facebook tracking Level 3 Excision/Biopsy/Incision and Drainage cost in California: 241 hospitals compared (APC 5073)

Level 3 Excision/Biopsy/Incision and Drainage in California

What 241 hospitals in California 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 $28,211 Hospital list price billed
Average allowed $3,587 Medicare's payment + patient's share
Medicare paid $2,853 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $28,211 for level 3 excision/biopsy/incision and drainage, about 7.9 times the average medicare-allowed amount of $3,587. That payment is 33% 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 $3,587Billed $28,211

About 13¢ was paid for every $1 hospitals in California billed for this service.

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

Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
City of Hope Natl Medical CtrDuarte 1,301 $34,702 $3,486 $2,775
UCSF Medical CenterSan Francisco 699 $26,258 $3,986 $3,173
Stanford HospitalPalo Alto 641 $47,398 $3,968 $3,157
University of California San Diego Medical CenterSan Diego 440 $20,461 $3,465 $2,757
University of California Davis Medical CenterSacramento 423 $25,424 $3,516 $2,798
Cedars-Sinai Medical CenterLos Angeles 366 $76,280 $3,469 $2,760
Eisenhower Memorial HospitalRancho Mirage 269 $16,387 $3,462 $2,752
Hoag Memorial Hospital PresbyterianNewport Beach 258 $15,426 $3,488 $2,778
Enloe Medical CenterChico 252 $22,214 $3,471 $2,761
UCI Health-OrangeOrange 237 $27,857 $3,420 $2,722
UCLA Medical CenterLos Angeles 214 $21,811 $3,464 $2,757
Scripps Green HospitalLa Jolla 214 $42,884 $3,455 $2,745
Clovis Community Medical CenterClovis 188 $12,722 $3,494 $2,780
Santa Barbara Cottage HospitalSanta Barbara 141 $31,274 $3,741 $2,980
Santa Rosa Memorial HospitalSanta Rosa 139 $32,041 $3,937 $3,128
El Camino HospitalMountain View 137 $27,637 $4,001 $3,186
USC Kenneth Norris Jr Cancer HospitalLos Angeles 128 $24,241 $3,433 $2,723
Sonora Community HospitalSonora 125 $13,965 $3,598 $2,861
USC University HospitalLos Angeles 119 $26,601 $3,455 $2,748
John Muir Medical Center - Concord CampusConcord 107 $21,093 $2,448 $1,944
St Jude Medical CenterFullerton 104 $12,232 $3,467 $2,749
St Joseph HospitalEureka 103 $23,290 $3,466 $2,756
Saint John's Health CenterSanta Monica 97 $14,073 $3,493 $2,783
Saint Agnes Medical CenterFresno 96 $17,592 $3,493 $2,783
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 96 $18,885 $3,494 $2,781
Marian Medical CenterSanta Maria 95 $20,048 $3,471 $2,766
Torrance Memorial Medical CenterTorrance 91 $15,164 $3,463 $2,753
Salinas Valley Memorial HospitalSalinas 90 $25,100 $3,966 $3,153
Sharp Memorial HospitalSan Diego 80 $18,909 $3,494 $2,780
Sutter Medical Center of Santa RosaSanta Rosa 80 $17,423 $3,793 $3,022
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 78 $12,945 $3,906 $3,101
Grossmont HospitalLa Mesa 75 $19,558 $3,484 $2,760
Community Hospital of the Monterey PeninsulaMonterey 74 $19,191 $3,958 $3,145
Ukiah Valley Medical Center/Hospital DUkiah 72 $29,868 $3,741 $2,981
Marinhealth Medical CenterGreenbrae 72 $44,642 $3,968 $3,162
Loma Linda University Medical CenterLoma Linda 71 $40,823 $3,493 $2,783
Los Robles Hospital & Medical CenterThousand Oaks 70 $43,293 $3,493 $2,783
Dominican HospitalSanta Cruz 68 $14,439 $3,723 $2,963
Sierra Nevada Memorial HospitalGrass Valley 67 $12,848 $3,629 $2,890
Adventist Health BakersfieldBakersfield 65 $13,589 $3,452 $2,740
Community Regional Medical CenterFresno 64 $15,183 $3,493 $2,783
Marshall Medical Center (1-Rh)Placerville 61 $13,215 $3,552 $2,820
Scripps Memorial Hospital la JollaLa Jolla 58 $30,973 $3,493 $2,783
John Muir Medical Center - Walnut Creek CampusWalnut Creek 55 $37,148 $3,956 $3,149
San Antonio Community HospitalUpland 53 $28,632 $3,164 $2,510
St Helena HospitalDeer Park 52 $37,528 $3,647 $2,905
Queen of the Valley Medical CenterNapa 51 $18,390 $3,980 $3,167
Glendale Adventist Medical CtrGlendale 50 $18,948 $3,494 $2,781
Glendale Mem Hospital & Hlth CenterGlendale 49 $18,468 $3,493 $2,782
PIH Health Hospital-WhittierWhittier 49 $17,904 $3,462 $2,743
French Hospital Medical CenterSan Luis Obispo 48 $17,720 $3,493 $2,783
Sutter Roseville Medical CenterRoseville 48 $18,368 $3,629 $2,891
Sequoia HospitalRedwood City 47 $21,588 $3,933 $3,119
El Centro Regional Medical CenterEl Centro 46 $8,700 $3,493 $2,783
Providence Saint Joseph Medical CtrBurbank 45 $19,774 $3,416 $2,722
Providence Little Company of Mary Med Ctr TorranceTorrance 43 $16,386 $3,494 $2,779
Oroville HospitalOroville 38 $15,643 $3,493 $2,783
Scripps Mercy HospitalSan Diego 38 $45,803 $3,420 $2,710
Orange Coast Memorial Medical CenterFountain Valley 38 $28,931 $3,494 $2,778
Providence Holy Cross Medical CenterMission Hills 37 $14,348 $3,493 $2,783
Sutter General HospitalSacramento 36 $21,813 $3,980 $3,171
Saddleback Memorial Medical CenterLaguna Hills 36 $24,953 $3,494 $2,778
Mercy Medical Ctr MercedMerced 35 $11,231 $3,414 $2,692
Peninsula Medical CenterBurlingame 34 $21,244 $4,062 $3,231
Los Alamitos Medical CenterLos Alamitos 34 $39,907 $3,422 $2,712
Regional Medical Center of San JoseSan Jose 33 $56,250 $4,001 $3,188
Tri-City Medical CenterOceanside 33 $18,164 $3,494 $2,778
Rideout Memorial HospitalMarysville 33 $20,202 $3,651 $2,891
Henry Mayo Newhall Memorial HospitalValencia 33 $27,229 $3,111 $2,462
Long Beach Memorial Medical CenterLong Beach 32 $24,430 $3,363 $2,672
Loma Linda University Medical Center-MurrietaMurrieta 32 $14,786 $3,493 $2,783
Mercy General HospitalSacramento 31 $26,648 $3,629 $2,884
Emanate Health Inter-Community HospitalCovina 31 $10,712 $3,407 $2,694
Scripps Memorial Hospital - EncinitasEncinitas 31 $46,376 $3,493 $2,783
Mercy San Juan Medical CenterCarmichael 31 $24,810 $3,629 $2,889
Mission Hospital Regional Med CenterMission Viejo 31 $23,130 $3,493 $2,783
Palomar Medical CenterEscondido 30 $18,875 $2,196 $1,478
Woodland Memorial HospitalWoodland 30 $11,852 $3,629 $2,891
Stanford Health Care Tri-ValleyPleasanton 30 $37,518 $3,868 $3,082
Good Samaritan HospitalSan Jose 30 $58,602 $4,001 $3,182
Sharp Chula Vista Medical CenterChula Vista 28 $18,773 $3,494 $2,775
Doctors Medical CenterModesto 28 $49,132 $3,494 $2,766
Valley Presbyterian HospitalVan Nuys 27 $21,887 $3,493 $2,783
Desert Regional Medical CenterPalm Springs 27 $36,071 $3,494 $2,769
Mercy Medical Center ReddingRedding 27 $24,441 $3,494 $2,776
Northbay Medical CenterFairfield 27 $91,956 $4,088 $3,257
Santa Clara Valley Medical CenterSan Jose 26 $19,297 $4,001 $3,182
Antelope Valley Hospital Med CenterLancaster 26 $16,938 $3,494 $2,778
St Johns Regional Medical CenterOxnard 26 $24,712 $3,493 $2,783
Washington HospitalFremont 26 $18,069 $4,001 $3,188
Community Memorial Hospital - VenturaVentura 26 $16,334 $3,388 $2,678
Riverside Community HospitalRiverside 25 $38,943 $3,494 $2,772
St Josephs Med Center of StocktonStockton 25 $22,941 $3,899 $3,094
Patients' Hospital of ReddingRedding 25 $14,367 $3,426 $2,724
Hanford Community Medical CenterHanford 24 $16,391 $3,203 $2,528
Pomona Valley Hospital Medical CenterPomona 23 $31,762 $3,494 $2,779
Alta Bates Summit Medical CenterOakland 22 $21,959 $3,946 $3,127
Highland HospitalOakland 22 $23,641 $3,946 $3,128
Providence Tarzana Medical CenterTarzana 22 $26,329 $3,303 $2,632
Memorial Medical CenterModesto 21 $21,863 $3,493 $2,783
California Pacific Medical Ctr-Davies Campus HospSan Francisco 20 $21,294 $4,062 $3,236
Kaweah Delta Medical CenterVisalia 20 $10,489 $3,144 $2,505
Redlands Community HospitalRedlands 19 $29,450 $3,493 $2,783
Lakewood Regional Medical CenterLakewood 19 $29,710 $3,494 $2,769
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 19 $20,739 $3,797 $3,025
St Joseph HospitalOrange 18 $16,978 $3,494 $2,773
Sutter Solano Medical CenterVallejo 18 $25,356 $4,088 $3,255
Northridge Hospital Medical CenterNorthridge 18 $28,617 $3,494 $2,776
San Francisco General HospitalSan Francisco 18 $26,931 $3,610 $2,877
Mad River Community HospitalArcata 17 $15,105 $3,083 $2,453
Novato Community HospitalNovato 17 $24,550 $3,968 $3,162
Emanuel Medical Center INCTurlock 17 $40,019 $3,409 $2,677
Mercy HospitalBakersfield 17 $21,069 $3,494 $2,779
Pioneers Memorial Healthcare DistrictBrawley 17 $9,356 $3,494 $2,778
Sutter Surgical Hospital - North ValleyYuba City 17 $20,908 $3,350 $2,636
St Elizabeth Community HospitalRed Bluff 16 $26,733 $3,742 $2,976
Petaluma Valley HospitalPetaluma 16 $28,973 $3,793 $3,022
USC Arcadia HospitalArcadia 16 $17,202 $3,146 $2,435
Huntington Memorial HospitalPasadena 16 $49,235 $3,493 $2,783
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 15 $17,651 $3,249 $2,589
White Memorial Medical CenterLos Angeles 15 $53,510 $3,493 $2,783
Verdugo Hills HospitalGlendale 15 $16,436 $3,493 $2,783
Barton Memorial HospitalSouth Lake Tahoe 15 $53,172 $3,629 $2,891
Sutter Auburn Faith HospitalAuburn 15 $17,952 $3,629 $2,891
Twin Cities Community HospitalTempleton 15 $38,678 $3,493 $2,783
Hollywood Presbyterian Medical CenterLos Angeles 14 $15,645 $3,493 $2,783
Dameron HospitalStockton 14 $27,569 $3,365 $2,640
Kern Medical CenterBakersfield 14 $20,129 $3,426 $2,729
Fresno Surgical HospitalFresno 14 $19,253 $3,493 $2,783
St Bernardine Medical CenterSan Bernardino 13 $15,556 $3,493 $2,783
Los Angeles General Medical CenterLos Angeles 13 $14,922 $3,494 $2,769
Downey Regional Medical CenterDowney 13 $14,533 $3,494 $2,769
St Mary's Medical CenterSan Francisco 13 $14,332 $3,813 $2,973
Bakersfield Memorial HospitalBakersfield 12 $25,534 $3,493 $2,783
St Mary Medical CenterLong Beach 12 $16,973 $3,494 $2,780
Natividad Medical CenterSalinas 11 $21,578 $3,779 $3,004
Sutter Coast HospitalCrescent City 11 $16,066 $3,741 $2,981
Methodist Hospital of SacramentoSacramento 11 $21,434 $2,837 $2,261
St Rose HospitalHayward – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
California Pacific Medical Ctr - St. Luke's CampusSan Francisco – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Community Hospital of San BernardinoSan Bernardino – – – –
Sonoma Valley HospitalSonoma – – – –
Community and Mission Hospital of Huntington ParkHuntington Park – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
Saint Francis Medical CenterLynwood – – – –
Lompoc Healthcare DistrictLompoc – – – –
San Mateo Medical CenterSan Mateo – – – –
Doctors Hospital of MantecaManteca – – – –
San Gabriel Valley Medical CenterSan Gabriel – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
Encino Hospital Medical CenterEncino – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
Watsonville Community HospitalWatsonville – – – –
Palmdale Regional Medical CenterLancaster – – – –
Alameda HospitalAlameda – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
Arrowhead Regional Medical CenterColton – – – –
Good Samaritan HospitalBakersfield – – – –
Sierra View District HospitalPorterville – – – –
Contra Costa Regional Medical CenterMartinez – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Seton Medical CenterDaly City – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
Barstow Community HospitalBarstow – – – –
St Mary Medical CenterApple Valley – – – –
Sutter Tracy Community HospitalTracy – – – –
Corona Regional Medical CenterCorona – – – –
Lodi Memorial HospitalLodi – – – –
Goleta Valley Cottage HospitalSanta Barbara – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Hemet Valley Medical CenterHemet – – – –
Chinese HospitalSan Francisco – – – –
Mercy Hospital of FolsomFolsom – – – –
Palo Verde HospitalBlythe – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
West Anaheim Medical CenterAnaheim – – – –
Memorial Hospital of GardenaGardena – – – –
Good Samaritan HospitalLos Angeles – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
Eden Medical CenterCastro Valley – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Victor Valley Community HospitalVictorville – – – –
Sutter Delta Medical CenterAntioch – – – –
Memorial Hospital los BanosLos Banos – – – –
John F Kennedy Memorial HospIndio – – – –
Sutter Davis HospitalDavis – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
UCI Health-Placentia LindaPlacentia – – – –
Foothill Presbyterian HospitalGlendora – – – –
Kaiser Foundation Hospital-San JoseSan Jose – – – –
Delano Regional Medical CenterDelano – – – –
Palomar Medical Center PowayPoway – – – –
Los Angeles Community HospitalLos Angeles – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
Kaiser Foundation Hospital-Santa RosaSanta Rosa – – – –
Southwest Healthcare SystemMurrieta – – – –
Mission Community Hospital - PanoramaPanorama City – – – –
Desert Valley HospitalVictorville – – – –
Lac/Rancho los Amigos National Rehabilitation CtrDowney – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Stanislaus Surgical HospitalModesto – – – –
Whittier Hospital Medical CenterWhittier – – – –
Centinela Hospital Medical CenterInglewood – – – –
Marina del Rey HospitalMarina del Rey – – – –
Western Medical Center Hosp AnaheimAnaheim – – – –
Chapman Medical CenterOrange – – – –
Orange County Global Medical CenterSanta Ana – – – –
Coastal Communities HospitalSanta Ana – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Sherman Oaks HospitalSherman Oaks – – – –
Montclair Hospital Medical CenterMontclair – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
L a Downtown Medical CenterLos Angeles – – – –
Shasta Regional Medical CenterRedding – – – –
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Hoag Orthopedic InstituteIrvine – – – –
Coast Plaza HospitalNorwalk – – – –
Temecula Valley HospitalTemecula – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
Casa Colina HospitalPomona – – – –
Adventist Health TulareTulare – – – –
Kaiser Foundation Hospital - San MarcosSan Marcos – – – –
Lucile Salter Packard Children's Hsp at StanfordPalo Alto – – – –
Level 3 Excision/Biopsy/Incision and Drainage: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Sutter Solano Medical CenterVallejo, CA$4,088
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

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

Alaska · $3,026 Connecticut · $3,085 Hawaii · $3,259 Massachusetts · $3,020 Nevada · $2,993 New Jersey · $3,013 New York · $3,127 Oregon · $3,054

Questions

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

In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 241 hospitals in California was billed at $28,211 on average, while the average medicare-allowed amount was $3,587, of which Medicare paid $2,853. 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 California, average charges were 7.9 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.