Level 3 Excision/Biopsy/Incision and Drainage
What 2,787 hospitals in the U.S. charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$21,053
Hospital list price billed
Average allowed
$2,697
Medicare's payment + patient's share
Medicare paid
$2,141
Average per service
Volume
127,975
Medicare services
Hospitals in the U.S. billed an average of $21,053 for level 3 excision/biopsy/incision and drainage, about 7.8 times the average medicare-allowed amount of $2,697.
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 $2,697Billed $21,053
About 13¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Central Vermont Medical CenterGraniteville-East Barre, VT | $984 |
|---|---|
| Regional One HealthMemphis, TN | $1,124 |
| Swedish Covenant HospitalChicago, IL | $1,226 |
| Thomasville Medical CenterThomasville, NC | $1,243 |
| Northwestern Medical CenterSt Albans, VT | $1,293 |
| Mercy Hospital ClermontBatavia, OH | $1,315 |
| Fletcher Allen Hospital of VermontBurlington, VT | $1,476 |
| Metrohealth SystemCleveland, OH | $1,588 |
| Wellstar Cobb HospitalAustell, GA | $1,607 |
| Marietta Memorial HospitalMarietta, OH | $1,670 |
Highest
| Northbay Medical CenterFairfield, CA | $4,088 |
|---|---|
| Peninsula Medical CenterBurlingame, CA | $4,062 |
| California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA | $4,062 |
| Good Samaritan HospitalSan Jose, CA | $4,001 |
| Santa Clara Valley Medical CenterSan Jose, CA | $4,001 |
| El Camino HospitalMountain View, CA | $4,001 |
| Regional Medical Center of San JoseSan Jose, CA | $4,001 |
| Washington HospitalFremont, CA | $4,001 |
| UCSF Medical CenterSan Francisco, CA | $3,986 |
| Queen of the Valley Medical CenterNapa, CA | $3,980 |
Level 3 Excision/Biopsy/Incision and Drainage cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 63 | $23,581 | $2,326 | $1,942 – $2,591 |
| Alaska | 6 | $20,845 | $3,026 | $2,933 – $3,117 |
| Arizona | 53 | $20,474 | $2,755 | $2,008 – $2,968 |
| Arkansas | 34 | $14,693 | $2,410 | $2,279 – $2,610 |
| California | 241 | $28,211 | $3,587 | $2,196 – $4,088 |
| Colorado | 51 | $30,731 | $2,693 | $1,720 – $2,897 |
| Connecticut | 27 | $17,854 | $3,085 | $2,558 – $3,395 |
| Delaware | 7 | $16,454 | $2,804 | $2,679 – $2,851 |
| Florida | 158 | $27,608 | $2,534 | $1,777 – $2,757 |
| Georgia | 89 | $24,936 | $2,501 | $1,607 – $2,675 |
| Hawaii | 12 | $17,257 | $3,259 | $3,039 – $3,500 |
| Idaho | 15 | $14,323 | $2,601 | $2,470 – $2,750 |
| Illinois | 104 | $22,246 | $2,553 | $1,226 – $2,812 |
| Indiana | 77 | $18,254 | $2,539 | $2,290 – $2,749 |
| Iowa | 31 | $15,596 | $2,447 | $2,225 – $2,718 |
| Kansas | 42 | $22,534 | $2,467 | $2,349 – $2,714 |
| Kentucky | 55 | $18,489 | $2,415 | $2,272 – $2,629 |
| Louisiana | 75 | $18,817 | $2,364 | $2,110 – $2,463 |
| Maine | 17 | $14,330 | $2,354 | $1,797 – $2,747 |
| Massachusetts | 55 | $14,457 | $3,020 | $2,747 – $3,205 |
| Michigan | 84 | $13,517 | $2,475 | $1,613 – $2,718 |
| Minnesota | 46 | $12,475 | $2,766 | $2,375 – $2,913 |
| Mississippi | 42 | $14,644 | $2,267 | $1,679 – $2,535 |
| Missouri | 64 | $18,007 | $2,442 | $2,079 – $2,708 |
| Montana | 10 | $10,410 | $2,710 | $2,487 – $2,853 |
| Nebraska | 23 | $13,785 | $2,459 | $2,197 – $2,718 |
| Nevada | 19 | $34,593 | $2,993 | $2,739 – $3,451 |
| New Hampshire | 13 | $16,680 | $2,742 | $2,424 – $2,845 |
| New Jersey | 59 | $22,626 | $3,013 | $2,817 – $3,234 |
| New Mexico | 21 | $17,339 | $2,543 | $2,149 – $2,841 |
| New York | 125 | $22,637 | $3,127 | $1,885 – $3,233 |
| North Carolina | 79 | $17,803 | $2,479 | $1,243 – $2,807 |
| North Dakota | 6 | $10,251 | $2,693 | $2,619 – $2,832 |
| Ohio | 118 | $17,360 | $2,383 | $1,315 – $2,590 |
| Oklahoma | 56 | $17,581 | $2,315 | $1,695 – $2,639 |
| Oregon | 31 | $17,345 | $3,054 | $2,631 – $3,695 |
| Pennsylvania | 128 | $26,486 | $2,581 | $1,961 – $2,995 |
| Rhode Island | 10 | $12,681 | $2,698 | $2,438 – $2,884 |
| South Carolina | 49 | $22,237 | $2,407 | $2,086 – $2,675 |
| South Dakota | 15 | $18,843 | $2,678 | $2,600 – $2,853 |
| Tennessee | 67 | $16,805 | $2,308 | $1,124 – $2,606 |
| Texas | 252 | $24,668 | $2,547 | $1,713 – $2,739 |
| Utah | 33 | $14,765 | $2,538 | $2,352 – $2,712 |
| Vermont | 6 | $12,130 | $1,465 | $984 – $1,880 |
| Virginia | 69 | $22,935 | $2,525 | $2,374 – $2,794 |
| Washington | 48 | $18,372 | $2,906 | $2,517 – $3,160 |
| West Virginia | 22 | $15,357 | $2,309 | $1,588 – $2,652 |
| Wisconsin | 63 | $15,314 | $2,589 | $2,350 – $2,736 |
| Wyoming | 10 | $13,499 | $2,806 | $2,730 – $2,853 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Univ of Tx M D Anderson CtrHouston, TX | 3,313 | $20,320 | $2,622 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 2,097 | $28,592 | $3,210 |
| H Lee Moffitt Cancer CenterTampa, FL | 1,818 | $27,174 | $2,560 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 1,785 | $12,726 | $2,855 |
| University of Arkansas Medical SciencesLittle Rock, AR | 1,677 | $14,070 | $2,385 |
| Dana-Farber Cancer InstituteBoston, MA | 1,353 | $17,107 | $3,042 |
| City of Hope Natl Medical CtrDuarte, CA | 1,301 | $34,702 | $3,486 |
| University of Kansas HospitalKansas City, KS | 1,121 | $27,233 | $2,449 |
| Mayo Clinic HospitalPhoenix, AZ | 910 | $15,843 | $2,722 |
| Mount Sinai HospitalNew York, NY | 754 | $19,679 | $3,181 |
| Cleveland Clinic - Main CampusCleveland, OH | 703 | $14,022 | $2,402 |
| UCSF Medical CenterSan Francisco, CA | 699 | $26,258 | $3,986 |
| Arthur G James Cancer HospitalColumbus, OH | 676 | $18,990 | $2,523 |
| Stanford HospitalPalo Alto, CA | 641 | $47,398 | $3,968 |
| Massachusetts General HospitalBoston, MA | 638 | $14,608 | $3,004 |
Questions
How much does level 3 excision/biopsy/incision and drainage cost in the U.S.?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 2,787 hospitals in the U.S. was billed at $21,053 on average, while the average medicare-allowed amount was $2,697, of which Medicare paid $2,141. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 3 excision/biopsy/incision and drainage?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($3,587), Hawaii ($3,259), New York ($3,127) and lowest in Vermont ($1,465), Mississippi ($2,267), Tennessee ($2,308).
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 the U.S., average charges were 7.8 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.