Level 2 Excision/Biopsy/Incision and Drainage in North Carolina
What 79 hospitals in North Carolina charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$9,429
Hospital list price billed
Average allowed
$1,418
Medicare's payment + patient's share
Medicare paid
$1,123
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $9,429 for level 2 excision/biopsy/incision and drainage, about 6.7 times the average medicare-allowed amount of $1,418. That payment is 8% 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 $1,418Billed $9,429
About 15¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 2 excision/biopsy/incision and drainage
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 879 | $8,020 | $1,422 | $1,126 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 569 | $11,331 | $1,357 | $1,080 |
| New Hanover Regional Medical CenterWilmington | 541 | $10,255 | $1,487 | $1,180 |
| UNC HospitalsChapel Hill | 495 | $7,469 | $1,439 | $1,137 |
| North Carolina Baptist HospitalWinston-Salem | 380 | $11,751 | $1,425 | $1,125 |
| Carolina East Medical CenterNew Bern | 364 | $6,117 | $1,495 | $1,187 |
| Forsyth Memorial HospitalWinston-Salem | 354 | $7,242 | $1,456 | $1,149 |
| Carolinas Medical Center/Behav HealthCharlotte | 342 | $14,072 | $1,416 | $1,120 |
| ECU Health Medical CenterGreenville | 331 | $10,360 | $1,378 | $1,093 |
| Margaret R Pardee Mem HospitalHendersonville | 326 | $5,910 | $1,381 | $1,096 |
| Rex HospitalRaleigh | 273 | $5,701 | $1,420 | $1,125 |
| Carolinas Medical Center-NortheastConcord | 222 | $11,661 | $1,420 | $1,122 |
| Presbyterian HospitalCharlotte | 216 | $12,655 | $1,431 | $1,135 |
| Caromont Regional Medical CenterGastonia | 191 | $8,968 | $1,414 | $1,117 |
| Firsthealth Moore Regional HospitalPinehurst | 188 | $10,629 | $1,409 | $1,114 |
| Catawba Valley Medical CenterHickory | 180 | $10,889 | $1,421 | $1,128 |
| Cape Fear Valley Medical CenterFayetteville | 160 | $9,650 | $1,412 | $1,118 |
| Adventhealth HendersonvilleFletcher | 134 | $6,698 | $1,398 | $1,111 |
| Nash General HospitalRocky Mount | 134 | $7,342 | $1,392 | $1,095 |
| Duke Health Raleigh HospitalRaleigh | 133 | $7,795 | $1,252 | $995 |
| Moses H Cone Memorial Hospital, theGreensboro | 128 | $9,084 | $1,427 | $1,128 |
| Presbyterian Hospital-MatthewsMatthews | 127 | $9,929 | $1,440 | $1,137 |
| Johnston Memorial HospitalSmithfield | 113 | $8,568 | $1,404 | $1,109 |
| Carteret General HospitalMorehead City | 101 | $6,491 | $1,438 | $1,139 |
| Wayne Memorial HospitalGoldsboro | 94 | $7,368 | $1,627 | $1,292 |
| Grace Hospital INCMorganton | 94 | $13,008 | $1,411 | $1,124 |
| Atrium Health PinevilleCharlotte | 92 | $14,949 | $1,406 | $1,109 |
| Alamance Regional Medical CenterBurlington | 86 | $7,263 | $1,370 | $1,085 |
| Presbyterian Hospital HuntersvilleHuntersville | 86 | $8,141 | $1,457 | $1,157 |
| Albemarle Hospital AuthorityElizabeth City | 83 | $11,342 | $1,089 | $867 |
| Wakemed, Cary HospitalCary | 83 | $11,478 | $1,429 | $1,129 |
| Carolinas Medical Center-LincolnLincolnton | 81 | $9,779 | $1,414 | $1,115 |
| Watauga Medical CenterBoone | 75 | $9,927 | $1,511 | $1,203 |
| Wilson Medical CenterWilson | 73 | $12,782 | $1,430 | $1,136 |
| Duke Regional HospitalDurham | 73 | $6,832 | $1,446 | $1,149 |
| Rowan Regional Medical CenterSalisbury | 71 | $8,190 | $1,376 | $1,078 |
| Cleveland Regional Medical CenterShelby | 68 | $11,338 | $1,375 | $1,089 |
| Frye Regional Medical CenterHickory | 68 | $16,085 | $1,442 | $1,147 |
| Southeastern Regional Medical CenterLumberton | 66 | $6,534 | $1,404 | $1,093 |
| Lake Norman Regional Medical CenterMooresville | 65 | $17,112 | $1,421 | $1,120 |
| Onslow Memorial HospitalJacksonville | 61 | $7,384 | $1,511 | $1,204 |
| Iredell Memorial Hospital INCStatesville | 59 | $7,752 | $1,407 | $1,120 |
| Brunswick Community HospitalSupply | 58 | $9,430 | $1,399 | $1,114 |
| Maria Parham HospitalHenderson | 57 | $13,316 | $1,411 | $1,124 |
| Caldwell Memorial HospitalLenoir | 56 | $6,268 | $1,341 | $1,059 |
| C J Harris Community HospitalSylva | 54 | $17,249 | $1,411 | $1,121 |
| Wakemed, Raleigh CampusRaleigh | 52 | $11,142 | $1,395 | $1,106 |
| Haywood Regional Medical CenterClyde | 46 | $16,720 | $1,411 | $1,124 |
| Scotland Memorial HospitalLaurinburg | 43 | $4,142 | $1,442 | $1,149 |
| High Point Regional Hlth SystHigh Point | 42 | $9,571 | $1,413 | $1,118 |
| Novant Health Mint Hill Medical CenterCharlotte | 42 | $8,770 | $1,465 | $1,164 |
| Hugh Chatham Memorial HospitalElkin | 40 | $3,778 | $1,411 | $1,110 |
| Betsy Johnson Regional HospitalDunn | 39 | $7,529 | $1,411 | $1,118 |
| Carolinas Medical Center-UnionMonroe | 39 | $14,959 | $1,368 | $1,067 |
| Northern Hospital of Surry CountyMt Airy | 36 | $2,571 | $1,333 | $1,060 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 36 | $6,621 | $1,340 | $1,068 |
| Carolinas Med Ctr-UniversityCharlotte | 36 | $9,068 | $1,335 | $1,064 |
| ECU Health North HospitalRoanoke Rapids | 33 | $5,501 | $1,511 | $1,198 |
| Medical Park HospitalWinston-Salem | 30 | $8,146 | $1,478 | $1,174 |
| Rutherford Hospital INCRutherfordton | 28 | $16,516 | $1,511 | $1,204 |
| Stanly Regional Medical CenterAlbemarle | 27 | $8,676 | $1,457 | $1,161 |
| Thomasville Medical CenterThomasville | 24 | $9,618 | $1,102 | $861 |
| Lexington Memorial Hospital INCLexington | 24 | $5,934 | $1,392 | $1,089 |
| Randolph HospitalAsheboro | 22 | $12,670 | $1,402 | $1,106 |
| Lenoir Memorial HospitalKinston | 20 | $5,016 | $1,490 | $1,175 |
| Central Carolina HospitalSanford | 18 | $16,184 | $1,434 | $1,142 |
| Columbus Regional Healthcare SystemWhiteville | 17 | $14,120 | $1,411 | $1,124 |
| Novant Health Ballantyne Medical CenterCharlotte | 16 | $10,900 | $1,455 | $1,159 |
| North Carolina Eye & Ear HospDurham | 12 | $4,206 | $1,462 | $1,165 |
| Sampson Regional Medical CenterClinton | – | – | – | – |
| UNC RockinghamEden | – | – | – | – |
| McDowell HospitalMarion | – | – | – | – |
| Roanoke Chowan HospitalAhoskie | – | – | – | – |
| Vidant Edgecombe HospitalTarboro | – | – | – | – |
| Granville Medical CenterOxford | – | – | – | – |
| Person Memorial HospitalRoxboro | – | – | – | – |
| Cape Fear Valley Hoke HospitalRaeford | – | – | – | – |
| Kindred Hospital-GreensboroGreensboro | – | – | – | – |
| Highsmith-Rainey Memorial HospFayetteville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Albemarle Hospital AuthorityElizabeth City, NC | $1,089 |
|---|---|
| Thomasville Medical CenterThomasville, NC | $1,102 |
| Duke Health Raleigh HospitalRaleigh, NC | $1,252 |
| Northern Hospital of Surry CountyMt Airy, NC | $1,333 |
| Carolinas Med Ctr-UniversityCharlotte, NC | $1,335 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $1,627 |
|---|---|
| ECU Health North HospitalRoanoke Rapids, NC | $1,511 |
| Watauga Medical CenterBoone, NC | $1,511 |
| Rutherford Hospital INCRutherfordton, NC | $1,511 |
| Onslow Memorial HospitalJacksonville, NC | $1,511 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in North Carolina?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 79 hospitals in North Carolina was billed at $9,429 on average, while the average medicare-allowed amount was $1,418, of which Medicare paid $1,123. 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 North Carolina, average charges were 6.7 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.