Level 3 Excision/Biopsy/Incision and Drainage in Colorado
What 51 hospitals in Colorado charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$30,731
Hospital list price billed
Average allowed
$2,693
Medicare's payment + patient's share
Medicare paid
$2,141
Average per service
State rank
#32 of 49
1 = lowest average payment
Hospitals in Colorado billed an average of $30,731 for level 3 excision/biopsy/incision and drainage, about 11.4 times the average medicare-allowed amount of $2,693. That payment is about the same as 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 $2,693Billed $30,731
About 9¢ was paid for every $1 hospitals in Colorado billed for this service.
Colorado hospitals: level 3 excision/biopsy/incision and drainage
Every Colorado 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 Colorado Hospital Anschutz InpatientAurora | 439 | $21,165 | $2,691 | $2,142 |
| Presbyterian/St Luke's Medical CenterDenver | 217 | $94,742 | $2,705 | $2,153 |
| Memorial Hospital CentralColorado Springs | 158 | $17,680 | $2,674 | $2,128 |
| Poudre Valley HospitalFort Collins | 101 | $17,292 | $2,643 | $2,091 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs | 97 | $20,510 | $2,705 | $2,153 |
| St Mary's Hospital and Medical CenterGrand Junction | 68 | $22,388 | $2,863 | $2,271 |
| Medical Center of the RockiesLoveland | 62 | $18,240 | $2,705 | $2,155 |
| Mercy Medical CenterDurango | 60 | $33,677 | $2,897 | $2,305 |
| Centura Health-St Anthony Central HospitalDenver | 51 | $23,984 | $2,705 | $2,155 |
| Community HospitalGrand Junction | 45 | $16,675 | $2,705 | $2,155 |
| Exempla Lutheran Medical CenterWheat Ridge | 42 | $30,291 | $2,705 | $2,150 |
| Swedish Medical CenterEnglewood | 42 | $45,672 | $2,705 | $2,155 |
| Uchealth Greeley HospitalGreeley | 37 | $17,302 | $2,657 | $2,105 |
| Longs Peak HospitalLongmont | 32 | $13,742 | $2,705 | $2,155 |
| Platte Valley Medical CenterBrighton | 30 | $25,360 | $2,633 | $2,083 |
| Delta County Memorial HospitalDelta | 29 | $7,081 | $2,897 | $2,298 |
| Banner North Co Medical Center - Loveland CampusLoveland | 28 | $17,122 | $2,628 | $2,078 |
| Centura Health-Avista Adventist HospitalLouisville | 28 | $14,139 | $1,720 | $1,370 |
| Boulder Community HospitalBoulder | 27 | $38,096 | $2,705 | $2,155 |
| Denver Health Medical CenterDenver | 26 | $12,835 | $2,705 | $2,155 |
| North Colorado Medical CenterGreeley | 24 | $16,036 | $2,625 | $2,071 |
| Centura Health-St Anthony North HospitalWestminster | 24 | $23,666 | $2,705 | $2,155 |
| Parker Adventist HospitalParker | 24 | $24,383 | $2,615 | $2,065 |
| Montrose Memorial HospitalMontrose | 23 | $16,040 | $2,897 | $2,308 |
| Parkview Medical Center INCPueblo | 23 | $31,447 | $2,705 | $2,155 |
| Valley View Hospital AssociationGlenwood Springs | 22 | $20,857 | $2,732 | $2,175 |
| Uchealth Highlands Ranch HospitalHighlands Ranch | 22 | $27,068 | $2,607 | $2,057 |
| Rose Medical CenterDenver | 21 | $35,430 | $2,705 | $2,155 |
| Exempla Saint Joseph HospitalDenver | 20 | $32,937 | $2,705 | $2,155 |
| Sky Ridge Medical CenterLone Tree | 20 | $71,822 | $2,705 | $2,151 |
| Vail Valley Medical CenterVail | 18 | $20,716 | $2,897 | $2,308 |
| Exempla Good Samaritan Medical Center LLCLafayette | 17 | $26,889 | $2,578 | $2,028 |
| Animas Surgical Hospital, LLCDurango | 16 | $14,117 | $2,705 | $2,153 |
| Centura Health-Porter Adventist HospitalDenver | 15 | $27,742 | $2,705 | $2,155 |
| Centura Health-Littleton Adventist HospitalLittleton | 15 | $22,006 | $2,705 | $2,155 |
| Medical Center of Aurora, theAurora | 14 | $62,920 | $2,705 | $2,155 |
| Uchealth Grandview HospitalColorado Springs | 12 | $15,582 | $2,705 | $2,155 |
| Longmont United HospitalLongmont | – | – | – | – |
| San Luis Valley Regional Medical CenterAlamosa | – | – | – | – |
| Centura Health-St Mary Corwin Medical CenterPueblo | – | – | – | – |
| St Elizabeth HospitalFort Morgan | – | – | – | – |
| Yampa Valley Medical CenterSteamboat Springs | – | – | – | – |
| HCA Healthone Mountain RidgeThornton | – | – | – | – |
| Sterling Regional MedcenterSterling | – | – | – | – |
| St Anthony Summit Medical CenterBreckenridge | – | – | – | – |
| Orthocolorado Hospital at St Anthony Med CampusDenver | – | – | – | – |
| Adventhealth Castle RockCastle Rock | – | – | – | – |
| Banner Fort Collins Medical CenterFort Collins | – | – | – | – |
| Uchealth Broomfield HospitalBroomfield | – | – | – | – |
| St Francis Hospital - InterquestColorado Springs | – | – | – | – |
| Children's HospitalDenver | – | – | – | – |
Lowest and highest allowed amounts in Colorado
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
| Centura Health-Avista Adventist HospitalLouisville, CO | $1,720 |
|---|---|
| Exempla Good Samaritan Medical Center LLCLafayette, CO | $2,578 |
| Uchealth Highlands Ranch HospitalHighlands Ranch, CO | $2,607 |
| Parker Adventist HospitalParker, CO | $2,615 |
| North Colorado Medical CenterGreeley, CO | $2,625 |
Highest
| Delta County Memorial HospitalDelta, CO | $2,897 |
|---|---|
| Mercy Medical CenterDurango, CO | $2,897 |
| Montrose Memorial HospitalMontrose, CO | $2,897 |
| Vail Valley Medical CenterVail, CO | $2,897 |
| St Mary's Hospital and Medical CenterGrand Junction, CO | $2,863 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Colorado?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 51 hospitals in Colorado was billed at $30,731 on average, while the average medicare-allowed amount was $2,693, of which Medicare paid $2,141. 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 Colorado, average charges were 11.4 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.