Level 2 Excision/Biopsy/Incision and Drainage in Oregon
What 31 hospitals in Oregon charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$8,078
Hospital list price billed
Average allowed
$1,747
Medicare's payment + patient's share
Medicare paid
$1,388
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $8,078 for level 2 excision/biopsy/incision and drainage, about 4.6 times the average medicare-allowed amount of $1,747. That payment is 14% 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 $1,747Billed $8,078
About 22¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 2 excision/biopsy/incision and drainage
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 399 | $9,287 | $1,665 | $1,321 |
| Rogue Valley Medical CenterMedford | 396 | $10,508 | $1,935 | $1,538 |
| Good Samaritan Regional Medical CenterCorvallis | 237 | $5,954 | $1,673 | $1,327 |
| Providence St Vincent Medical CenterPortland | 199 | $7,545 | $1,694 | $1,348 |
| Bay Area HospitalCoos Bay | 196 | $5,131 | $1,757 | $1,396 |
| St Charles Medical Center - BendBend | 184 | $8,986 | $1,706 | $1,357 |
| Salem HospitalSalem | 182 | $8,808 | $1,795 | $1,427 |
| Providence Portland Medical CenterPortland | 168 | $7,580 | $1,701 | $1,355 |
| Providence Medford Medical CenterMedford | 161 | $5,796 | $1,953 | $1,550 |
| Legacy Good Samaritan Medical CenterPortland | 132 | $6,488 | $1,650 | $1,303 |
| Three Rivers Community HospitalGrants Pass | 114 | $10,473 | $1,577 | $1,252 |
| Sky Lakes Medical CenterKlamath Falls | 111 | $9,218 | $2,099 | $1,668 |
| Sacred Heart Medical Center - RiverbendSpringfield | 110 | $11,263 | $1,686 | $1,338 |
| Samaritan Albany General HospitalAlbany | 98 | $4,217 | $1,670 | $1,327 |
| Mercy Medical CenterRoseburg | 84 | $7,735 | $1,750 | $1,391 |
| Legacy Meridian Park Medical CenterTualatin | 78 | $6,007 | $1,701 | $1,352 |
| Adventist Medical CenterPortland | 72 | $11,035 | $1,701 | $1,354 |
| Providence Newberg HospitalNewberg | 57 | $7,762 | $1,630 | $1,283 |
| Willamette Valley Medical CtrMcMinnville | 45 | $5,577 | $1,682 | $1,337 |
| Legacy Mount Hood Medical CenterGresham | 42 | $6,298 | $1,669 | $1,322 |
| Hillsboro Medical CenterHillsboro | 35 | $9,595 | $1,623 | $1,291 |
| Providence Willamette Falls Medical CenterOregon City | 32 | $6,136 | $1,701 | $1,354 |
| Providence Milwaukie HospitalMilwaukie | 30 | $6,473 | $1,701 | $1,355 |
| Mid-Columbia Medical CenterThe Dalles | 26 | $7,808 | $1,803 | $1,429 |
| Legacy Emanuel Medical CenterPortland | 25 | $9,947 | $1,701 | $1,348 |
| Ashland Community HospitalAshland | 20 | $7,289 | $1,600 | $1,274 |
| St Alphonsus Medical Center - Ontario, INCOntario | 18 | $6,549 | $1,713 | $1,365 |
| Silverton Hospital NetworkSilverton | 15 | $6,335 | $1,537 | $1,204 |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Kaiser Sunnyside Medical CenterClackamas | – | – | – | – |
| Kaiser Foundation Hospital WestsideHillsboro | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Silverton Hospital NetworkSilverton, OR | $1,537 |
|---|---|
| Three Rivers Community HospitalGrants Pass, OR | $1,577 |
| Ashland Community HospitalAshland, OR | $1,600 |
| Hillsboro Medical CenterHillsboro, OR | $1,623 |
| Providence Newberg HospitalNewberg, OR | $1,630 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $2,099 |
|---|---|
| Providence Medford Medical CenterMedford, OR | $1,953 |
| Rogue Valley Medical CenterMedford, OR | $1,935 |
| Mid-Columbia Medical CenterThe Dalles, OR | $1,803 |
| Salem HospitalSalem, OR | $1,795 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Oregon?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 31 hospitals in Oregon was billed at $8,078 on average, while the average medicare-allowed amount was $1,747, of which Medicare paid $1,388. 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 Oregon, average charges were 4.6 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.