Level 2 Excision/Biopsy/Incision and Drainage in Tennessee
What 71 hospitals in Tennessee charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$10,280
Hospital list price billed
Average allowed
$1,324
Medicare's payment + patient's share
Medicare paid
$1,048
Average per service
State rank
#3 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $10,280 for level 2 excision/biopsy/incision and drainage, about 7.8 times the average medicare-allowed amount of $1,324. That payment is 14% 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 $1,324Billed $10,280
About 13¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 2 excision/biopsy/incision and drainage
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 763 | $12,474 | $1,084 | $858 |
| Univ of Tn Mem HospitalKnoxville | 478 | $7,144 | $1,318 | $1,047 |
| Baptist Memorial HospitalMemphis | 474 | $10,348 | $1,351 | $1,066 |
| Jackson-Madison Cnty Gen HospJackson | 398 | $6,605 | $1,420 | $1,123 |
| Methodist Healthcare-MemphisMemphis | 307 | $9,531 | $1,338 | $1,058 |
| Memorial Healthcare System, INCChattanooga | 293 | $9,013 | $1,375 | $1,091 |
| St Thomas HospitalNashville | 278 | $12,566 | $1,385 | $1,101 |
| Maury Regional HospitalColumbia | 167 | $7,305 | $1,357 | $1,075 |
| Williamson Medical CenterFranklin | 161 | $7,521 | $1,397 | $1,112 |
| Wellmont Holston Vly Med CtrKingsport | 159 | $9,217 | $1,364 | $1,075 |
| Physicians Regional Medical CenterKnoxville | 150 | $13,978 | $1,302 | $1,028 |
| Saint Thomas Rutherford HospitalMurfreesboro | 144 | $10,006 | $1,384 | $1,097 |
| Blount Memorial HospitalMaryville | 138 | $7,866 | $1,393 | $1,103 |
| Erlanger Medical CenterChattanooga | 134 | $9,414 | $1,378 | $1,093 |
| Johnson City Medical CenterJohnson City | 129 | $11,831 | $1,394 | $1,103 |
| Cookeville Regional Med CenterCookeville | 126 | $7,505 | $1,478 | $1,174 |
| Wellmont Bristol Regional Medical CenterBristol | 125 | $8,880 | $1,368 | $1,080 |
| Parkwest Medical CenterKnoxville | 114 | $4,477 | $1,320 | $1,041 |
| Centennial Medical CenterNashville | 112 | $28,307 | $1,371 | $1,088 |
| Summit Medical CenterHermitage | 110 | $17,970 | $1,372 | $1,085 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 98 | $6,117 | $1,321 | $1,048 |
| Fort Sanders Reg Medical CtrKnoxville | 95 | $5,388 | $1,315 | $1,038 |
| Horizon Medical CenterDickson | 84 | $6,878 | $1,397 | $1,113 |
| Cumberland Medical CenterCrossville | 75 | $5,419 | $1,432 | $1,137 |
| Morristown-Hamblen HospitalMorristown | 60 | $5,439 | $1,039 | $822 |
| Sumner Regional Medical CenterGallatin | 59 | $13,987 | $1,397 | $1,113 |
| Athens Regional Medical CenterAthens | 59 | $11,937 | $1,322 | $1,050 |
| Vanderbilt Wilson County HospitalLebanon | 57 | $17,011 | $1,377 | $1,093 |
| Vanderbilt Clarksville HospitalClarksville | 51 | $15,799 | $1,487 | $1,183 |
| Henry County Medical CenterParis | 50 | $6,090 | $1,337 | $1,065 |
| Cleveland Community HospitalCleveland | 49 | $15,958 | $1,382 | $1,100 |
| St Francis HospitalMemphis | 48 | $16,983 | $1,145 | $860 |
| Hendersonville Medical CenterHendersonville | 48 | $14,597 | $1,374 | $1,090 |
| Leconte Medical CenterSevierville | 46 | $5,674 | $1,337 | $1,057 |
| Greeneville Community HospitalGreeneville | 41 | $9,462 | $1,338 | $1,066 |
| Fort Sanders Loudon Med CenterLoudon | 40 | $6,018 | $1,314 | $1,039 |
| Skyline Medical CenterNashville | 39 | $29,473 | $1,397 | $1,107 |
| Tristar Northcrest Medical CenterSpringfield | 37 | $15,408 | $1,337 | $1,053 |
| Saint Francis Bartlett Medical CenterBartlett | 36 | $20,832 | $1,158 | $879 |
| Dyersburg Regional Medical CenterDyersburg | 34 | $7,451 | $1,332 | $1,031 |
| Stonecrest Medical CenterSmyrna | 33 | $12,698 | $1,370 | $1,080 |
| Parkridge Medical CenterChattanooga | 32 | $18,863 | $1,348 | $1,067 |
| Regional One HealthMemphis | 30 | $9,918 | $1,307 | $1,025 |
| Harton Regional Medical CenterTullahoma | 29 | $10,271 | $1,350 | $1,068 |
| Roane Medical CenterHarriman | 26 | $4,735 | $1,337 | $1,064 |
| Hardin County General HospitalSavannah | 25 | $8,914 | $1,252 | $980 |
| Baptist Memorial Hospital Union CityUnion City | 22 | $8,196 | $1,360 | $1,074 |
| Unity Medical CenterManchester | 18 | $3,904 | $1,344 | $1,067 |
| Southern Hills Medical CtrNashville | 17 | $11,087 | $1,397 | $1,113 |
| Claiborne County HospitalTazewell | 14 | $4,139 | $1,337 | $1,065 |
| Sweetwater Hospital AssociationSweetwater | 13 | $3,926 | $1,234 | $977 |
| Southern Tennessee Regional Health System PulaskiPulaski | 12 | $5,865 | $1,389 | $1,106 |
| Crockett HospitalLeoma | 11 | $11,992 | $1,377 | $1,097 |
| Henderson County Community HospitalLexington | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Sycamore Shoals HospitalElizabethton | – | – | – | – |
| Lafollette Medical CenterLa Follette | – | – | – | – |
| St Mary's Jefferson Memorial HospitalJefferson City | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Milan General HospitalMilan | – | – | – | – |
| Volunteer Community HospitalMartin | – | – | – | – |
| Lincoln County Hlth FacilitiesFayetteville | – | – | – | – |
| Metro Nashville General HospitalNashville | – | – | – | – |
| Baptist Memorial Hospital TiptonCovington | – | – | – | – |
| Vanderbilt Bedford HospitalShelbyville | – | – | – | – |
| River Park HospitalMcMinnville | – | – | – | – |
| Tennova Healthcare - Newport Medical CenterNewport | – | – | – | – |
| Indian Path Medical CenterKingsport | – | – | – | – |
| Franklin Woods Community HospitalJohnson City | – | – | – | – |
| Livingston Regional HospitalLivingston | – | – | – | – |
| Saint Thomas Highlands HospitalSparta | – | – | – | – |
Lowest and highest allowed amounts in Tennessee
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
| Morristown-Hamblen HospitalMorristown, TN | $1,039 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $1,084 |
| St Francis HospitalMemphis, TN | $1,145 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $1,158 |
| Sweetwater Hospital AssociationSweetwater, TN | $1,234 |
Highest
| Vanderbilt Clarksville HospitalClarksville, TN | $1,487 |
|---|---|
| Cookeville Regional Med CenterCookeville, TN | $1,478 |
| Cumberland Medical CenterCrossville, TN | $1,432 |
| Jackson-Madison Cnty Gen HospJackson, TN | $1,420 |
| Skyline Medical CenterNashville, TN | $1,397 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Tennessee?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 71 hospitals in Tennessee was billed at $10,280 on average, while the average medicare-allowed amount was $1,324, of which Medicare paid $1,048. 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 Tennessee, average charges were 7.8 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.