Level 2 Excision/Biopsy/Incision and Drainage in Missouri
What 65 hospitals in Missouri charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$9,874
Hospital list price billed
Average allowed
$1,394
Medicare's payment + patient's share
Medicare paid
$1,105
Average per service
State rank
#12 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $9,874 for level 2 excision/biopsy/incision and drainage, about 7.1 times the average medicare-allowed amount of $1,394. That payment is 9% 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 $1,394Billed $9,874
About 14¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 2 excision/biopsy/incision and drainage
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 851 | $11,907 | $1,406 | $1,114 |
| University Hospitals & ClinicsColumbia | 485 | $9,144 | $1,308 | $1,039 |
| Mercy Hospital SpringfieldSpringfield | 449 | $7,409 | $1,349 | $1,072 |
| Lester E Cox Medical CentersSpringfield | 360 | $8,465 | $1,344 | $1,066 |
| St John's Mercy Medical CenterSt Louis | 326 | $6,322 | $1,424 | $1,121 |
| Mosaic Life Care at St JosephSt Joseph | 322 | $7,511 | $1,506 | $1,195 |
| Boone Hospital CenterColumbia | 288 | $10,049 | $1,365 | $1,081 |
| Freeman Health System - Freeman WestJoplin | 283 | $8,493 | $1,347 | $1,065 |
| Missouri Baptist Medical CenterTown and Country | 251 | $8,807 | $1,399 | $1,110 |
| St Francis Medical CenterCape Girardeau | 238 | $11,812 | $1,473 | $1,171 |
| St Lukes HospitalChesterfield | 234 | $5,964 | $1,438 | $1,141 |
| St Lukes Hospital of Kansas CityKansas City | 213 | $16,629 | $1,400 | $1,111 |
| Mercy Hospital SouthSt Louis | 211 | $7,211 | $1,426 | $1,129 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 201 | $15,851 | $1,416 | $1,127 |
| Barnes-Jewish West County HospitalSt Louis | 171 | $9,665 | $1,160 | $919 |
| Nkc HealthNorth Kansas City | 161 | $9,936 | $1,402 | $1,114 |
| Southeast Missouri HospitalCape Girardeau | 138 | $8,217 | $1,243 | $986 |
| Mercy Hospital JoplinJoplin | 132 | $6,359 | $1,356 | $1,077 |
| St Louis University HospitalSt Louis | 130 | $15,434 | $1,322 | $1,047 |
| Jefferson Memorial HospitalCrystal City | 123 | $8,462 | $1,429 | $1,126 |
| Liberty HospitalLiberty | 109 | $9,580 | $1,387 | $1,094 |
| Saint Luke's Northland HospSmithville | 106 | $13,584 | $1,395 | $1,107 |
| St Johns Mercy HospitalWashington | 103 | $6,985 | $1,424 | $1,123 |
| SSM St Joseph Hospital WestLake St Louis | 100 | $7,773 | $1,421 | $1,124 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 99 | $7,812 | $1,366 | $1,077 |
| Barnes-Jewish St Peters HospitalSt Peters | 97 | $8,664 | $1,443 | $1,147 |
| Phelps County Regional Medical CenterRolla | 89 | $10,912 | $1,474 | $1,168 |
| Centerpoint Medical CenterIndependence | 82 | $14,418 | $1,416 | $1,120 |
| SSM Depaul Health CenterBridgeton | 76 | $8,782 | $1,401 | $1,112 |
| SSM St Joseph Health CenterSt Charles | 74 | $8,008 | $1,383 | $1,100 |
| Research Medical CenterKansas City | 70 | $32,015 | $1,400 | $1,109 |
| SSM St Mary's Health CenterSt Louis | 70 | $9,710 | $1,401 | $1,113 |
| Ozarks Medical CenterWest Plains | 66 | $4,948 | $1,460 | $1,163 |
| Missouri Delta Medical CenterSikeston | 63 | $7,740 | $1,589 | $1,264 |
| Hannibal Regional HospitalHannibal | 56 | $12,336 | $1,545 | $1,231 |
| Golden Valley Memorial HospitalClinton | 51 | $8,189 | $1,516 | $1,208 |
| Christian Hospital NortheastSt Louis | 51 | $10,582 | $1,375 | $1,079 |
| Cox Medical Center BransonBranson | 49 | $10,928 | $1,460 | $1,163 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 47 | $20,392 | $1,435 | $1,135 |
| St Marys Health CenterJefferson City | 45 | $13,136 | $1,331 | $1,057 |
| Truman Medical Center Hospital HillKansas City | 44 | $5,104 | $1,406 | $1,111 |
| Lake Regional Health SystemOsage Beach | 43 | $6,999 | $1,460 | $1,157 |
| Citizens Memorial HospitalBolivar | 41 | $5,904 | $1,460 | $1,160 |
| Bothwell Regional Health CenterSedalia | 39 | $6,365 | $1,516 | $1,208 |
| Western Missouri Medical CenterWarrensburg | 37 | $3,705 | $1,460 | $1,163 |
| Parkland Health CenterFarmington | 35 | $8,522 | $1,501 | $1,196 |
| Progress West Healthcare CenterO'fallon | 34 | $7,109 | $1,333 | $1,048 |
| Cameron Community HospitalCameron | 31 | $4,964 | $1,416 | $1,128 |
| St Joseph Medical CenterKansas City | 29 | $11,130 | $1,416 | $1,128 |
| Lee's Summit HospitalLee's Summit | 27 | $17,675 | $1,374 | $1,083 |
| Nevada Regional Medical CenterNevada | 23 | $6,246 | $1,397 | $1,113 |
| St Mary's Medical CenterBlue Springs | 18 | $10,990 | $1,416 | $1,128 |
| Northeast Regional Medical CenterKirksville | 15 | $22,217 | $1,485 | $1,183 |
| Truman Medical Center LakewoodKansas City | 13 | $6,710 | $1,416 | $1,128 |
| Research Belton HospitalBelton | 13 | $26,613 | $1,416 | $1,128 |
| St Louis Children's HospitalSt Louis | 13 | $22,173 | $1,443 | $1,150 |
| Bates County Memorial HospitalButler | 12 | $8,035 | $1,516 | $1,208 |
| Childrens Mercy HospitalKansas City | 12 | $25,257 | $1,416 | $1,128 |
| Mosaic Medical Center - MaryvilleMaryville | 11 | $6,298 | $1,478 | $1,177 |
| Texas County Memorial HospitalHouston | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Pemiscot Memorial HospitalHayti | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| St Luke's Des Peres HospitalSaint Louis | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Barnes-Jewish West County HospitalSt Louis, MO | $1,160 |
|---|---|
| Southeast Missouri HospitalCape Girardeau, MO | $1,243 |
| University Hospitals & ClinicsColumbia, MO | $1,308 |
| St Louis University HospitalSt Louis, MO | $1,322 |
| St Marys Health CenterJefferson City, MO | $1,331 |
Highest
| Missouri Delta Medical CenterSikeston, MO | $1,589 |
|---|---|
| Hannibal Regional HospitalHannibal, MO | $1,545 |
| Bothwell Regional Health CenterSedalia, MO | $1,516 |
| Bates County Memorial HospitalButler, MO | $1,516 |
| Golden Valley Memorial HospitalClinton, MO | $1,516 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Missouri?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 65 hospitals in Missouri was billed at $9,874 on average, while the average medicare-allowed amount was $1,394, of which Medicare paid $1,105. 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 Missouri, average charges were 7.1 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.