Level 3 Excision/Biopsy/Incision and Drainage in Connecticut
What 27 hospitals in Connecticut charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$17,854
Hospital list price billed
Average allowed
$3,085
Medicare's payment + patient's share
Medicare paid
$2,453
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $17,854 for level 3 excision/biopsy/incision and drainage, about 5.8 times the average medicare-allowed amount of $3,085. That payment is 14% 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 $3,085Billed $17,854
About 17¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 3 excision/biopsy/incision and drainage
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 433 | $20,201 | $3,186 | $2,536 |
| Stamford HospitalStamford | 132 | $25,677 | $3,201 | $2,544 |
| Bridgeport HospitalBridgeport | 108 | $21,579 | $3,200 | $2,549 |
| Danbury HospitalDanbury | 89 | $16,652 | $3,162 | $2,518 |
| Hartford HospitalHartford | 79 | $15,098 | $2,873 | $2,280 |
| Hospital of Central Connecticut, theNew Britain | 74 | $10,034 | $2,708 | $2,155 |
| Greenwich Hospital AssociationGreenwich | 64 | $18,274 | $3,081 | $2,451 |
| William W Backus HospitalNorwich | 62 | $10,070 | $2,577 | $2,041 |
| John Dempsey HospitalFarmington | 60 | $17,483 | $3,170 | $2,524 |
| Lawrence & Memorial HospitalNew London | 55 | $17,055 | $3,124 | $2,480 |
| St Francis Hospital & Medical CenterHartford | 52 | $20,934 | $3,026 | $2,375 |
| Midstate Medical CenterMeriden | 43 | $10,897 | $3,170 | $2,521 |
| St Vincent's Medical CenterBridgeport | 43 | $15,936 | $2,918 | $2,313 |
| Middlesex HospitalMiddletown | 37 | $13,962 | $3,201 | $2,549 |
| Charlotte Hungerford HospitalTorrington | 36 | $6,800 | $3,047 | $2,413 |
| Bristol HospitalBristol | 29 | $15,779 | $3,170 | $2,526 |
| Norwalk HospitalNorwalk | 24 | $15,768 | $2,558 | $2,037 |
| Saint Marys HospitalWaterbury | 22 | $12,696 | $3,170 | $2,519 |
| Waterbury HospitalWaterbury | 13 | $25,082 | $3,048 | $2,425 |
| Sharon HospitalSharon | 12 | $6,814 | $3,395 | $2,701 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Johnson Memorial HospitalStafford Springs | – | – | – | – |
| Rockville General HospitalRockville | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
| Manchester Memorial HospitalCentral Manchester | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| Connecticut Childrens Medical CenterHartford | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
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
| Norwalk HospitalNorwalk, CT | $2,558 |
|---|---|
| William W Backus HospitalNorwich, CT | $2,577 |
| Hospital of Central Connecticut, theNew Britain, CT | $2,708 |
| Hartford HospitalHartford, CT | $2,873 |
| St Vincent's Medical CenterBridgeport, CT | $2,918 |
Highest
| Sharon HospitalSharon, CT | $3,395 |
|---|---|
| Stamford HospitalStamford, CT | $3,201 |
| Middlesex HospitalMiddletown, CT | $3,201 |
| Bridgeport HospitalBridgeport, CT | $3,200 |
| Yale-New Haven HospitalNew Haven, CT | $3,186 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Connecticut?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 27 hospitals in Connecticut was billed at $17,854 on average, while the average medicare-allowed amount was $3,085, of which Medicare paid $2,453. 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 Connecticut, average charges were 5.8 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.