Level 2 Excision/Biopsy/Incision and Drainage in New Jersey
What 61 hospitals in New Jersey charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$12,753
Hospital list price billed
Average allowed
$1,725
Medicare's payment + patient's share
Medicare paid
$1,369
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $12,753 for level 2 excision/biopsy/incision and drainage, about 7.4 times the average medicare-allowed amount of $1,725. 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 $1,725Billed $12,753
About 14¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 2 excision/biopsy/incision and drainage
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Morristown Memorial HospitalMorristown | 721 | $12,984 | $1,770 | $1,405 |
| Hackensack University Medical CenterHackensack | 552 | $11,499 | $1,825 | $1,445 |
| Valley HospitalRidgewood | 399 | $8,277 | $1,837 | $1,461 |
| Riverview Medical CenterRed Bank | 373 | $10,032 | $1,712 | $1,360 |
| Englewood Hospital and Medical CenterEnglewood | 366 | $18,639 | $1,826 | $1,452 |
| Cooper University HospitalCamden | 347 | $13,263 | $1,650 | $1,306 |
| University Medical Center at PrincetonPrinceton | 335 | $15,767 | $1,712 | $1,360 |
| Overlook HospitalSummit | 299 | $13,693 | $1,788 | $1,418 |
| Ocean Medical CenterBrick | 294 | $10,221 | $1,685 | $1,338 |
| Robert Wood Johnson University HospitalNew Brunswick | 251 | $12,516 | $1,649 | $1,302 |
| Community Medical CenterToms River | 251 | $7,265 | $1,674 | $1,329 |
| Bayshore Community HospitalHolmdel | 250 | $9,406 | $1,667 | $1,326 |
| Chilton HospitalPompton Plains | 243 | $17,592 | $1,807 | $1,434 |
| Saint Peter's University HospitalNew Brunswick | 243 | $18,458 | $1,705 | $1,354 |
| Monmouth Medical CenterLong Branch | 236 | $7,082 | $1,558 | $1,210 |
| Jersey Shore University Medical CenterNeptune City | 234 | $10,753 | $1,707 | $1,355 |
| Jefferson Stratford HospitalCherry Hill | 217 | $8,669 | $1,669 | $1,328 |
| Somerset Medical CenterSomerville | 192 | $9,091 | $1,667 | $1,324 |
| Holy Name Medical CenterTeaneck | 188 | $11,598 | $1,845 | $1,466 |
| Jfk Medical CenterEdison | 177 | $9,981 | $1,675 | $1,324 |
| Inspira Medical Center Mullica HillElmer | 173 | $12,854 | $1,690 | $1,341 |
| Saint Barnabas Medical CenterLivingston | 164 | $12,178 | $1,733 | $1,378 |
| Centrastate Medical CenterFreehold | 135 | $8,378 | $1,704 | $1,352 |
| Virtua West Jersey HospitalVoorhees | 131 | $21,343 | $1,687 | $1,341 |
| Warren HospitalPhillipsburg | 116 | $20,039 | $1,661 | $1,323 |
| Hunterdon Medical CenterFlemington | 99 | $7,059 | $1,697 | $1,352 |
| Capital Health System-Mercer CampusTrenton | 91 | $49,385 | $1,664 | $1,321 |
| Newton Memorial HospitalNewton | 82 | $22,542 | $1,684 | $1,339 |
| Southern Ocean Medical CenterManahawkin | 81 | $9,516 | $1,660 | $1,319 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 78 | $9,646 | $1,658 | $1,317 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 77 | $16,528 | $1,634 | $1,290 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 74 | $23,247 | $1,686 | $1,341 |
| Saint Clare's HospitalDenville | 72 | $12,982 | $1,825 | $1,451 |
| Mountainside HospitalGlen Ridge | 72 | $9,016 | $1,698 | $1,349 |
| St Joseph's Regional Medical CenterPaterson | 67 | $10,854 | $1,823 | $1,445 |
| Clara Maass Medical CenterBelleville | 66 | $8,211 | $1,720 | $1,366 |
| Shore Memorial HospitalSomers Point | 65 | $16,715 | $1,677 | $1,328 |
| Hackettstown Regional Medical CenterHackettstown | 62 | $9,151 | $1,580 | $1,250 |
| Cape Regional Medical Center INCCape May Court House | 60 | $9,245 | $1,697 | $1,352 |
| Inspira Medical Center VinelandVineland | 60 | $11,094 | $1,697 | $1,348 |
| Monmouth Medical Center-Southern CampusLakewood | 58 | $8,155 | $1,615 | $1,282 |
| Newark Beth Israel Medical CenterNewark | 55 | $10,029 | $1,742 | $1,381 |
| Our Lady of Lourdes Medical CenterCamden | 49 | $22,429 | $1,697 | $1,352 |
| St Mary's HospitalPassaic | 48 | $10,608 | $1,814 | $1,431 |
| Jersey City Medical CenterJersey City | 43 | $7,054 | $1,744 | $1,367 |
| Raritan Bay Medical CenterPerth Amboy | 41 | $15,344 | $1,720 | $1,370 |
| Umdnj University HospitalNewark | 37 | $12,747 | $1,825 | $1,454 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | 35 | $11,873 | $1,792 | $1,421 |
| Trinitas HospitalElizabeth | 30 | $5,890 | $1,697 | $1,352 |
| Robert Wood Johnson University Hospital at RahwayRahway | 20 | $9,555 | $1,562 | $1,217 |
| Virtua Willingboro HospitalWillingboro | 19 | $20,018 | $1,697 | $1,349 |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | 18 | $12,028 | $1,742 | $1,388 |
| Bayonne Hospital CenterBayonne | 17 | $17,690 | $1,845 | $1,470 |
| Hudson Regional HospitalSecaucus | 11 | $17,706 | $1,845 | $1,470 |
| Heights University HospitalJersey City | – | – | – | – |
| Deborah Heart and Lung CenterBrowns Mills | – | – | – | – |
| Hoboken University Medical CenterHoboken | – | – | – | – |
| Bergen Regional Medical CenterParamus | – | – | – | – |
| Carewell Health Medical CenterEast Orange | – | – | – | – |
| Capital Health System-Fuld CampusTrenton | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
Lowest and highest allowed amounts in New Jersey
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
| Monmouth Medical CenterLong Branch, NJ | $1,558 |
|---|---|
| Robert Wood Johnson University Hospital at RahwayRahway, NJ | $1,562 |
| Hackettstown Regional Medical CenterHackettstown, NJ | $1,580 |
| Monmouth Medical Center-Southern CampusLakewood, NJ | $1,615 |
| Atlanticare Regional Medical Center - City DivAtlantic City, NJ | $1,634 |
Highest
| Holy Name Medical CenterTeaneck, NJ | $1,845 |
|---|---|
| Bayonne Hospital CenterBayonne, NJ | $1,845 |
| Hudson Regional HospitalSecaucus, NJ | $1,845 |
| Valley HospitalRidgewood, NJ | $1,837 |
| Englewood Hospital and Medical CenterEnglewood, NJ | $1,826 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in New Jersey?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 61 hospitals in New Jersey was billed at $12,753 on average, while the average medicare-allowed amount was $1,725, of which Medicare paid $1,369. 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 New Jersey, average charges were 7.4 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.