facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Minnesota: 45 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Minnesota

What 45 hospitals in Minnesota 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 $7,313 Hospital list price billed
Average allowed $1,567 Medicare's payment + patient's share
Medicare paid $1,242 Average per service
State rank #35 of 49 1 = lowest average payment

Hospitals in Minnesota billed an average of $7,313 for level 2 excision/biopsy/incision and drainage, about 4.7 times the average medicare-allowed amount of $1,567. That payment is 2% 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 $1,567Billed $7,313

About 21¢ was paid for every $1 hospitals in Minnesota billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Mayo Clinic - Saint Marys HospitalRochester 2,366 $7,826 $1,618 $1,280
St Lukes HospitalDuluth 480 $6,801 $1,531 $1,218
Abbott Northwestern Hospital INCMinneapolis 278 $7,452 $1,538 $1,222
Mercy HospitalCoon Rapids 262 $8,224 $1,512 $1,197
St Cloud HospitalSt Cloud 261 $6,907 $1,612 $1,277
University of Minnesota Medical Center, FairviewMinneapolis 252 $12,511 $1,502 $1,191
United HospitalSt Paul 249 $8,123 $1,525 $1,209
Essentia Health DuluthDuluth 234 $4,157 $1,492 $1,185
Park Nicollet Methodist HospitalSaint Louis Park 224 $10,455 $1,528 $1,213
St John's HospitalSt Paul 200 $8,703 $1,536 $1,222
Regions HospitalSt Paul 199 $7,380 $1,513 $1,196
Essentia Health St Mary's Medical CenterDuluth 181 $8,999 $1,525 $1,212
Mayo Clinic Health System - MankatoMankato 167 $5,760 $1,646 $1,307
Lakeview Memorial HospitalStillwater 129 $4,849 $1,531 $1,212
Hennepin County Medical CenterMinneapolis 105 $7,311 $1,520 $1,210
Itasca Medical CenterGrand Rapids 104 $5,305 $1,557 $1,235
Fairview Ridges HospitalBurnsville 97 $7,446 $1,550 $1,234
Ridgeview Medical CenterWaconia 96 $4,794 $1,521 $1,206
Alomere HealthAlexandria 95 $4,953 $1,608 $1,280
Fairview Southdale HospitalEdina 95 $8,124 $1,524 $1,209
Sanford Bemidji Medical CenterBemidji 93 $4,822 $1,603 $1,269
Essentia Health St Joseph's Medical CenterBrainerd 86 $6,800 $1,616 $1,288
North Memorial Medical CenterRobbinsdale 85 $6,327 $1,550 $1,235
Range Regional Health ServicesHibbing 83 $6,583 $1,495 $1,187
Lake Region Healthcare CorporationFergus Falls 82 $5,968 $1,597 $1,269
Olmsted Medical CenterRochester 80 $2,316 $1,528 $1,213
Hutchinson Area Health CareHutchinson 67 $4,383 $1,634 $1,301
Virginia Regional Medical CenterVirginia 62 $4,817 $1,480 $1,179
Rice Memorial HospitalWillmar 59 $6,455 $1,595 $1,266
Northfield HospitalNorthfield 52 $7,147 $1,520 $1,211
Fairview Red Wing HospitalRed Wing 51 $5,227 $1,478 $1,169
Mayo Clinic Health System - Albert Lea and AustinAlbert Lea 46 $3,615 $1,636 $1,303
Healtheast Woodwinds HospitalWoodbury 44 $9,286 $1,550 $1,233
Winona Health ServicesWinona 40 $2,136 $1,551 $1,234
St Marys Regional Health CenterDetroit Lakes 36 $2,905 $1,571 $1,250
St Francis Regional Medical CenterShakopee 36 $5,875 $1,515 $1,199
Allina Health Faribault Medical CenterFaribault 25 $5,962 $1,538 $1,225
Cambridge Medical CenterCambridge 19 $5,601 $1,387 $1,105
Fairview Lakes Health ServicesWyoming 18 $6,685 $1,550 $1,231
Buffalo HospitalBuffalo 13 $5,270 $1,431 $1,140
Fairview Northland Regional HospitalPrinceton 11 $7,805 $1,550 $1,235
Sanford Worthington Medical CenterWorthington – – – –
Owatonna HospitalOwatonna – – – –
Fairmont Medical CenterFairmont – – – –
Maple Grove HospitalMaple Grove – – – –
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Lowest and highest allowed amounts in Minnesota

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

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

Questions

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

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 45 hospitals in Minnesota was billed at $7,313 on average, while the average medicare-allowed amount was $1,567, of which Medicare paid $1,242. 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 Minnesota, average charges were 4.7 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.