facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Oklahoma: 61 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Oklahoma

What 61 hospitals in Oklahoma 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 $11,152 Hospital list price billed
Average allowed $1,355 Medicare's payment + patient's share
Medicare paid $1,074 Average per service
State rank #8 of 49 1 = lowest average payment

Hospitals in Oklahoma billed an average of $11,152 for level 2 excision/biopsy/incision and drainage, about 8.2 times the average medicare-allowed amount of $1,355. 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 $1,355Billed $11,152

About 12¢ was paid for every $1 hospitals in Oklahoma billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Mercy Health Center, INCOklahoma City 563 $7,628 $1,364 $1,079
O U Medical CenterOklahoma City 550 $15,158 $1,155 $916
Saint Francis Hospital, INCTulsa 455 $9,802 $1,354 $1,072
Integris Baptist Medical CenterOklahoma City 430 $15,556 $1,368 $1,086
St John Medical Center, INCTulsa 304 $8,451 $1,391 $1,105
St Anthony HospitalOklahoma City 250 $9,309 $1,330 $1,057
Hillcrest Medical CenterTulsa 198 $15,037 $1,379 $1,095
Norman Regional Health SystemNorman 174 $10,261 $1,378 $1,093
Comanche County Memorial HospitalLawton 160 $10,863 $1,353 $1,063
Duncan Regional Hospital, INCDuncan 149 $11,878 $1,467 $1,165
Stillwater Medical CenterStillwater 140 $8,591 $1,477 $1,168
SSM Health St Anthony Hospital - ShawneeShawnee 125 $3,605 $1,368 $1,086
Mercy Memorial Health CenterArdmore 109 $9,305 $1,469 $1,157
Integris Southwest Medical CenterOklahoma City 100 $15,428 $1,397 $1,112
Muskogee Regional Medical CenterMuskogee 81 $13,637 $1,363 $1,079
Integris Bass Baptist Health CenterEnid 70 $11,922 $1,377 $1,095
Hillcrest Hospital SouthTulsa 68 $12,041 $1,367 $1,080
Midwest Regional Medical CenterMidwest City 65 $16,259 $1,397 $1,107
Mercy Hospital AdaAda 51 $5,400 $1,458 $1,151
St Mary's Regional Medical CenterEnid 39 $12,328 $1,377 $1,096
Jackson County Memorial HospitalAltus 38 $6,338 $1,486 $1,181
Integris Health Edmond HospitalEdmond 31 $9,805 $1,397 $1,107
Oklahoma State University Medical CenterTulsa 30 $10,481 $1,360 $1,074
Northeastern Health SystemTahlequah 30 $4,633 $1,425 $1,134
McAlester Regional Health CenterMcAlester 29 $5,813 $1,475 $1,174
Grady Memorial HospitalChickasha 29 $5,906 $1,475 $1,171
Saint Francis Hospital SouthTulsa 25 $15,788 $1,345 $1,063
Community HospitalOklahoma City 22 $18,870 $1,397 $1,113
Oklahoma Surgical Hospital, LLCTulsa 22 $6,287 $1,377 $1,088
Jane Phillips Medical CenterBartlesville 19 $11,298 $1,413 $1,113
Integris Health Ponca CityPonca City 16 $15,731 $1,475 $1,163
Integris Grove General HospGrove 15 $11,255 $1,474 $1,175
Woodward Regional HospitalWoodward 14 $24,490 $1,505 $1,199
Integris Baptist Reg Hlth CtrMiami 14 $8,685 $1,482 $1,186
Claremore Regional HospitalClaremore 14 $17,614 $1,377 $1,076
Southwestern Medical CenterLawton 14 $14,307 $1,397 $1,113
Oklahoma Heart HospitalOklahoma City 14 $13,244 $1,197 $954
Great Plains Regional Med CtrElk City 13 $7,723 $1,384 $1,084
Oklahoma Center for Orthopaedic & Multi-SpOklahoma City 13 $11,364 $1,397 $1,113
Alliancehealth DurantDurant – – – –
Hillcrest Hospital PryorPryor – – – –
Muscogee (Creek) Nation Medical CenterOkmulgee – – – –
Choctaw Memorial HospitalHugo – – – –
Sequoyah Memorial HospitalSallisaw – – – –
Elkview General HospitalHobart – – – –
Wagoner Community HospitalWagoner – – – –
Henryetta Medical CenterHenryetta – – – –
Surgical Hospital of OklahomaOklahoma City – – – –
Oklahoma Spine HospitalOklahoma City – – – –
Integris Canadian Valley HospitalYukon – – – –
Tulsa Spine & Specialty HospitalTulsa – – – –
Onecore HealthOklahoma City – – – –
McBride Clinic Orthopedic Hospital, L L COklahoma City – – – –
Summit Medical CenterEdmond – – – –
St John OwassoOwasso – – – –
Bailey Medical Center, L L COwasso – – – –
Oklahoma Heart Hospital SouthOklahoma City – – – –
Ascension St John Broken ArrowBroken Arrow – – – –
Saint Francis Hospital Vinita, INCVinita – – – –
Integris Community Hospital - Council CrossingOklahoma City – – – –
Elkview General HospitalHobart – – – –
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Lowest and highest allowed amounts in Oklahoma

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

O U Medical CenterOklahoma City, OK$1,155
Oklahoma Heart HospitalOklahoma City, OK$1,197
St Anthony HospitalOklahoma City, OK$1,330
Saint Francis Hospital SouthTulsa, OK$1,345
Comanche County Memorial HospitalLawton, OK$1,353

Highest

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

Questions

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

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 61 hospitals in Oklahoma was billed at $11,152 on average, while the average medicare-allowed amount was $1,355, of which Medicare paid $1,074. 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 Oklahoma, average charges were 8.2 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.