Level 2 Excision/Biopsy/Incision and Drainage in Utah
What 32 hospitals in Utah charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$9,354
Hospital list price billed
Average allowed
$1,451
Medicare's payment + patient's share
Medicare paid
$1,150
Average per service
State rank
#25 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $9,354 for level 2 excision/biopsy/incision and drainage, about 6.4 times the average medicare-allowed amount of $1,451. That payment is 6% 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 $1,451Billed $9,354
About 16¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 2 excision/biopsy/incision and drainage
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 562 | $5,877 | $1,425 | $1,132 |
| St. George Regional HospitalSt George | 451 | $9,298 | $1,542 | $1,226 |
| Lds HospitalSalt Lake City | 392 | $9,161 | $1,435 | $1,137 |
| McKay-Dee Hospital CenterOgden | 209 | $9,324 | $1,432 | $1,136 |
| Utah Valley Regional Medical CenterProvo | 167 | $10,764 | $1,421 | $1,126 |
| St Marks HospitalSalt Lake City | 137 | $16,828 | $1,444 | $1,144 |
| Logan Regional HospitalLogan | 73 | $7,427 | $1,395 | $1,098 |
| Ogden Regional Medical CenterOgden | 69 | $15,150 | $1,436 | $1,140 |
| Lakeview HospitalBountiful | 48 | $15,801 | $1,428 | $1,129 |
| Cottonwood Hospital Med CntrMurray | 40 | $9,433 | $1,366 | $1,070 |
| Lone Peak HospitalDraper | 39 | $14,121 | $1,423 | $1,119 |
| Jordan Valley Medical CenterWest Jordan | 35 | $7,486 | $1,274 | $972 |
| American Fork HospitalAmerican Fork | 33 | $10,003 | $1,452 | $1,151 |
| Davis Hospital and Medical CenterLayton | 32 | $6,315 | $1,452 | $1,152 |
| Intermountain Health Cedar City HospitalCedar City | 25 | $7,496 | $1,555 | $1,239 |
| Castleview HospitalPrice | 24 | $9,228 | $1,556 | $1,230 |
| Sevier Valley HospitalRichfield | 20 | $5,407 | $1,556 | $1,235 |
| Salt Lake Regional Medical CenterSalt Lake City | 14 | $7,767 | $1,453 | $1,138 |
| Park City Medical CenterPark City | 13 | $9,956 | $1,452 | $1,151 |
| Brigham City Community HospitalBrigham City | 12 | $30,916 | $1,452 | $1,157 |
| Timpanogos Regional HospitalOrem | 12 | $15,118 | $1,453 | $1,141 |
| Mountain View HospitalPayson | – | – | – | – |
| Mountain West Medical CenterTooele | – | – | – | – |
| Uintah Basin Medical CenterRoosevelt | – | – | – | – |
| Ashley Valley Medical CenterVernal | – | – | – | – |
| Bear River Valley HospitalTremonton | – | – | – | – |
| Orem Community HospitalOrem | – | – | – | – |
| Alta View HospitalSandy | – | – | – | – |
| Cache Valley Speciality HospitalNorth Logan | – | – | – | – |
| Intermountain Health Layton HospitalLayton | – | – | – | – |
| Intermountain Health Spanish Fork HospitalSpanish Fork | – | – | – | – |
| Primary Children's Med CenterSalt Lake City | – | – | – | – |
Lowest and highest allowed amounts in Utah
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
| Jordan Valley Medical CenterWest Jordan, UT | $1,274 |
|---|---|
| Cottonwood Hospital Med CntrMurray, UT | $1,366 |
| Logan Regional HospitalLogan, UT | $1,395 |
| Utah Valley Regional Medical CenterProvo, UT | $1,421 |
| Lone Peak HospitalDraper, UT | $1,423 |
Highest
| Castleview HospitalPrice, UT | $1,556 |
|---|---|
| Sevier Valley HospitalRichfield, UT | $1,556 |
| Intermountain Health Cedar City HospitalCedar City, UT | $1,555 |
| St. George Regional HospitalSt George, UT | $1,542 |
| Salt Lake Regional Medical CenterSalt Lake City, UT | $1,453 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Utah?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 32 hospitals in Utah was billed at $9,354 on average, while the average medicare-allowed amount was $1,451, of which Medicare paid $1,150. 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 Utah, average charges were 6.4 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.