Level 2 Excision/Biopsy/Incision and Drainage in Pennsylvania
What 132 hospitals in Pennsylvania charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$13,648
Hospital list price billed
Average allowed
$1,478
Medicare's payment + patient's share
Medicare paid
$1,174
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $13,648 for level 2 excision/biopsy/incision and drainage, about 9.2 times the average medicare-allowed amount of $1,478. That payment is 4% 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 $1,478Billed $13,648
About 11¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 2 excision/biopsy/incision and drainage
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 1,049 | $20,804 | $1,462 | $1,164 |
| Lehigh Valley HospitalAllentown | 792 | $21,920 | $1,566 | $1,242 |
| Fox Chase Cancer CenterPhiladelphia | 480 | $21,128 | $1,568 | $1,247 |
| Lancaster General HospitalLancaster | 462 | $10,031 | $1,486 | $1,180 |
| St Luke's Hospital BethlehemBethlehem | 441 | $15,697 | $1,570 | $1,250 |
| Thomas Jefferson University HospitalPhiladelphia | 420 | $11,599 | $1,513 | $1,202 |
| Milton S Hershey Medical CenterHershey | 403 | $14,821 | $1,418 | $1,125 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 384 | $11,413 | $1,166 | $925 |
| Geisinger Medical CenterDanville | 378 | $23,397 | $1,436 | $1,138 |
| York HospitalYork | 360 | $6,221 | $1,507 | $1,196 |
| Chester County HospitalWest Chester | 327 | $10,246 | $1,551 | $1,234 |
| Abington Memorial HospitalAbington | 314 | $8,250 | $1,509 | $1,199 |
| UPMC Presbyterian ShadysidePittsburgh | 308 | $24,859 | $1,435 | $1,140 |
| Reading Hospital and Med CtrWest Reading | 284 | $11,385 | $1,469 | $1,167 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 277 | $19,367 | $1,372 | $1,086 |
| UPMC Pinnacle HospitalsHarrisburg | 259 | $9,401 | $1,441 | $1,144 |
| Geisinger-Community Medical CenterScranton | 230 | $17,954 | $1,429 | $1,135 |
| Riddle Memorial HospitalMedia | 230 | $7,240 | $1,572 | $1,251 |
| Williamsport Hospital & Medical CenterWilliamsport | 221 | $13,563 | $1,440 | $1,145 |
| Dubois Regional Medical CenterDubois | 217 | $5,959 | $1,511 | $1,203 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 217 | $13,216 | $1,620 | $1,289 |
| Main Line Hospital PaoliPaoli | 204 | $8,005 | $1,564 | $1,246 |
| Chambersburg HospitalChambersburg | 203 | $9,453 | $1,618 | $1,286 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 202 | $7,521 | $1,560 | $1,240 |
| Wilkes-Barre General HospitalWilkes-Barre | 193 | $21,564 | $1,415 | $1,120 |
| Doylestown HospitalDoylestown | 185 | $8,739 | $1,556 | $1,238 |
| Temple University HospitalPhiladelphia | 177 | $30,189 | $1,406 | $1,120 |
| St Mary Medical CenterLanghorne | 175 | $6,908 | $1,586 | $1,256 |
| Robert Packer HospitalSayre | 173 | $9,679 | $1,482 | $1,178 |
| Grand View HospitalSellersville | 171 | $8,600 | $1,552 | $1,231 |
| Jefferson Health- NortheastPhiladelphia | 166 | $9,490 | $1,565 | $1,245 |
| Conemaugh Valley Memorial HospitalJohnstown | 163 | $7,466 | $1,543 | $1,228 |
| Main Line Hospital LankenauWynnewood | 161 | $7,195 | $1,538 | $1,218 |
| Holy Redeemer Hosp and Med CtrJenkintown | 156 | $9,373 | $1,521 | $1,210 |
| St Luke's Hospital - Monroe CampusStroudsburg | 150 | $14,532 | $1,513 | $1,201 |
| Pocono Medical CenterEast Stroudsburg | 143 | $20,201 | $1,564 | $1,240 |
| Hamot Medical CenterErie | 139 | $14,488 | $1,689 | $1,341 |
| St Clair Memorial HospitalPittsburgh | 137 | $7,203 | $1,440 | $1,144 |
| Saint Vincent Health CenterErie | 128 | $15,530 | $1,709 | $1,355 |
| Crozer Chester Medical CenterChester | 126 | $12,141 | $1,515 | $1,201 |
| Altoona Regional Health SystemAltoona | 122 | $10,943 | $1,551 | $1,234 |
| St Joseph Medical CenterReading | 118 | $14,557 | $1,461 | $1,159 |
| UPMC MemorialYork | 118 | $8,842 | $1,391 | $1,107 |
| Allegheny General HospitalPittsburgh | 116 | $15,016 | $1,405 | $1,110 |
| Meadville Medical CenterMeadville | 112 | $10,749 | $1,544 | $1,229 |
| Butler Health SystemButler | 110 | $8,013 | $1,073 | $845 |
| Gettysburg HospitalGettysburg | 105 | $6,037 | $1,351 | $1,076 |
| Albert Einstein Medical CenterPhiladelphia | 104 | $6,065 | $1,556 | $1,236 |
| Mercy Hospital ScrantonScranton | 104 | $17,849 | $1,295 | $1,030 |
| Jefferson Regional Medical CenterClairton | 104 | $10,637 | $1,356 | $1,073 |
| Heritage Valley BeaverBeaver | 99 | $4,537 | $1,433 | $1,141 |
| Carlisle Regional Medical CtrCarlisle | 98 | $10,381 | $1,468 | $1,169 |
| Evangelical Community HospitalLewisburg | 90 | $13,473 | $1,395 | $1,109 |
| Mount Nittany Medical CenterState College | 90 | $11,570 | $1,636 | $1,301 |
| St Luke's Hospital - Anderson CampusEaston | 88 | $19,702 | $1,417 | $1,123 |
| UPMC PassavantPittsburgh | 87 | $14,653 | $1,435 | $1,137 |
| Holy Spirit HospitalCamp Hill | 86 | $14,002 | $1,459 | $1,162 |
| Excela Health Westmoreland Regional HospitalGreensburg | 86 | $5,830 | $1,420 | $1,125 |
| Good Samaritan HospitalLebanon | 85 | $8,387 | $1,523 | $1,210 |
| Ephrata Community HospitalEphrata | 85 | $15,731 | $1,470 | $1,171 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 84 | $7,095 | $1,521 | $1,212 |
| Washington Hospital, theWashington | 81 | $6,432 | $1,439 | $1,144 |
| Hanover HospitalHanover | 81 | $7,656 | $1,434 | $1,139 |
| Lewistown HospitalLewistown | 79 | $14,403 | $1,464 | $1,155 |
| UPMC LititzLititz | 77 | $8,220 | $985 | $775 |
| Chestnut Hill HospitalPhiladelphia | 73 | $25,384 | $1,575 | $1,254 |
| Hazleton General HospitalHazleton | 67 | $20,810 | $1,414 | $1,119 |
| Uniontown HospitalUniontown | 66 | $6,888 | $1,409 | $1,117 |
| West Penn HospitalPittsburgh | 63 | $12,900 | $1,437 | $1,139 |
| Phoenixville HospitalPhoenixville | 62 | $13,068 | $1,544 | $1,225 |
| Monongahela Valley HospitalMonongahela | 62 | $7,528 | $1,411 | $1,108 |
| Indiana Regional Medical CenterIndiana | 59 | $10,845 | $1,554 | $1,238 |
| Penn Presbyterian Medical CenterPhiladelphia | 58 | $22,746 | $1,633 | $1,299 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 55 | $9,958 | $961 | $754 |
| Jameson Memorial HospitalNew Castle | 54 | $7,397 | $1,400 | $1,112 |
| St Luke's Quakertown HospitalQuakertown | 54 | $23,202 | $1,550 | $1,235 |
| Pottstown Memorial Med CenterPottstown | 54 | $12,860 | $1,521 | $1,208 |
| Lansdale HospitalLansdale | 53 | $8,644 | $1,498 | $1,189 |
| UPMC St MargaretPittsburgh | 51 | $11,880 | $1,377 | $1,095 |
| Wayne Memorial HospitalHonesdale | 51 | $7,212 | $1,495 | $1,188 |
| Geisinger St. Luke's HospitalOrwigsburg | 49 | $13,100 | $1,439 | $1,142 |
| Northwest Medical CenterOil City | 47 | $12,116 | $1,448 | $1,154 |
| Penn State Health Hampden Medical CenterEnola | 47 | $14,750 | $1,367 | $1,083 |
| UPMC HorizonGreenville | 46 | $9,271 | $1,448 | $1,154 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 44 | $15,366 | $1,384 | $1,096 |
| Heritage Valley SewickleySewickley | 44 | $5,016 | $1,172 | $933 |
| Windber HospitalWindber | 43 | $4,369 | $1,448 | $1,151 |
| St Luke's Miners Memorial HospitalCoaldale | 42 | $17,484 | $1,494 | $1,190 |
| Nason HospitalRoaring Spring | 41 | $6,217 | $982 | $782 |
| UPMC EastMonroeville | 41 | $15,661 | $1,430 | $1,140 |
| Surgical Institute of ReadingWyomissing | 39 | $8,901 | $1,460 | $1,154 |
| Latrobe Area HospitalLatrobe | 38 | $5,539 | $716 | $571 |
| Warren General HospitalWarren | 37 | $6,549 | $1,681 | $1,337 |
| Mercy Health SystemConshohocken | 37 | $16,794 | $1,575 | $1,255 |
| St Luke's Hospital - Carbon CampusLehighton | 37 | $23,486 | $1,478 | $1,177 |
| Allegheny Valley HospitalNatrona Heights | 36 | $8,910 | $1,428 | $1,133 |
| UPMC MercyPittsburgh | 32 | $16,158 | $1,448 | $1,154 |
| Waynesboro HospitalWaynesboro | 32 | $7,827 | $1,567 | $1,249 |
| Millcreek Community HospitalErie | 28 | $7,673 | $1,448 | $1,154 |
| Grove City Medical CenterGrove City | 28 | $10,824 | $1,422 | $1,126 |
| Penn Highlands HuntingdonHuntingdon | 26 | $5,794 | $1,503 | $1,186 |
| Clarion HospitalClarion | 26 | $5,902 | $1,551 | $1,234 |
| Penn State Health Lancaster Medical CenterLancaster | 26 | $16,084 | $1,429 | $1,138 |
| Somerset HospitalSomerset | 25 | $5,566 | $1,551 | $1,236 |
| Easton HospitalEaston | 25 | $23,738 | $1,507 | $1,191 |
| Sharon Regional Health SystemSharon | 25 | $16,053 | $1,344 | $1,067 |
| Wills Eye HospitalPhiladelphia | 23 | $3,703 | $1,575 | $1,255 |
| Nazareth HospitalPhiladelphia | 21 | $10,161 | $1,546 | $1,223 |
| Lehigh Valley Hospital - Dickson CityDickson City | 21 | $13,058 | $1,448 | $1,138 |
| ACMH HospitalKittanning | 19 | $12,946 | $1,448 | $1,154 |
| UPMC McKeesportMcKeesport | 18 | $10,699 | $1,448 | $1,154 |
| UPMC KaneKane | 18 | $4,076 | $1,551 | $1,215 |
| Punxsutawney Area HospitalPunxsutawney | 18 | $8,581 | $1,551 | $1,231 |
| Bloomsburg HospitalBloomsburg | 13 | $12,017 | $1,448 | $1,139 |
| Lower Bucks HospitalBristol | – | – | – | – |
| Mercy Suburban HospitalNorristown | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Canonsburg General HospitalCanonsburg | – | – | – | – |
| Highlands HospitalConnellsville | – | – | – | – |
| Excela Health Frick HospitalMt Pleasant | – | – | – | – |
| Roxborough Memorial HospitalPhiladelphia | – | – | – | – |
| Edgewood Surgical HospitalTransfer | – | – | – | – |
| Bucks County Specialty HospitalBensalem | – | – | – | – |
| Advanced Surgical HospitalWashington | – | – | – | – |
| Physicians Care Surgical HospitalRoyersford | – | – | – | – |
| Oss Orthopaedic HospitalYork | – | – | – | – |
| Wellspan Surgery and Rehabilitation HospitalYork | – | – | – | – |
| AHN Wexford HospitalWexford | – | – | – | – |
| Geisinger Medical Center MuncyMuncy | – | – | – | – |
| Lehigh Valley Hospital - MacungieMacungie | – | – | – | – |
| Children's Hospital of PhiladelphiaPhiladelphia | – | – | – | – |
| St Christopher's Hospital for ChildrenPhiladelphia | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Latrobe Area HospitalLatrobe, PA | $716 |
|---|---|
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville, PA | $961 |
| Nason HospitalRoaring Spring, PA | $982 |
| UPMC LititzLititz, PA | $985 |
| Butler Health SystemButler, PA | $1,073 |
Highest
| Saint Vincent Health CenterErie, PA | $1,709 |
|---|---|
| Hamot Medical CenterErie, PA | $1,689 |
| Warren General HospitalWarren, PA | $1,681 |
| Mount Nittany Medical CenterState College, PA | $1,636 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $1,633 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Pennsylvania?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 132 hospitals in Pennsylvania was billed at $13,648 on average, while the average medicare-allowed amount was $1,478, of which Medicare paid $1,174. 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 Pennsylvania, average charges were 9.2 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.