facebook tracking Level 3 Excision/Biopsy/Incision and Drainage cost in Alabama: 63 hospitals compared (APC 5073)

Level 3 Excision/Biopsy/Incision and Drainage in Alabama

What 63 hospitals in Alabama charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.

APC 5073 Outpatient 2024 Medicare data
Average charge $23,581 Hospital list price billed
Average allowed $2,326 Medicare's payment + patient's share
Medicare paid $1,842 Average per service
State rank #6 of 49 1 = lowest average payment

Hospitals in Alabama billed an average of $23,581 for level 3 excision/biopsy/incision and drainage, about 10.1 times the average medicare-allowed amount of $2,326. That payment is 14% below the U.S. average 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 $2,326Billed $23,581

About 10¢ was paid for every $1 hospitals in Alabama billed for this service.

Alabama hospitals: level 3 excision/biopsy/incision and drainage

Every Alabama 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 Alabama HospitalBirmingham 199 $20,380 $2,344 $1,862
Huntsville HospitalHuntsville 149 $25,154 $2,364 $1,875
D C H Regional Medical CenterTuscaloosa 57 $12,516 $2,519 $1,991
Baptist Medical Center SouthMontgomery 55 $12,604 $2,292 $1,818
Mobile InfirmaryMobile 55 $6,852 $2,211 $1,741
Grandview Medical CenterBirmingham 50 $75,256 $2,329 $1,845
Crestwood Medical CenterHuntsville 44 $47,550 $2,299 $1,818
Southeast Alabama Medical CenterDothan 42 $18,613 $2,337 $1,854
St Vincent's BirminghamBirmingham 42 $18,145 $2,287 $1,804
Flowers HospitalDothan 39 $39,340 $2,349 $1,853
Brookwood Medical CenterBirmingham 35 $45,496 $2,210 $1,728
USA Health University HospitalMobile 34 $9,712 $2,305 $1,826
South Baldwin Regional Medical CenterFoley 33 $53,122 $2,310 $1,828
Decatur General HospitalDecatur 33 $9,709 $2,342 $1,854
Marshall Medical Center SouthBoaz 28 $6,514 $2,356 $1,877
Baptist Medical Center EastMontgomery 28 $13,031 $2,343 $1,864
East Alabama Medical Center and SnfOpelika 27 $10,293 $2,422 $1,913
Univ of S Al Children's & Women's HosMobile 27 $8,559 $2,416 $1,925
Gadsden Regional Medical CenterGadsden 24 $58,205 $2,356 $1,869
Athens-Limestone HospitalAthens 24 $12,427 $1,977 $1,575
Thomas HospitalFairhope 24 $9,060 $2,289 $1,808
Cullman Regional Medical CenterCullman 23 $6,989 $1,942 $1,511
Shelby Baptist Medical CenterAlabaster 18 $25,997 $2,162 $1,680
Dekalb Regional Medical CenterFort Payne 16 $17,608 $2,493 $1,986
UAB Callahan Eye Hospital AuthorityBirmingham 14 $11,783 $2,372 $1,887
Northeast Alabama Regional Med CenterAnniston 14 $40,118 $2,591 $2,064
D W McMillan Memorial HospitalBrewton 13 $3,825 $2,328 $1,847
Medical West, an Affiliate of UAB Health SystemBessemer 11 $12,248 $2,372 $1,890
North Alabama Medical CenterFlorence – – – –
Mizell Memorial HospitalOpp – – – –
St Vincent's EastBirmingham – – – –
Helen Keller Memorial HospitalSheffield – – – –
Dale Medical CenterOzark – – – –
Jackson Hospital & Clinic INCMontgomery – – – –
Andalusia Regional HospitalAndalusia – – – –
Marion Regional Medical CenterHamilton – – – –
Fayette Medical CenterFayette – – – –
Riverview Regional Medical CenterGadsden – – – –
Medical Center EnterpriseEnterprise – – – –
Highlands Medical CenterScottsboro – – – –
Wiregrass Medical CenterGeneva – – – –
Russell HospitalAlexander City – – – –
Clay County HospitalAshland – – – –
North Mississippi Health Services - South MarionWinfield – – – –
Walker Baptist Medical CenterJasper – – – –
Providence HospitalMobile – – – –
Elmore Community HospitalWetumpka – – – –
Citizens Baptist Medical CenterTalladega – – – –
Princeton Baptist Medical CenterBirmingham – – – –
Prattville Baptist HospitalPrattville – – – –
Bryan W Whitfield Mem Hosp INCDemopolis – – – –
Vaughan Reg Med Center Parkway CampusSelma – – – –
Monroe County HospitalMonroeville – – – –
Troy Regional Medical CenterTroy – – – –
North Baldwin InfirmaryBay Minette – – – –
St Vincent's St ClairPell City – – – –
Springhill Medical CenterMobile – – – –
L V Stabler Memorial HospitalGreenville – – – –
Shoals HospitalMuscle Shoals – – – –
Russellville HospitalRussellville – – – –
Coosa Valley Medical CenterSylacauga – – – –
Jack Hughston Memorial HospitalPhenix City – – – –
St Vincent's ChiltonClanton – – – –
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Lowest and highest allowed amounts in Alabama

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

Cullman Regional Medical CenterCullman, AL$1,942
Athens-Limestone HospitalAthens, AL$1,977
Shelby Baptist Medical CenterAlabaster, AL$2,162
Brookwood Medical CenterBirmingham, AL$2,210
Mobile InfirmaryMobile, AL$2,211

Level 3 Excision/Biopsy/Incision and Drainage in other states

Questions

How much does level 3 excision/biopsy/incision and drainage cost in Alabama?

In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 63 hospitals in Alabama was billed at $23,581 on average, while the average medicare-allowed amount was $2,326, of which Medicare paid $1,842. 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 Alabama, average charges were 10.1 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.