Level 3 Excision/Biopsy/Incision and Drainage in Arizona
What 53 hospitals in Arizona charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$20,474
Hospital list price billed
Average allowed
$2,755
Medicare's payment + patient's share
Medicare paid
$2,191
Average per service
State rank
#36 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $20,474 for level 3 excision/biopsy/incision and drainage, about 7.4 times the average medicare-allowed amount of $2,755. That payment is 2% above 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 $2,755Billed $20,474
About 13¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 3 excision/biopsy/incision and drainage
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic HospitalPhoenix | 910 | $15,843 | $2,722 | $2,164 |
| Banner Gateway Medical CenterGilbert | 215 | $12,164 | $2,771 | $2,204 |
| University Medical CenterTucson | 179 | $11,842 | $2,740 | $2,180 |
| Yuma Regional Medical CenterYuma | 155 | $16,569 | $2,929 | $2,334 |
| City of Hope Cancer Center PhoenixGoodyear | 110 | $25,498 | $2,771 | $2,208 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 97 | $30,254 | $2,720 | $2,163 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 93 | $25,858 | $2,771 | $2,208 |
| Banner Boswell Medical CenterSun City | 89 | $19,128 | $2,771 | $2,207 |
| John C Lincoln North Mountain HospitalPhoenix | 77 | $33,262 | $2,008 | $1,594 |
| Banner del E Webb Medical CenterSun City West | 73 | $17,763 | $2,771 | $2,206 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 72 | $32,195 | $2,771 | $2,206 |
| Summit Healthcare Regional Medical CenterShow Low | 70 | $11,531 | $2,968 | $2,360 |
| John C Lincoln Deer Valley HospitalPhoenix | 67 | $24,269 | $2,771 | $2,208 |
| Banner Baywood Medical CenterMesa | 60 | $17,489 | $2,697 | $2,131 |
| Kingman Regional Medical CenterKingman | 58 | $30,995 | $2,771 | $2,206 |
| Banner - University Medical Center PhoenixPhoenix | 55 | $21,683 | $2,771 | $2,207 |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | 52 | $22,274 | $2,766 | $2,202 |
| Banner Thunderbird Medical CenterGlendale | 50 | $21,353 | $2,771 | $2,208 |
| Chandler Regional Medical CenterChandler | 48 | $31,019 | $2,771 | $2,206 |
| Yavapai Regional Medical CenterPrescott | 47 | $14,657 | $2,968 | $2,359 |
| Flagstaff Medical CenterFlagstaff | 45 | $12,603 | $2,968 | $2,364 |
| St Joseph's Hospital and Medical CenterPhoenix | 38 | $29,262 | $2,771 | $2,208 |
| Arrowhead HospitalGlendale | 38 | $39,124 | $2,771 | $2,208 |
| Havasu Regional Medical CenterLake Havasu City | 37 | $30,515 | $2,943 | $2,316 |
| Banner Estrella Medical CenterPhoenix | 34 | $21,844 | $2,771 | $2,202 |
| Carondelet St Marys HospitalTucson | 33 | $30,898 | $2,771 | $2,208 |
| Banner Desert Medical CenterMesa | 33 | $27,264 | $2,771 | $2,208 |
| Verde Valley Medical CenterCottonwood | 32 | $10,679 | $2,968 | $2,364 |
| Oro Valley HospitalOro Valley | 32 | $41,408 | $2,771 | $2,202 |
| Tucson Medical CenterTucson | 28 | $13,100 | $2,771 | $2,208 |
| Northwest Medical CenterTucson | 26 | $36,834 | $2,771 | $2,200 |
| West Valley HospitalGoodyear | 25 | $36,490 | $2,771 | $2,208 |
| Carondelet St Josephs HospitalTucson | 23 | $54,641 | $2,771 | $2,208 |
| Casa Grande Regional Medical CenterCasa Grande | 23 | $19,229 | $2,968 | $2,364 |
| Mercy Gilbert Medical CenterGilbert | 21 | $30,854 | $2,771 | $2,201 |
| Banner-University Medical Center South CampusTucson | 15 | $12,133 | $2,624 | $2,060 |
| Surgical Specialty Hospital of ArizonaPhoenix | 12 | $15,563 | $2,609 | $2,046 |
| Western Arizona Regional Medical CtrBullhead City | 11 | $64,003 | $2,771 | $2,208 |
| Northwest Medical Center SahuaritaSahuarita | 11 | $40,522 | $2,771 | $2,208 |
| Valleywise Health Medical CenterPhoenix | – | – | – | – |
| Abrazo Central CampusPhoenix | – | – | – | – |
| St Lukes Medical CenterPhoenix | – | – | – | – |
| Sierra Vista Regional Health Center INCSierra Vista | – | – | – | – |
| Abrazo Scottsdale CampusPhoenix | – | – | – | – |
| Banner Heart HospitalMesa | – | – | – | – |
| Arizona Spine and Joint HospitalMesa | – | – | – | – |
| Arizona Orthopedic Surgical HospitalChandler | – | – | – | – |
| Valley View Medical CenterFort Mohave | – | – | – | – |
| Honorhealth Four Peaks Medical CenterMesa | – | – | – | – |
| Banner Ironwood Medical CenterQueen Creek | – | – | – | – |
| O.A.S.I.S. HospitalPhoenix | – | – | – | – |
| Dignity Health Arizona General HospitalMesa | – | – | – | – |
| Banner Ocotillo Medical CenterChandler | – | – | – | – |
Lowest and highest allowed amounts in Arizona
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
| John C Lincoln North Mountain HospitalPhoenix, AZ | $2,008 |
|---|---|
| Surgical Specialty Hospital of ArizonaPhoenix, AZ | $2,609 |
| Banner-University Medical Center South CampusTucson, AZ | $2,624 |
| Banner Baywood Medical CenterMesa, AZ | $2,697 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $2,720 |
Highest
| Yavapai Regional Medical CenterPrescott, AZ | $2,968 |
|---|---|
| Summit Healthcare Regional Medical CenterShow Low, AZ | $2,968 |
| Verde Valley Medical CenterCottonwood, AZ | $2,968 |
| Casa Grande Regional Medical CenterCasa Grande, AZ | $2,968 |
| Flagstaff Medical CenterFlagstaff, AZ | $2,968 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Arizona?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 53 hospitals in Arizona was billed at $20,474 on average, while the average medicare-allowed amount was $2,755, of which Medicare paid $2,191. 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 Arizona, average charges were 7.4 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.