facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Michigan: 85 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Michigan

What 85 hospitals in Michigan 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 $7,324 Hospital list price billed
Average allowed $1,425 Medicare's payment + patient's share
Medicare paid $1,130 Average per service
State rank #19 of 49 1 = lowest average payment

Hospitals in Michigan billed an average of $7,324 for level 2 excision/biopsy/incision and drainage, about 5.1 times the average medicare-allowed amount of $1,425. That payment is 7% 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 $1,425Billed $7,324

About 19¢ was paid for every $1 hospitals in Michigan billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Michigan HospitalsAnn Arbor 1,041 $9,721 $1,474 $1,170
William Beaumont HospitalRoyal Oak 560 $9,327 $1,437 $1,142
Spectrum Health - Butterworth CampusGrand Rapids 464 $5,244 $1,300 $1,026
Henry Ford HospitalDetroit 398 $5,629 $1,416 $1,121
Munson Medical CenterTraverse City 383 $5,434 $1,496 $1,187
William Beaumont Hospital-TroyTroy 359 $9,547 $1,422 $1,128
Trinity Health Ann Arbor HospitalAnn Arbor 325 $5,836 $1,484 $1,175
Bronson Methodist HospitalKalamazoo 228 $5,098 $1,368 $1,084
Midmichigan Medical Center-MidlandMidland 222 $5,350 $1,456 $1,158
Karmanos Cancer CenterDetroit 219 $6,019 $1,415 $1,123
Providence Hospital and Medical CentersSouthfield 218 $7,274 $1,438 $1,140
Edward W Sparrow HospitalLansing 211 $8,105 $1,357 $1,076
Henry Ford Macomb HospitalClinton Twp 199 $6,761 $1,400 $1,110
St Joseph Mercy OaklandPontiac 192 $7,396 $1,432 $1,133
Covenant Medical Center, INCSaginaw 172 $7,615 $1,406 $1,112
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 165 $5,819 $1,420 $1,124
St John Hospital and Medical CenterDetroit 161 $6,233 $1,431 $1,134
McLaren Greater LansingLansing 148 $6,131 $1,448 $1,149
Allegiance HealthJackson 145 $6,964 $1,394 $1,103
Lakeland Hospital, St JosephSt Joseph 144 $6,766 $1,348 $1,063
Beaumont Hospital - DearbornDearborn 142 $11,318 $1,418 $1,124
McLaren Regional Medical CenterFlint 138 $5,657 $1,521 $1,208
Alpena Regional Medical CenterAlpena 125 $5,831 $1,484 $1,178
Northern Michigan Regional HospitalPetoskey 125 $4,685 $1,514 $1,199
Saint Mary's Health CareGrand Rapids 124 $5,586 $1,365 $1,081
Henry Ford Wyandotte HospitalWyandotte 121 $7,602 $1,423 $1,127
Corewell Health Trenton HospitalTrenton 115 $11,029 $1,407 $1,116
Bay Regional Medical CenterBay City 111 $4,168 $1,445 $1,151
Trinity Health Muskegon HospitalMuskegon 109 $6,990 $1,487 $1,175
St Mary Mercy HospitalLivonia 106 $5,400 $1,010 $802
Borgess Medical CenterKalamazoo 106 $9,357 $1,405 $1,114
Battle Creek Health SystemBattle Creek 94 $4,828 $1,389 $1,102
Mymichigan Medical Center SaginawSaginaw 93 $6,384 $1,445 $1,147
Beaumont Hospital, Grosse PointeGrosse Pointe 91 $10,262 $1,402 $1,112
Henry Ford Health Warren HospitalWarren 91 $8,495 $1,239 $985
University of Michigan Health - WestWyoming 91 $5,750 $1,406 $1,111
Port Huron HospitalPort Huron 82 $5,719 $1,414 $1,121
Holland Community HospitalHolland 79 $5,692 $1,378 $1,088
Marquette General Hlth SystemMarquette 78 $9,733 $1,531 $1,209
Beaumont Hospital - Farmington HillsFarmington Hls 78 $10,355 $1,301 $1,025
Genesys Regional Medical Center - Health ParkGrand Blanc 75 $8,494 $1,518 $1,208
Otsego Memorial HospitalGaylord 71 $4,969 $1,512 $1,194
McLaren MacombMt Clemens 69 $10,189 $1,428 $1,134
Chelsea Community HospitalChelsea 68 $7,022 $1,525 $1,210
Corewell Health Big Rapids HospitalBig Rapids 62 $5,158 $1,505 $1,199
Huron Valley-Sinai HospitalCommerce Twp 61 $14,438 $1,445 $1,151
Lapeer Regional Medical CenterLapeer 59 $6,775 $1,445 $1,146
Saint Joseph Mercy Livingston HospitalHowell 58 $5,547 $1,452 $1,148
Memorial HealthcareOwosso 56 $7,535 $1,407 $1,120
McLaren OaklandPontiac 54 $5,165 $1,410 $1,116
Ascension Providence Rochester HospitalRochester 54 $4,990 $1,445 $1,149
Promedica Monroe Regional HospitalMonroe 52 $5,342 $1,426 $1,131
Mymichigan Medical Center AlmaAlma 51 $6,052 $1,356 $1,070
Corewell Health Wayne HospitalWayne 50 $8,745 $1,381 $1,085
Oaklawn HospitalMarshall 49 $7,863 $1,374 $1,089
Promedica Charles and Virginia Hickman HospitalAdrian 48 $10,009 $1,475 $1,169
St Joseph Health SystemTawas City 45 $3,299 $1,522 $1,208
Dickinson County Memorial HospitalIron Mountain 44 $8,670 $1,513 $1,203
Midmichigan Medical Center-ClareClare 44 $8,105 $1,412 $1,125
Corewell Health Ludington HospitalLudington 38 $4,914 $1,497 $1,186
Hurley Medical CenterFlint 31 $13,994 $1,518 $1,203
Mercy Hospital - CadillacCadillac 30 $6,625 $1,441 $1,124
Chippewa County War Memorial HospitalSault Sainte Marie 29 $4,718 $1,461 $1,164
West Branch Regional Medical CenterWest Branch 28 $5,953 $1,513 $1,205
Insight Hospital and Medical Center ColdwaterColdwater 27 $5,558 $1,418 $1,124
Central Michigan Community HospitalMt Pleasant 24 $6,677 $1,421 $1,133
Spectrum Health United Memorial - United CampusGreenville 22 $4,635 $1,367 $1,071
St Joseph Mercy Port HuronPort Huron 20 $9,007 $1,428 $1,138
Harper University HospitalDetroit 18 $33,095 $1,384 $1,089
Portage Health HospitalHancock 18 $9,069 $1,513 $1,204
Sinai-Grace HospitalDetroit 17 $19,165 $1,448 $1,153
Hillsdale Community Health CenterHillsdale 17 $9,206 $1,412 $1,125
Surgeons Choice Medical CenterSouthfield 16 $10,533 $1,428 $1,138
Trinity Health Grand Haven HospitalGrand Haven 15 $3,423 $1,413 $1,120
South Haven Community HospitalSouth Haven 13 $2,107 $1,418 $1,130
Zeeland Community HospitalZeeland 12 $5,578 $1,412 $1,125
Munson Healthcare Manistee HospitalManistee 11 $7,685 $1,529 $1,218
Three Rivers Area HospitalThree Rivers – – – –
Mercy Hospital - GraylingGrayling – – – –
Straith Hospital for Special SurgerySouthfield – – – –
St John River District HospitalEast China – – – –
Garden City HospitalGarden City – – – –
Beaumont Hospital - TaylorTaylor – – – –
Detroit Receiving Hospital & Univ Health CenterDetroit – – – –
Sturgis HospitalSturgis – – – –
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Lowest and highest allowed amounts in Michigan

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

Highest

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

Questions

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

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 85 hospitals in Michigan was billed at $7,324 on average, while the average medicare-allowed amount was $1,425, of which Medicare paid $1,130. 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 Michigan, average charges were 5.1 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.