facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Nebraska: 24 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Nebraska

What 24 hospitals in Nebraska 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 $8,849 Hospital list price billed
Average allowed $1,404 Medicare's payment + patient's share
Medicare paid $1,113 Average per service
State rank #14 of 49 1 = lowest average payment

Hospitals in Nebraska billed an average of $8,849 for level 2 excision/biopsy/incision and drainage, about 6.3 times the average medicare-allowed amount of $1,404. 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 $1,404Billed $8,849

About 16¢ was paid for every $1 hospitals in Nebraska billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
The Nebraska Medical CenterOmaha 532 $7,603 $1,336 $1,057
Bryan Medical CenterLincoln 397 $9,333 $1,320 $1,047
The Nebraska Methodist HospitalOmaha 322 $8,527 $1,442 $1,145
Regional West Medical CenterScottsbluff 176 $10,314 $1,483 $1,169
Alegent Health Lakeside HospitalOmaha 173 $9,267 $1,438 $1,132
Great Plains Regional Medical CenterNorth Platte 171 $10,477 $1,549 $1,231
Good Samaritan HospitalKearney 147 $9,821 $1,452 $1,147
Kearney Regional Medical CenterKearney 143 $10,122 $1,373 $1,092
Faith Regional Health ServicesNorfolk 130 $8,420 $1,466 $1,161
Alegent Health Bergan Mercy Medical CenterOmaha 107 $10,355 $1,439 $1,138
Bellevue Medical CenterBellevue 104 $7,783 $1,443 $1,145
St Francis Medical CenterGrand Island 98 $8,226 $1,478 $1,164
Grand Island Regional Medical CenterGrand Island 78 $7,619 $1,488 $1,182
Mary Lanning Memorial HospitalHastings 74 $6,882 $909 $724
Fremont Area Medical CenterFremont 74 $10,428 $1,501 $1,192
Saint Elizabeth Regional Medical CenterLincoln 62 $7,172 $1,429 $1,131
Alegent Health Immanuel Medical CenterOmaha 50 $8,811 $1,461 $1,158
Columbus Community HospitalColumbus 47 $8,354 $1,496 $1,192
Nebraska Heart Hospital, LLCLincoln 23 $9,202 $1,448 $1,153
Alegent Health Midlands HospitalPapillion 14 $9,526 $1,461 $1,164
Nebraska Orthopaedic HospitalOmaha 13 $4,598 $1,461 $1,164
Lincoln Surgical HospitalLincoln – – – –
Midwest Surgical Hospital LLCOmaha – – – –
Boys Town Natl Research HospOmaha – – – –
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Lowest and highest allowed amounts in Nebraska

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 Nebraska?

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 24 hospitals in Nebraska was billed at $8,849 on average, while the average medicare-allowed amount was $1,404, of which Medicare paid $1,113. 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 Nebraska, average charges were 6.3 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.