Level 2 Excision/Biopsy/Incision and Drainage in Virginia
What 69 hospitals in Virginia charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$11,203
Hospital list price billed
Average allowed
$1,410
Medicare's payment + patient's share
Medicare paid
$1,117
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $11,203 for level 2 excision/biopsy/incision and drainage, about 7.9 times the average medicare-allowed amount of $1,410. That payment is 8% 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 $1,410Billed $11,203
About 13¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 2 excision/biopsy/incision and drainage
Every Virginia 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 of Virginia Medical CenterCharlottesville | 812 | $8,059 | $1,190 | $945 |
| Carilion Medical CenterRoanoke | 602 | $7,727 | $1,376 | $1,093 |
| Medical College of Virginia HospitalsRichmond | 523 | $14,234 | $1,384 | $1,095 |
| Winchester Medical Center INCWinchester | 497 | $7,396 | $1,553 | $1,229 |
| Sentara Norfolk General HospitalNorfolk | 374 | $15,572 | $1,390 | $1,099 |
| Cjw Medical CenterRichmond | 358 | $26,379 | $1,380 | $1,091 |
| Riverside Regional Medical CenterNewport News | 348 | $5,357 | $1,363 | $1,079 |
| Sentara Leigh HospitalNorfolk | 347 | $13,337 | $1,395 | $1,105 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 332 | $11,128 | $1,475 | $1,170 |
| Inova Mount Vernon HospitalAlexandria | 268 | $5,557 | $1,503 | $1,192 |
| Martha Jefferson HospitalCharlottesville | 260 | $7,710 | $1,384 | $1,097 |
| Sentara Rmh Medical CenterHarrisonburg | 257 | $8,269 | $1,575 | $1,249 |
| Inova Fairfax HospitalFalls Church | 248 | $9,391 | $1,490 | $1,180 |
| Sentara Careplex HospitalHampton | 247 | $12,222 | $1,381 | $1,094 |
| Mary Washington Hospital, INCFredericksburg | 228 | $7,650 | $1,495 | $1,183 |
| Henrico Doctors' HospitalRichmond | 217 | $26,973 | $1,376 | $1,082 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 214 | $12,348 | $1,380 | $1,096 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 209 | $10,654 | $1,467 | $1,161 |
| Augusta HealthFishersville | 208 | $4,970 | $1,563 | $1,245 |
| Virginia Hospital Center - ArlingtonArlington | 200 | $8,792 | $1,499 | $1,186 |
| Chesapeake General HospitalChesapeake | 197 | $10,072 | $1,394 | $1,106 |
| Sentara Obici HospitalSuffolk | 193 | $12,647 | $1,374 | $1,090 |
| Carilion New River Vly Med CtrChristiansburg | 185 | $8,021 | $1,378 | $1,094 |
| Bon Secours - Maryview Medical CenterPortsmouth | 176 | $13,228 | $1,316 | $1,043 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 175 | $10,236 | $1,489 | $1,186 |
| Sentara Bayside HospitalVirginia Beach | 175 | $12,592 | $1,411 | $1,121 |
| Sentara Virginia Beach General HospitalVirginia Beach | 159 | $13,141 | $1,390 | $1,101 |
| Lewisgale Medical CenterSalem | 155 | $21,587 | $1,375 | $1,087 |
| Bon Secours - St Francis Medical CenterMidlothian | 135 | $9,303 | $1,393 | $1,106 |
| Prince William HospitalManassas | 132 | $5,972 | $1,389 | $1,092 |
| Inova Loudoun HospitalLeesburg | 116 | $7,855 | $1,499 | $1,188 |
| UVA Health Haymarket Medical CenterHaymarket | 104 | $6,470 | $1,362 | $1,081 |
| The Fauquier Hospital, INCWarrenton | 98 | $10,010 | $1,500 | $1,193 |
| Inova Alexandria HospitalAlexandria | 97 | $9,003 | $1,510 | $1,195 |
| Sentara Northern Virginia Medical CenterWoodbridge | 96 | $10,265 | $1,495 | $1,183 |
| Riverside Walter Reed HospitalGloucester | 96 | $5,397 | $1,382 | $1,090 |
| Danville Regional Medical CenterDanville | 94 | $17,985 | $1,421 | $1,128 |
| Reston Hospital CenterReston | 71 | $13,473 | $1,536 | $1,224 |
| Riverside Shore Memorial HospitalNassawadox | 70 | $5,894 | $1,474 | $1,156 |
| Inova Fair Oaks HospitalFairfax | 69 | $8,177 | $1,520 | $1,211 |
| Southside Regional Medical CenterPetersburg | 67 | $23,682 | $1,314 | $1,040 |
| John Randolph Medical CenterHopewell | 64 | $27,240 | $1,393 | $1,097 |
| Stafford Hospital CenterStafford | 60 | $7,523 | $1,463 | $1,151 |
| Clinch Valley Medical CenterRichlands | 55 | $17,773 | $1,396 | $1,107 |
| Mary Immaculate HospitalNewport News | 47 | $12,688 | $1,349 | $1,060 |
| Montgomery Regional HospitalBlacksburg | 42 | $18,733 | $1,346 | $1,057 |
| Culpeper Regional HospitalCulpeper | 41 | $9,120 | $1,483 | $1,182 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 38 | $5,566 | $1,293 | $1,019 |
| Community Memorial Healthcenter, INCSouth Hill | 36 | $9,047 | $1,511 | $1,189 |
| Halifax Regional HospitalSouth Boston | 31 | $8,123 | $1,543 | $1,223 |
| Bedford Memorial HospitalBedford | 25 | $12,285 | $1,396 | $1,111 |
| Johnston Memorial HospitalAbingdon | 24 | $8,753 | $1,396 | $1,103 |
| Stonesprings Hospital CenterDulles | 21 | $11,368 | $1,520 | $1,211 |
| Alleghany Regional HospitalJackson River | 20 | $19,393 | $1,495 | $1,186 |
| Southside Community Hospital, INCFarmville | 17 | $12,844 | $1,511 | $1,195 |
| Pulaski Community HospitalPulaski | 16 | $27,627 | $1,396 | $1,112 |
| Spotsylvania Regional Medical CenterFredericksburg | 16 | $13,970 | $1,520 | $1,211 |
| Warren Memorial HospitalFront Royal | 13 | $8,599 | $1,520 | $1,211 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 13 | $12,527 | $1,418 | $1,097 |
| Wythe County Community HospitalWytheville | 11 | $12,461 | $1,495 | $1,191 |
| Smyth County Community HospitalMarion | – | – | – | – |
| Riverside Tappahannock HospitalTappahannock | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Southampton Memorial HospitalFranklin | – | – | – | – |
| Bon Secours - Richmond Community HospitalRichmond | – | – | – | – |
| Bon Secours Southern Virginia Medical CenterEmporia | – | – | – | – |
| Twin County Regional HospitalGalax | – | – | – | – |
| Carilion Tazewell Community HospitalTazewell | – | – | – | – |
| Buchanan General HospitalGrundy | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| University of Virginia Medical CenterCharlottesville, VA | $1,190 |
|---|---|
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA | $1,293 |
| Southside Regional Medical CenterPetersburg, VA | $1,314 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $1,316 |
| Montgomery Regional HospitalBlacksburg, VA | $1,346 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $1,575 |
|---|---|
| Augusta HealthFishersville, VA | $1,563 |
| Winchester Medical Center INCWinchester, VA | $1,553 |
| Halifax Regional HospitalSouth Boston, VA | $1,543 |
| Reston Hospital CenterReston, VA | $1,536 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Virginia?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 69 hospitals in Virginia was billed at $11,203 on average, while the average medicare-allowed amount was $1,410, of which Medicare paid $1,117. 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 Virginia, average charges were 7.9 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.