HospitalFalmouth | 172 | $6,875 | $1,725 | $1,371 |
| Melrosewakefield HealthcareMelrose | 171 | $6,153 | $1,733 | $1,379 |
| Mercy Medical CenterSpringfield | 129 | $4,735 | $1,724 | $1,369 |
| Anna Jaques HospitalNewburyport | 128 | $6,106 | $1,728 | $1,376 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 127 | $4,036 | $1,741 | $1,385 |
| Brockton HospitalBrockton | 125 | $6,349 | $1,727 | $1,369 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 119 | $4,965 | $1,232 | $973 |
| St Vincent HospitalWorcester | 111 | $13,156 | $1,729 | $1,372 |
| Healthalliance Hospitals, INCLeominster | 108 | $9,436 | $1,677 | $1,321 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 104 | $4,700 | $1,741 | $1,386 |
| Sturdy Memorial HospitalAttleboro | 103 | $4,290 | $1,741 | $1,384 |
| Harrington Memorial HospitalSouthbridge | 97 | $17,558 | $1,727 | $1,371 |
| Massachusetts Eye and Ear InfirmaryBoston | 97 | $6,608 | $1,741 | $1,387 |
| Lawrence General HospitalLawrence | 92 | $6,419 | $1,741 | $1,386 |
| Baystate Franklin Medical CenterGreenfield | 92 | $5,122 | $1,662 | $1,311 |
| Holyoke Medical CenterHolyoke | 88 | $5,345 | $1,706 | $1,354 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 71 | $6,470 | $1,741 | $1,381 |
| Marlborough HospitalMarlborough | 65 | $9,785 | $1,741 | $1,382 |
| Morton Hospital & Medical CenterTaunton | 65 | $6,237 | $1,720 | $1,365 |
| Noble HospitalWestfield | 57 | $6,317 | $1,741 | $1,386 |
| Cambridge Health AllianceCambridge | 56 | $3,049 | $1,741 | $1,387 |
| Heywood HospitalGardner | 54 | $5,800 | $1,739 | $1,385 |
| Dana-Farber Cancer InstituteBoston | 40 | $4,967 | $1,741 | $1,387 |
| Milton HospitalMilton | 35 | $3,425 | $1,741 | $1,387 |
| Wing Memorial Hospital and Medical CenterPalmer | 34 | $3,077 | $1,716 | $1,367 |
| Boston Medical Center-BrightonBrighton | 34 | $5,806 | $1,741 | $1,377 |
| Metrowest Medical CenterFramingham | 34 | $15,465 | $1,741 | $1,381 |
| Norwood Hospital, a Caritas Family HospitalNorwood | 23 | $3,136 | $1,741 | $1,385 |
| Nantucket Cottage HospitalNantucket | 14 | $4,532 | $1,865 | $1,486 |
| Carney HospitalDorchester | – | – | – | – |
| New England Baptist HospitalBoston | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $1,232 |
|---|---|
| Baystate Franklin Medical CenterGreenfield, MA | $1,662 |
| Healthalliance Hospitals, INCLeominster, MA | $1,677 |
| Tufts Medical CenterBoston, MA | $1,701 |
| Holyoke Medical CenterHolyoke, MA | $1,706 |
Highest
| Nantucket Cottage HospitalNantucket, MA | $1,865 |
|---|---|
| Berkshire Medical Center INCPittsfield, MA | $1,829 |
| Boston Medical Center-BrightonBrighton, MA | $1,741 |
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $1,741 |
| Metrowest Medical CenterFramingham, MA | $1,741 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Massachusetts?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 56 hospitals in Massachusetts was billed at $6,585 on average, while the average medicare-allowed amount was $1,724, of which Medicare paid $1,371. 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 Massachusetts, average charges were 3.8 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.