facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Ohio: 120 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Ohio

What 120 hospitals in Ohio 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 $10,164 Hospital list price billed
Average allowed $1,349 Medicare's payment + patient's share
Medicare paid $1,065 Average per service
State rank #7 of 49 1 = lowest average payment

Hospitals in Ohio billed an average of $10,164 for level 2 excision/biopsy/incision and drainage, about 7.5 times the average medicare-allowed amount of $1,349. That payment is 12% 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 $1,349Billed $10,164

About 13¢ was paid for every $1 hospitals in Ohio billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 1,123 $9,331 $1,352 $1,070
Arthur G James Cancer HospitalColumbus 761 $9,112 $1,436 $1,141
Toledo Hospital theToledo 473 $10,955 $1,425 $1,129
University Hospitals of ClevelandCleveland 396 $9,335 $1,053 $827
Riverside Methodist HospitalColumbus 389 $12,071 $1,443 $1,147
Christ HospitalCincinnati 382 $10,872 $1,389 $1,100
Miami Valley HospitalDayton 379 $13,630 $1,407 $1,114
Bethesda North HospitalCincinnati 337 $6,428 $1,398 $1,110
Marietta Memorial HospitalMarietta 294 $8,281 $817 $543
Kettering Medical CenterKettering 277 $14,458 $1,443 $1,145
Hillcrest HospitalCleveland 259 $11,807 $1,366 $1,084
Cleveland Clinic - Akron GeneralAkron 246 $10,895 $1,366 $1,084
Ohio State University HospitalsColumbus 240 $9,506 $1,425 $1,131
Mercy St Vincent Medical CenterToledo 220 $16,378 $1,448 $1,152
University Hospital, INCCincinnati 219 $11,989 $1,350 $1,070
St Rita's Medical CenterLima 218 $15,379 $1,366 $1,083
Good Samaritan HospitalCincinnati 217 $6,430 $1,389 $1,101
Mount Carmel HealthColumbus 215 $8,264 $1,408 $1,111
Aultman HospitalCanton 214 $7,453 $1,333 $1,054
Soin Medical CenterBeaver Creek 214 $13,441 $1,380 $1,098
Metrohealth SystemCleveland 206 $8,086 $705 $427
Summa Health System - Akron CampusAkron 205 $10,392 $1,342 $1,061
Genesis Healthcare SystemZanesville 205 $9,664 $1,436 $1,133
Fairview HospitalCleveland 204 $10,718 $1,373 $1,087
Southern Ohio Medical CenterPortsmouth 186 $5,281 $1,426 $1,128
Grant Medical CenterColumbus 181 $12,242 $1,431 $1,132
Blanchard Valley Health AssnFindlay 172 $8,202 $1,363 $1,079
Lake Hospital SystemPainesville 158 $7,325 $1,312 $1,037
St Elizabeth Health CenterYoungstown 157 $10,348 $1,375 $1,094
Parma Community General HospitalParma 154 $8,076 $1,358 $1,076
Mercy Hospital ClermontBatavia 153 $9,715 $977 $772
Adena Regional Medical CenterChillicothe 149 $10,181 $1,412 $1,119
Mercy Medical CenterCanton 148 $10,807 $1,345 $1,064
Kettering Medical Center - SycamoreMiamisburg 141 $10,616 $1,442 $1,146
Upper Valley Medical CenterTroy 139 $14,148 $1,363 $1,077
St John Medical CenterWestlake 138 $9,397 $1,384 $1,100
Southwest General Health CenterMiddleburg Heights 138 $8,243 $1,320 $1,047
Ohiohealth Mansfield HospitalMansfield 133 $9,266 $1,411 $1,119
Medina HospitalMedina 127 $8,955 $1,379 $1,098
Atrium Medical CenterMiddletown 126 $12,057 $1,380 $1,090
University of Toledo Medical CenterToledo 123 $11,883 $1,392 $1,102
Mercy Hospital FairfieldFairfield 118 $13,352 $1,401 $1,109
Jewish Hospital, LLCCincinnati 112 $13,889 $1,400 $1,109
Cleveland Clinic Avon HospitalAvon 112 $9,993 $1,374 $1,089
West Chester Medical CenterWest Chester 110 $10,355 $1,361 $1,077
Lima Memorial Health SystemLima 104 $14,516 $1,357 $1,071
Firelands Community HospitalSandusky 104 $9,641 $1,359 $1,070
UH Regional HospitalsRichmond Heights 104 $8,493 $1,384 $1,094
Licking Memorial HospitalNewark 100 $9,232 $1,375 $1,088
Dublin Methodist HospitalDublin 99 $11,414 $910 $723
Kettering Health DaytonDayton 95 $18,440 $1,395 $1,106
Mount Carmel St Ann's HospitalWesterville 93 $7,892 $1,418 $1,124
University Hospitals - Elyria Medical CenterElyria 92 $7,776 $1,384 $1,103
Marion General HospitalMarion 90 $10,964 $1,391 $1,104
Holzer Medical CenterGallipolis 90 $6,246 $1,380 $1,099
Surgical Hospital at SouthwoodsYoungstown 90 $6,639 $1,367 $1,084
Springfield Regional Medical CenterSpringfield 83 $12,302 $1,416 $1,122
Mercy Franciscan Hospital - Mt AiryCincinnati 80 $12,890 $1,398 $1,109
Wooster Community HospitalWooster 77 $5,322 $1,373 $1,090
Fairfield Medical CenterLancaster 76 $7,918 $1,450 $1,150
University Hospitals Portage Medical CenterRavenna 76 $7,560 $1,380 $1,098
Fort Hamilton Hughes Memorial HospitalHamilton 76 $14,015 $1,410 $1,120
Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville 76 $8,605 $1,340 $1,057
Salem Community HospitalSalem 71 $6,167 $1,364 $1,083
Ohio Valley Medical Center, LLCSpringfield 70 $5,617 $1,439 $1,138
University Hospitals Ahuja Medical CenterBeachwood 69 $9,897 $1,324 $1,050
Crystal Clinic Orthopaedic CenterAkron 62 $9,014 $1,353 $1,069
Kettering Health TroyTroy 61 $11,261 $1,357 $1,077
Southeastern Ohio Regional Medical CenterCambridge 60 $6,584 $1,421 $1,122
St Joseph Health CenterWarren 59 $11,490 $1,361 $1,081
Doctors HospitalColumbus 58 $13,075 $1,437 $1,143
Mercy Regional Medical CenterLorain 52 $11,583 $1,342 $1,060
Fisher Titus Memorial HospitalNorwalk 50 $5,146 $1,315 $1,047
Union HospitalDover 44 $8,982 $1,380 $1,099
St Elizabeth Boardman Health CenterYoungstown 43 $13,449 $1,354 $1,074
Wood County HospitalBowling Green 39 $5,111 $1,383 $1,103
Mercy Hospital AndersonCincinnati 38 $17,811 $1,385 $1,094
Knox Community HospitalMt Vernon 38 $8,528 $1,503 $1,194
Trumbull Memorial HospitalWarren 38 $12,224 $1,290 $1,012
Ashtabula County Medical CenterAshtabula 38 $7,837 $1,478 $1,176
Mercy Hospital of TiffinTiffin 37 $8,162 $1,320 $1,046
South Pointe HospitalWarrensville Heights 36 $10,167 $1,192 $943
Mary Rutan HospitalBellefontaine 36 $10,246 $1,558 $1,242
Grand Lake Health SystemSt Marys 35 $6,395 $1,387 $1,099
Community Hospitals and Wellness CentersBryan 35 $10,234 $1,449 $1,151
Memorial HospitalFremont 33 $6,143 $1,116 $835
Wilson Memorial HospitalSidney 31 $11,930 $1,405 $1,110
McCullough-Hyde Memorial HospitalOxford 31 $9,715 $1,387 $1,104
Alliance Community HospitalAlliance 29 $5,652 $1,342 $1,054
Summa Western Reserve HospitalCuyahoga Falls 29 $17,785 $1,380 $1,099
Grady Memorial HospitalDelaware 29 $13,286 $1,450 $1,153
Mercer County Joint Township Community HospitalColdwater 28 $5,208 $1,380 $1,099
Van Wert County HospitalVan Wert 27 $7,499 $1,342 $1,065
Marymount HospitalGarfield Heights 27 $11,197 $1,384 $1,103
Trihealth Clinton Regional HospitalWilmington 27 $7,190 $1,380 $1,097
Mercy Hospital of DefianceDefiance 27 $6,751 $1,299 $1,024
Berger HospitalCircleville 26 $10,492 $1,338 $1,057
Bay Park Community HospitalOregon 24 $10,902 $1,338 $1,056
Memorial Hospital of Union CountyMarysville 21 $9,281 $1,395 $1,100
Wayne HospitalGreenville 20 $8,822 $1,389 $1,107
Madison County Hospital INCLondon 18 $11,481 $1,450 $1,155
Institute for Orthopedic SurgeryLima 17 $6,595 $1,380 $1,099
Samaritan Hospital - Peoples HospitalAshland 16 $6,597 $1,311 $1,030
O'bleness Memorial HospitalAthens 16 $8,221 $1,520 $1,210
Bellevue HospitalBellevue 16 $7,122 $1,383 $1,098
Greene Memorial HospitalXenia 14 $8,637 $1,387 $1,105
Avita OntarioOntario 14 $7,908 $1,410 $1,113
East Ohio Regional HospitalMartins Ferry – – – –
Euclid HospitalEuclid – – – –
Lutheran HospitalCleveland – – – –
East Liverpool City HospitalEast Liverpool – – – –
Coshocton County Memorial HospitalCoshocton – – – –
Joel Pomerene Memorial HospitalMillersburg – – – –
Mount Carmel New Albany Surgical HospitalNew Albany – – – –
Diley Ridge Medical CenterCanal Winchester – – – –
Kings Daughters Medical Center OhioPortsmouth – – – –
Lake Health Beachwood Medical CenterBeachwood – – – –
Mercy Health Kings Mills Hospital LLCMason – – – –
Children's Hosp Medical CenterCincinnati – – – –
Nationwide Children's HospitalColumbus – – – –
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Lowest and highest allowed amounts in Ohio

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

Highest

Mary Rutan HospitalBellefontaine, OH$1,558
O'bleness Memorial HospitalAthens, OH$1,520
Knox Community HospitalMt Vernon, OH$1,503
Ashtabula County Medical CenterAshtabula, OH$1,478
Fairfield Medical CenterLancaster, OH$1,450

Level 2 Excision/Biopsy/Incision and Drainage in other states

Questions

How much does level 2 excision/biopsy/incision and drainage cost in Ohio?

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 120 hospitals in Ohio was billed at $10,164 on average, while the average medicare-allowed amount was $1,349, of which Medicare paid $1,065. 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 Ohio, average charges were 7.5 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.