facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in Washington: 48 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in Washington

What 48 hospitals in Washington charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.

APC 5072 Outpatient 2024 Medicare data
Average charge $9,654 Hospital list price billed
Average allowed $1,656 Medicare's payment + patient's share
Medicare paid $1,315 Average per service
State rank #40 of 49 1 = lowest average payment

Hospitals in Washington billed an average of $9,654 for level 2 excision/biopsy/incision and drainage, about 5.8 times the average medicare-allowed amount of $1,656. That payment is 8% 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 $1,656Billed $9,654

About 17¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 2 excision/biopsy/incision and drainage

Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Fred Hutchinson Cancer CenterSeattle 540 $11,966 $1,651 $1,314
Kadlec Regional Medical CenterRichland 500 $7,901 $1,602 $1,272
University of Washington Medical CtrSeattle 493 $11,296 $1,621 $1,290
Virginia Mason Medical CenterSeattle 435 $8,704 $1,588 $1,261
Swedish Medical CenterSeattle 302 $8,271 $1,725 $1,371
St Michael Medical CenterBremerton 302 $9,742 $1,729 $1,371
Olympic Medical CenterPort Angeles 280 $3,803 $1,738 $1,381
Providence Regional Medical Center EverettEverett 269 $8,387 $1,645 $1,307
Confluence Health HospitalWenatchee 251 $7,029 $1,728 $1,371
Yakima Valley Memorial HospitalYakima 189 $6,125 $1,705 $1,354
Valley Medical CenterRenton 179 $9,022 $1,626 $1,289
Evergreenhealth Medical CenterKirkland 177 $5,951 $1,641 $1,303
Peacehealth St Joseph Medical CenterBellingham 172 $13,089 $1,743 $1,387
Skagit Valley HospitalMt Vernon 162 $9,620 $1,629 $1,297
Overlake Hospital Medical CenterBellevue 147 $10,910 $1,634 $1,295
Providence St Mary Medical CenterWalla Walla 135 $6,945 $1,743 $1,386
Providence St Peter HospitalOlympia 125 $15,098 $1,639 $1,306
S W Washington Medical CenterVancouver 119 $10,805 $1,678 $1,333
Swedish Edmonds HospitalEdmonds 114 $7,492 $1,646 $1,306
Legacy Salmon Creek Medical CenterVancouver 102 $6,572 $1,675 $1,328
Swedish IssaquahIssaquah 100 $8,950 $1,617 $1,280
Deaconess Medical CenterSpokane 89 $14,070 $1,613 $1,279
Capital Medical CenterOlympia 89 $13,089 $1,641 $1,301
Tacoma General HospitalTacoma 88 $15,414 $1,610 $1,270
Harborview Medical CenterSeattle 84 $12,572 $1,612 $1,280
Good Samaritan Hospital & Rehab CenterPuyallup 75 $11,290 $1,630 $1,292
Peachealth St John Medical CenterLongview 74 $12,224 $1,778 $1,415
Valley Hospital & Medical CenterSpokane 73 $12,301 $1,558 $1,225
Island HospitalAnacortes 69 $3,496 $1,620 $1,287
Providence Sacred Heart Medical CenterSpokane 69 $11,117 $1,608 $1,278
St Joseph Medical CenterTacoma 66 $14,302 $1,612 $1,268
Highline Medical CenterBurien 61 $9,756 $1,621 $1,287
Trios HealthKennewick 57 $11,696 $1,627 $1,289
St Francis Community HospitalFederal Way 47 $14,330 $1,628 $1,287
St Anthony HospitalGig Harbor 46 $16,601 $1,652 $1,315
Auburn Regional Medical CenterAuburn 43 $11,207 $1,656 $1,319
St Clare HospitalLakewood 43 $17,354 $1,670 $1,330
Grays Harbor Community HospitalAberdeen 33 $8,770 $1,748 $1,382
Samaritan HospitalMoses Lake 30 $10,774 $1,743 $1,385
Swedish Medical Center/Cherry HillSeattle 22 $10,091 $1,737 $1,384
Multicare Covington Medical CenterCovington 21 $10,109 $1,656 $1,317
Providence Centralia HospitalCentralia 18 $12,836 $1,789 $1,425
Cascade Valley HospitalArlington 14 $13,999 $1,562 $1,225
Providence Holy Family HospitalSpokane 12 $11,670 $1,519 $1,183
Group Health Central HospitalSeattle 11 $4,174 $1,388 $1,058
Toppenish Community HospitalToppenish – – – –
Evergreenhealth MonroeMonroe – – – –
Seattle Children's HospitalSeattle – – – –
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Lowest and highest allowed amounts in Washington

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

Highest

Providence Centralia HospitalCentralia, WA$1,789
Peachealth St John Medical CenterLongview, WA$1,778
Grays Harbor Community HospitalAberdeen, WA$1,748
Samaritan HospitalMoses Lake, WA$1,743
Providence St Mary Medical CenterWalla Walla, WA$1,743

Level 2 Excision/Biopsy/Incision and Drainage in other states

Questions

How much does level 2 excision/biopsy/incision and drainage cost in Washington?

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 48 hospitals in Washington was billed at $9,654 on average, while the average medicare-allowed amount was $1,656, of which Medicare paid $1,315. 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 Washington, average charges were 5.8 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.