Level 2 Excision/Biopsy/Incision and Drainage in Wisconsin
What 66 hospitals in Wisconsin charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Average charge
$8,889
Hospital list price billed
Average allowed
$1,480
Medicare's payment + patient's share
Medicare paid
$1,174
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $8,889 for level 2 excision/biopsy/incision and drainage, about 6.0 times the average medicare-allowed amount of $1,480. That payment is 4% 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 $1,480Billed $8,889
About 17¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 2 excision/biopsy/incision and drainage
Every Wisconsin 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 Wi Hospitals & Clinics AuthorityMadison | 1,125 | $10,311 | $1,494 | $1,183 |
| Froedtert Mem Lutheran HsptlMilwaukee | 583 | $11,793 | $1,458 | $1,149 |
| Gundersen Luth Med CtrLa Crosse | 490 | $6,860 | $1,521 | $1,211 |
| Luther Hospital Mayo Health SystemEau Claire | 422 | $5,578 | $1,521 | $1,211 |
| Aspirus Wausau HospitalWausau | 224 | $7,568 | $1,344 | $1,068 |
| Aurora St Lukes Medical CenterMilwaukee | 218 | $11,185 | $1,499 | $1,187 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 207 | $5,599 | $1,510 | $1,199 |
| St Mary's HospitalMadison | 203 | $10,137 | $1,513 | $1,206 |
| Waukesha Memorial HospitalWaukesha | 187 | $12,447 | $1,454 | $1,153 |
| Bellin Memorial HsptlGreen Bay | 173 | $10,853 | $1,414 | $1,119 |
| Mercy Hlth Sys CorpJanesville | 157 | $8,181 | $1,445 | $1,139 |
| Monroe ClinicMonroe | 150 | $5,593 | $1,465 | $1,164 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 140 | $11,706 | $1,526 | $1,212 |
| Ascension SE Wisconsin HospitalMilwaukee | 127 | $6,859 | $1,477 | $1,173 |
| Aurora Medical CenterGrafton | 120 | $9,964 | $1,467 | $1,166 |
| Marshfield Medical CenterMarshfield | 118 | $4,001 | $1,554 | $1,235 |
| Marshfield Medical Center - Eau ClaireEau Claire | 117 | $4,414 | $1,457 | $1,159 |
| Community Mem HsptlMenomonee Falls | 116 | $9,011 | $1,440 | $1,140 |
| Aurora Memorial Hsptl BurlingtonBurlington | 110 | $8,841 | $1,525 | $1,213 |
| Marshfield Medical Center - MinocquaMinocqua | 105 | $7,853 | $1,451 | $1,155 |
| Beloit Mem HsptlBeloit | 100 | $5,314 | $1,577 | $1,255 |
| Aurora West Allis Medical CenterWest Allis | 100 | $9,340 | $1,435 | $1,135 |
| Aurora Baycare Med CtrGreen Bay | 98 | $9,999 | $1,460 | $1,160 |
| Aurora Medical CenterSummit | 96 | $9,003 | $1,478 | $1,174 |
| St Vincent HsptlGreen Bay | 90 | $11,453 | $1,447 | $1,150 |
| Fort HealthcareFort Atkinson | 89 | $5,089 | $1,477 | $1,174 |
| St Agnes HsptlFond du Lac | 84 | $9,581 | $1,538 | $1,215 |
| Froedtert SouthKenosha | 75 | $9,654 | $1,510 | $1,199 |
| Aspirus Rhinelander HospitalRhinelander | 73 | $10,471 | $1,486 | $1,170 |
| Appleton Med CtrAppleton | 68 | $8,587 | $1,444 | $1,144 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 66 | $6,725 | $1,526 | $1,213 |
| Aurora Sheboygan Mem Med CtrSheboygan | 64 | $9,844 | $1,477 | $1,175 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 61 | $9,563 | $1,360 | $1,080 |
| Aurora Med Ctr KenoshaKenosha | 60 | $10,033 | $1,454 | $1,154 |
| St Josephs Com Hsptl West BendWest Bend | 54 | $9,130 | $1,477 | $1,177 |
| Thedacare Regional Med Ctr - NeenahNeenah | 52 | $7,059 | $1,406 | $1,111 |
| St Elizabeth HsptlAppleton | 50 | $8,375 | $1,436 | $1,139 |
| Meriter HsptlMadison | 49 | $14,777 | $1,498 | $1,190 |
| Aurora Med Ctr OshkoshOshkosh | 46 | $10,528 | $1,415 | $1,118 |
| St Nicholas HospitalSheboygan | 43 | $10,608 | $1,453 | $1,148 |
| Bay Area Med CtrMarinette | 39 | $10,781 | $1,501 | $1,195 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 38 | $9,655 | $1,525 | $1,215 |
| Marshfield Medical Center - Rice LakeRice Lake | 36 | $4,501 | $1,554 | $1,238 |
| St Clare Hsptl Hlth SvcsBaraboo | 35 | $6,549 | $1,478 | $1,174 |
| Sauk Prairie Mem HsptlPrairie du Sac | 35 | $5,650 | $1,478 | $1,178 |
| Aurora Med Center-Washington CountyHartford | 33 | $10,750 | $1,443 | $1,140 |
| Holy Family Memorial INCManitowoc | 32 | $9,320 | $1,458 | $1,157 |
| St Clare's Hospital of Weston INCWeston | 31 | $4,027 | $1,451 | $1,156 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 27 | $8,688 | $1,365 | $1,070 |
| Beaver Dam Com HsptlBeaver Dam | 25 | $6,511 | $1,478 | $1,177 |
| Mile Bluff Medical Center, INCMauston | 24 | $7,544 | $1,502 | $1,178 |
| Oconomowoc Mem HsptlOconomowoc | 23 | $10,383 | $1,477 | $1,172 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 23 | $10,442 | $1,477 | $1,169 |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | 13 | $7,254 | $1,477 | $1,177 |
| Howard Young Med CtrWoodruff | 13 | $7,941 | $1,554 | $1,238 |
| Oakleaf Surgical HospitalEau Claire | 13 | $6,949 | $1,457 | $1,161 |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| St Josephs HospitalChippewa Falls | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Divine Savior HlthcarePortage | – | – | – | – |
| St Marys Hsptl Med CtrGreen Bay | – | – | – | – |
| Aurora Lakeland Med CtrElkhorn | – | – | – | – |
| Orthopaedic Hsptl of WiGlendale | – | – | – | – |
| Midwest Orthopedic Specialty Hospital, LLCFranklin | – | – | – | – |
| Ascension Wisconsin Hosp Menomonee Falls CampusMenomonee Falls | – | – | – | – |
| Marshfield Medical Center - River RegionStevens Point | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Aspirus Wausau HospitalWausau, WI | $1,344 |
|---|---|
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids, WI | $1,360 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $1,365 |
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $1,406 |
| Bellin Memorial HsptlGreen Bay, WI | $1,414 |
Highest
| Beloit Mem HsptlBeloit, WI | $1,577 |
|---|---|
| Marshfield Medical CenterMarshfield, WI | $1,554 |
| Marshfield Medical Center - Rice LakeRice Lake, WI | $1,554 |
| Howard Young Med CtrWoodruff, WI | $1,554 |
| St Agnes HsptlFond du Lac, WI | $1,538 |
Level 2 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 2 excision/biopsy/incision and drainage cost in Wisconsin?
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 66 hospitals in Wisconsin was billed at $8,889 on average, while the average medicare-allowed amount was $1,480, of which Medicare paid $1,174. 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 Wisconsin, average charges were 6.0 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.