Level 2 Excision/Biopsy/Incision and Drainage in West Virginia
What 25 hospitals in West Virginia charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$9,488
Hospital list price billed
Average allowed
$1,328
Medicare's payment + patient's share
Medicare paid
$1,052
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in West Virginia billed an average of $9,488 for level 2 excision/biopsy/incision and drainage, about 7.1 times the average medicare-allowed amount of $1,328. 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 $1,328Billed $9,488
About 14¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 2 excision/biopsy/incision and drainage
Every West 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 |
|---|---|---|---|---|
| Charleston Area Medical CenterCharleston | 430 | $8,390 | $1,342 | $1,064 |
| Wheeling HospitalWheeling | 395 | $11,671 | $1,304 | $1,034 |
| West Virginia University HospitalsMorgantown | 369 | $10,298 | $1,313 | $1,038 |
| United Hospital CenterBridgeport | 217 | $7,562 | $1,511 | $1,196 |
| Cabell-Huntington Hospital INCHuntington | 208 | $7,914 | $1,301 | $1,028 |
| St Mary's Medical CenterHuntington | 186 | $8,496 | $1,129 | $892 |
| Camden Clark Memorial HospitalParkersburg | 167 | $7,032 | $1,309 | $1,037 |
| Thomas Memorial HospitalSouth Charleston | 132 | $9,233 | $1,337 | $1,062 |
| Weirton Medical CenterWeirton | 110 | $12,890 | $1,340 | $1,064 |
| Mon Health Medical CenterMorgantown | 104 | $13,039 | $1,231 | $976 |
| Berkeley Medical CenterMartinsburg | 93 | $6,865 | $1,423 | $1,129 |
| Raleigh General HospitalBeckley | 80 | $7,235 | $1,335 | $1,053 |
| Princeton Community HospitalPrinceton | 73 | $12,385 | $1,414 | $1,123 |
| Logan Regional Medical CenterLogan | 65 | $13,401 | $1,401 | $1,112 |
| Reynolds Memorial HospitalGlen Dale | 43 | $6,463 | $1,305 | $1,026 |
| Greenbrier Valley Medical CenterRonceverte | 40 | $14,970 | $1,317 | $1,040 |
| Camc Charleston Surgical HospitalCharleston | 36 | $3,552 | $1,349 | $1,064 |
| Saint Francis HospitalCharleston | 29 | $7,935 | $1,374 | $1,095 |
| Davis Memorial HospitalElkins | 18 | $9,267 | $1,389 | $1,097 |
| Beckley Arh HospitalBeckley | 16 | $15,314 | $1,374 | $1,091 |
| Rivers HealthPoint Pleasant | 12 | $7,761 | $1,325 | $1,055 |
| Stonewall Jackson Mem HospWeston | – | – | – | – |
| Wetzel County HospitalNew Martinsville | – | – | – | – |
| Welch Community HospitalWelch | – | – | – | – |
| Mon Health MarionWhitehall | – | – | – | – |
Lowest and highest allowed amounts in West 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
| St Mary's Medical CenterHuntington, WV | $1,129 |
|---|---|
| Mon Health Medical CenterMorgantown, WV | $1,231 |
| Cabell-Huntington Hospital INCHuntington, WV | $1,301 |
| Wheeling HospitalWheeling, WV | $1,304 |
| Reynolds Memorial HospitalGlen Dale, WV | $1,305 |
Highest
| United Hospital CenterBridgeport, WV | $1,511 |
|---|---|
| Berkeley Medical CenterMartinsburg, WV | $1,423 |
| Princeton Community HospitalPrinceton, WV | $1,414 |
| Logan Regional Medical CenterLogan, WV | $1,401 |
| Davis Memorial HospitalElkins, WV | $1,389 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in West Virginia?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 25 hospitals in West Virginia was billed at $9,488 on average, while the average medicare-allowed amount was $1,328, of which Medicare paid $1,052. 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 West Virginia, average charges were 7.1 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.