facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in New York: 129 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in New York

What 129 hospitals in New York 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 $12,841 Hospital list price billed
Average allowed $1,771 Medicare's payment + patient's share
Medicare paid $1,404 Average per service
State rank #46 of 49 1 = lowest average payment

Hospitals in New York billed an average of $12,841 for level 2 excision/biopsy/incision and drainage, about 7.3 times the average medicare-allowed amount of $1,771. That payment is 15% 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 $1,771Billed $12,841

About 14¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 2 excision/biopsy/incision and drainage

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

Hospital Services Avg charge Avg allowed Medicare paid
Mem Sloan-Kettering Cancer CtrNew York 3,575 $14,605 $1,835 $1,460
NYU Hospitals CenterNew York 1,796 $26,239 $1,801 $1,432
North Shore University HospitalManhasset 1,154 $10,266 $1,769 $1,398
New York-Presbyterian HospitalNew York 1,050 $15,495 $1,825 $1,452
University HospitalStony Brook 608 $16,211 $1,791 $1,422
Roswell Park Cancer InstituteBuffalo 480 $8,680 $1,704 $1,352
White Plains Hospital CtrWhite Plains 421 $15,404 $1,799 $1,430
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 375 $10,629 $1,562 $1,194
Mount Sinai HospitalNew York 364 $9,575 $1,810 $1,434
University Hospital S U N Y Health Science CenterSyracuse 326 $13,004 $1,693 $1,343
Maimonides Medical CenterBrooklyn 322 $9,499 $1,840 $1,464
Garnet Health Medical CenterGoshen 321 $7,932 $1,768 $1,402
Albany Medical Center HospitalAlbany 294 $8,171 $1,664 $1,324
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 273 $7,246 $1,783 $1,414
St Peter's HospitalAlbany 264 $6,630 $1,695 $1,345
St Francis Hospital, RoslynRoslyn 263 $12,826 $1,787 $1,420
Vassar Brothers Medical CenterPoughkeepsie 245 $7,287 $1,755 $1,385
Strong Memorial HospitalRochester 244 $10,533 $1,645 $1,305
South Nassau Communities HospitalOceanside 229 $16,478 $1,827 $1,454
Long Island Jewish Medical CenterNew Hyde Park 228 $17,528 $1,724 $1,359
Crouse HospitalSyracuse 220 $5,746 $1,675 $1,325
United Health Services HospsBinghamton 218 $7,927 $1,713 $1,361
Mary Imogene Bassett HospitalCooperstown 216 $3,020 $1,805 $1,432
Staten Island University HospitalStaten Island 212 $10,545 $1,778 $1,406
St Joseph's Hospital Health CenterSyracuse 210 $6,982 $1,667 $1,315
Saratoga HospitalSaratoga Springs 204 $9,276 $1,706 $1,355
Glens Falls HospitalGlens Falls 201 $5,274 $1,719 $1,364
Northern Westchester HospitalMt Kisco 187 $10,275 $1,738 $1,361
Samaritan HospitalTroy 186 $7,407 $1,712 $1,361
Nyack HospitalNyack 181 $12,593 $1,817 $1,441
Cayuga Medical Center at IthacaIthaca 173 $8,334 $1,841 $1,462
Lenox Hill HospitalNew York 172 $16,794 $1,782 $1,409
Canton-Potsdam HospitalPotsdam 171 $4,337 $1,672 $1,322
Good Samaritan Hospital Medical CenterWest Islip 162 $12,456 $1,794 $1,429
Phelps Memorial Hospital AssnSleepy Hollow 158 $15,920 $1,784 $1,407
Samaritan Medical CenterWatertown 157 $3,508 $1,841 $1,466
Wynn HospitalUtica 156 $16,126 $1,610 $1,277
Montefiore Medical CenterBronx 143 $19,019 $1,813 $1,444
Our Lady of Lourdes Memorial Hospital, INCBinghamton 130 $7,683 $1,632 $1,298
Rochester General HospitalRochester 127 $8,568 $1,602 $1,266
Hudson Valley Hospital CenterCortlandt Manor 127 $14,184 $1,845 $1,470
Adirondack Medical CenterSaranac Lake 125 $7,362 $1,829 $1,450
Beth Israel Medical CenterNew York 124 $8,199 $1,819 $1,448
New York Hospital Medical Center of QueensNew York 122 $9,894 $1,813 $1,438
Huntington HospitalHuntington 120 $11,031 $1,648 $1,281
Long Island Community HospitalPatchogue 120 $26,273 $1,799 $1,428
Buffalo General HospitalBuffalo 119 $6,698 $1,678 $1,333
Cornwall HospitalCornwall 113 $15,160 $1,806 $1,435
Good Samaritan Hospital of SuffernSuffern 107 $23,699 $1,831 $1,454
Columbia Memorial HospitalHudson 103 $6,239 $1,719 $1,364
Highland HospitalRochester 102 $6,977 $1,719 $1,368
Mercy Medical CenterRockville Centre 101 $11,612 $1,795 $1,422
Erie County Medical CenterBuffalo 96 $9,695 $1,638 $1,285
Corning HospitalCorning 95 $10,048 $1,676 $1,323
Northern Dutchess HospitalRhinebeck 94 $6,368 $1,790 $1,413
Arnot Ogden Medical CenterElmira 89 $5,518 $1,704 $1,352
Ellis HospitalSchenectady 89 $8,192 $1,704 $1,351
Mount Sinai WestNew York 87 $13,099 $1,826 $1,450
Oneida Healthcare CenterOneida 82 $6,755 $1,656 $1,312
St Catherine of Siena HospitalSmithtown 76 $11,127 $1,792 $1,422
St Charles HospitalPort Jefferson 75 $11,644 $1,792 $1,422
Peconic Bay Medical CenterRiverhead 74 $16,774 $1,631 $1,263
F F Thompson HospitalCanandaigua 71 $5,281 $1,661 $1,308
UPMC Chautauqua at WcaJamestown 70 $5,987 $1,663 $1,315
Westchester Medical CenterValhalla 68 $35,029 $1,840 $1,466
Plainview HospitalPlainview 67 $12,054 $1,736 $1,363
Southside HospitalBay Shore 56 $13,448 $1,721 $1,350
Richmond University Medical CenterStaten Island 50 $13,424 $1,808 $1,435
Rome Memorial Hospital, INCRome 50 $5,824 $1,719 $1,366
St John's Riverside HospitalYonkers 49 $8,580 $1,845 $1,466
St Mary's Hospital at AmsterdamAmsterdam 47 $4,264 $1,690 $1,339
Nicholas H Noyes Memorial HospitalDansville 47 $6,320 $1,642 $1,291
Healthalliance Hospital Marys Avenue CampusKingston 46 $7,310 $1,734 $1,374
Brooklyn Hospital Center at Downtown CampusBrooklyn 45 $9,896 $1,845 $1,470
Auburn Memorial HospitalAuburn 45 $6,495 $1,788 $1,415
Cortland Regional Medical Center, INCCortland 44 $10,517 $1,774 $1,400
St James Mercy HospitalHornell 41 $4,019 $1,841 $1,464
Putnam Hospital CenterCarmel 39 $8,960 $1,800 $1,425
Olean General HospitalOlean 37 $3,902 $1,786 $1,399
Aurelia Osborn Fox Memorial HospitalOneonta 34 $1,464 $1,841 $1,467
Unity Hospital of RochesterRochester 33 $9,848 $1,719 $1,370
Brooks Memorial HospitalDunkirk 32 $2,864 $1,841 $1,457
Geneva General HospitalGeneva 31 $4,890 $1,664 $1,318
St Joseph HospitalBethpage 29 $11,280 $1,827 $1,456
Hospital for Special SurgeryNew York 28 $20,760 $1,673 $1,311
St Anthony Community HospitalWarwick 27 $15,930 $1,771 $1,387
Claxton-Hepburn Medical CenterOgdensburg 26 $3,716 $1,700 $1,348
Queens Hospital CenterJamaica 26 $7,178 $1,846 $1,439
New York Community Hospital of Brooklyn, INC.Brooklyn 24 $13,811 $1,845 $1,470
Bellevue Hospital CenterNew York 23 $5,979 $1,845 $1,453
Brookdale Hospital Medical CenterBrooklyn 23 $4,807 $1,845 $1,470
Mercy HospitalBuffalo 23 $5,459 $1,659 $1,310
St John's Episcopal Hospital at South ShoreFar Rockaway 23 $6,107 $1,573 $1,227
Jacobi Medical CenterBronx 22 $6,441 $1,845 $1,459
Nathan Littauer HospitalGloversville 22 $4,832 $1,660 $1,305
Nassau University Medical CenterEast Meadow 21 $7,092 $1,827 $1,456
Sisters of Charity HospitalBuffalo 21 $5,241 $1,719 $1,370
Glen Cove HospitalGlen Cove 20 $17,948 $1,754 $1,383
Clifton Springs Hospital and ClinicClifton Springs 20 $7,352 $1,719 $1,370
University Hospital of Brooklyn ( Downstate )Brooklyn 19 $6,716 $1,845 $1,470
Wyckoff Heights Medical CenterBrooklyn 17 $4,779 $1,845 $1,470
Jamaica Hospital Med CenterJamaica 16 $4,631 $1,845 $1,470
South Brooklyn HealthBrooklyn 16 $5,562 $1,845 $1,458
Montefiore New Rochelle HospitalNew Rochelle 15 $10,836 $1,845 $1,470
Garnet Health Medical Center CatskillsHarris 14 $8,477 $1,878 $1,496
United Memorial Medical CenterBatavia 13 $5,717 $1,428 $1,138
Mount St Mary's Hospital and Health CenterLewiston 13 $4,032 $1,243 $990
Kings County Hospital CenterBrooklyn 13 $8,025 $1,717 $1,340
St Barnabas HospitalBronx 13 $7,771 $1,845 $1,470
Lincoln Medical & Mental Health CenterBronx 12 $6,632 $1,753 $1,361
Elmhurst Hospital CenterNew York 12 $6,295 $1,845 $1,470
Flushing Hospital Medical CenterNew York 11 $5,151 $1,845 $1,470
Harlem Hospital CenterNew York 11 $5,813 $1,845 $1,453
St Joseph's Medical CenterYonkers – – – –
Bronxcare Hospital CenterBronx – – – –
Newark-Wayne Community HospitalNewark – – – –
Chenango Memorial Hospital, INCNorwich – – – –
Niagara Falls Memorial Medical CenterNiagara Falls – – – –
Mount Vernon HospitalMt Vernon – – – –
Jones Memorial HospitalWellsville – – – –
Ny Eye and Ear InfirmaryNew York – – – –
Kenmore Mercy HospitalBuffalo – – – –
Bertrand Chaffee HospitalSpringville – – – –
Bon Secours Community HospitalPort Jervis – – – –
Ira Davenport Memorial HospitalBath – – – –
Westfield Memorial Hospital, INCWestfield – – – –
Metropolitan Hospital CenterNew York – – – –
Oswego HospitalOswego – – – –
Woodhull Medical and Mental Health CenterBrooklyn – – – –
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Lowest and highest allowed amounts in New York

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 New York?

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 129 hospitals in New York was billed at $12,841 on average, while the average medicare-allowed amount was $1,771, of which Medicare paid $1,404. 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 York, average charges were 7.3 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.