Level 2 Excision/Biopsy/Incision and Drainage in New Mexico
What 21 hospitals in New Mexico charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$10,268
Hospital list price billed
Average allowed
$1,428
Medicare's payment + patient's share
Medicare paid
$1,132
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $10,268 for level 2 excision/biopsy/incision and drainage, about 7.2 times the average medicare-allowed amount of $1,428. 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 $1,428Billed $10,268
About 14¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 2 excision/biopsy/incision and drainage
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UNM HospitalAlbuquerque | 198 | $4,399 | $1,406 | $1,114 |
| Memorial Medical Center INCLas Cruces | 189 | $12,902 | $1,402 | $1,112 |
| Presbyterian HospitalAlbuquerque | 146 | $6,483 | $1,410 | $1,118 |
| CHRISTUS Southern New MexicoAlamogordo | 132 | $13,419 | $1,501 | $1,194 |
| San Juan Regional Medical CenterFarmington | 126 | $8,965 | $1,544 | $1,217 |
| St Vincent HospitalSanta Fe | 102 | $11,571 | $1,642 | $1,308 |
| Lovelace Women's HospitalAlbuquerque | 92 | $9,282 | $1,379 | $1,091 |
| Lovelace Medical CenterAlbuquerque | 81 | $12,277 | $1,421 | $1,128 |
| Mountain View Regional Medical CenterLas Cruces | 50 | $18,974 | $1,412 | $1,121 |
| Presbyterian Santa Fe Medical CenterSanta Fe | 42 | $2,721 | $796 | $633 |
| Roswell Regional HospitalRoswell | 41 | $15,250 | $1,384 | $1,097 |
| Three Crosses Regional Hospital LLCLas Cruces | 28 | $9,650 | $1,345 | $1,064 |
| Carlsbad Medical CenterCarlsbad | 21 | $24,258 | $1,456 | $1,147 |
| Artesia General HospitalArtesia | 13 | $21,222 | $1,512 | $1,205 |
| Covenant Health Hobbs HospitalHobbs | 12 | $11,831 | $1,512 | $1,205 |
| Eastern New Mexico Medical CenterRoswell | – | – | – | – |
| Espanola HospitalEspanola | – | – | – | – |
| Plains Regional Medical CenterClovis | – | – | – | – |
| Los Alamos Medical CenterLos Alamos | – | – | – | – |
| Lovelace Westside HospitalAlbuquerque | – | – | – | – |
| Roosevelt General HospitalPortales | – | – | – | – |
Lowest and highest allowed amounts in New Mexico
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
| Presbyterian Santa Fe Medical CenterSanta Fe, NM | $796 |
|---|---|
| Three Crosses Regional Hospital LLCLas Cruces, NM | $1,345 |
| Lovelace Women's HospitalAlbuquerque, NM | $1,379 |
| Roswell Regional HospitalRoswell, NM | $1,384 |
| Memorial Medical Center INCLas Cruces, NM | $1,402 |
Highest
| St Vincent HospitalSanta Fe, NM | $1,642 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $1,544 |
| Artesia General HospitalArtesia, NM | $1,512 |
| Covenant Health Hobbs HospitalHobbs, NM | $1,512 |
| CHRISTUS Southern New MexicoAlamogordo, NM | $1,501 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in New Mexico?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 21 hospitals in New Mexico was billed at $10,268 on average, while the average medicare-allowed amount was $1,428, of which Medicare paid $1,132. 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 Mexico, average charges were 7.2 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.