Level 3 Excision/Biopsy/Incision and Drainage in Georgia
What 89 hospitals in Georgia charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$24,936
Hospital list price billed
Average allowed
$2,501
Medicare's payment + patient's share
Medicare paid
$1,985
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $24,936 for level 3 excision/biopsy/incision and drainage, about 10.0 times the average medicare-allowed amount of $2,501. That payment is 7% 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 $2,501Billed $24,936
About 10¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 3 excision/biopsy/incision and drainage
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Emory University HospitalAtlanta | 595 | $19,021 | $2,607 | $2,071 |
| Northside HospitalAtlanta | 218 | $36,998 | $2,543 | $2,017 |
| Northside Hospital ForsythCumming | 198 | $36,815 | $2,584 | $2,047 |
| Northeast Georgia Medical Center, INCGainesville | 174 | $27,221 | $2,532 | $2,004 |
| Northside Hospital CherokeeCanton | 167 | $37,522 | $2,561 | $2,030 |
| Wellstar Cobb HospitalAustell | 128 | $14,631 | $1,607 | $1,276 |
| Emory University Hospital MidtownAtlanta | 122 | $22,171 | $2,620 | $2,084 |
| Piedmont HospitalAtlanta | 105 | $29,715 | $2,592 | $2,065 |
| Medical College of Ga Hospitals and ClinicsAugusta | 104 | $28,315 | $2,370 | $1,879 |
| Piedmont Columbus Regional MidtownColumbus | 104 | $22,146 | $2,365 | $1,875 |
| Piedmont Fayette HospitalFayetteville | 102 | $23,504 | $2,555 | $2,016 |
| Phoebe Putney Memorial HospitalAlbany | 99 | $18,237 | $2,675 | $2,131 |
| Athens Regional Medical CenterAthens | 82 | $29,908 | $2,474 | $1,958 |
| Candler HospitalSavannah | 81 | $19,248 | $2,380 | $1,887 |
| Wellstar Kennestone HospitalMarietta | 76 | $30,586 | $2,471 | $1,954 |
| Gwinnett Medical CenterLawrenceville | 74 | $24,957 | $2,637 | $2,099 |
| Southeast Georgia Reg Med CtrBrunswick | 73 | $9,912 | $2,580 | $2,046 |
| Northside Hospital DuluthDuluth | 59 | $27,722 | $2,637 | $2,098 |
| Hamilton Medical CenterDalton | 57 | $11,384 | $2,591 | $2,064 |
| Piedmont Newnan Hospital, INCNewnan | 57 | $23,089 | $2,387 | $1,902 |
| Atrium Health Navicent the Medical CenterMacon | 55 | $14,778 | $2,504 | $1,986 |
| Cartersville Medical CenterCartersville | 50 | $32,745 | $2,557 | $2,017 |
| Henry Medical Center, INCStockbridge | 49 | $29,566 | $2,594 | $2,058 |
| Houston Medical CenterWarner Robins | 44 | $23,888 | $2,295 | $1,801 |
| Sgmc HealthValdosta | 42 | $19,672 | $2,402 | $1,914 |
| Doctors HospitalAugusta | 41 | $35,885 | $2,384 | $1,896 |
| Piedmont Augusta HospitalAugusta | 37 | $15,697 | $2,184 | $1,708 |
| John D Archbold Memorial HospitalThomasville | 37 | $7,909 | $2,436 | $1,938 |
| Emory Decatur HospitalDecatur | 37 | $17,980 | $2,637 | $2,099 |
| St Joseph's Hospital - SavannahSavannah | 36 | $16,553 | $2,041 | $1,627 |
| Piedmont Mountainside Hospital INCJasper | 35 | $25,217 | $2,637 | $2,101 |
| Tift Regional Medical CenterTifton | 34 | $18,674 | $2,378 | $1,876 |
| Rockdale Medical CenterConyers | 31 | $28,424 | $2,637 | $2,101 |
| Memorial Health Univ Med Cen, INCSavannah | 30 | $27,539 | $2,311 | $1,822 |
| Wellstar Paulding HospitalDallas | 27 | $29,231 | $2,559 | $2,023 |
| St Mary's HospitalAthens | 26 | $20,740 | $2,591 | $2,064 |
| Emory Eastside Medical CenterSnellville | 26 | $30,215 | $2,637 | $2,101 |
| Wellstar Douglas HospitalDouglasville | 25 | $24,765 | $2,553 | $2,017 |
| Southeastern Regional Medical Center, INCNewnan | 25 | $31,880 | $2,637 | $2,101 |
| Floyd Medical CenterRome | 23 | $36,206 | $2,501 | $1,974 |
| Grady Memorial HospitalAtlanta | 23 | $44,312 | $2,637 | $2,101 |
| St Francis Hospital, INCColumbus | 21 | $17,547 | $2,321 | $1,824 |
| Gordon HospitalCalhoun | 19 | $26,766 | $2,591 | $2,059 |
| Union General HospitalBlairsville | 17 | $14,868 | $2,572 | $2,049 |
| North Fulton Regional HospitalRoswell | 17 | $27,901 | $2,637 | $2,101 |
| Spalding Regional Medical CenterGriffin | 15 | $27,838 | $2,637 | $2,101 |
| Newton Medical CenterCovington | 13 | $13,891 | $2,475 | $1,939 |
| Coliseum Medical CenterMacon | 13 | $26,730 | $2,440 | $1,928 |
| Emory Johns Creek HospitalJohns Creek | 13 | $14,655 | $2,637 | $2,092 |
| West Georgia Medical CenterLagrange | 12 | $24,353 | $2,591 | $2,057 |
| East Georgia Regional Medical CenterStatesboro | 12 | $35,018 | $2,572 | $2,049 |
| Upson Regional Medical CenterThomaston | – | – | – | – |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| Tanner Medical Center - CarrolltonCarrollton | – | – | – | – |
| Tanner Medical Center Villa RicaVilla Rica | – | – | – | – |
| Stephens County HospitalToccoa | – | – | – | – |
| Habersham County Med CenterDemorest | – | – | – | – |
| Sumter Regional HospitalAmericus | – | – | – | – |
| Barrow Regional Medical CenterWinder | – | – | – | – |
| Walton Regional Medical CenterMonroe | – | – | – | – |
| Murray Medical CenterChatsworth | – | – | – | – |
| Dorminy Medical CenterFitzgerald | – | – | – | – |
| Saint Joseph's Hosp of AtlantaAtlanta | – | – | – | – |
| Washington County Regional Medical CenterSandersville | – | – | – | – |
| Coffee Regional Medical CenterDouglas | – | – | – | – |
| Dodge County HospitalEastman | – | – | – | – |
| Southwell Medical, a Campus of TrmcAdel | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| Colquitt Reg Medical CenterMoultrie | – | – | – | – |
| Emanuel Medical CenterSwainsboro | – | – | – | – |
| McDuffie Regional Medical CenterThomson | – | – | – | – |
| Burke Medical CenterWaynesboro | – | – | – | – |
| Grady General HospitalCairo | – | – | – | – |
| Wayne Memorial HospitalJesup | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Evans Memorial HospitalClaxton | – | – | – | – |
| Southeast Georgia Health System- Camden CampusSt Marys | – | – | – | – |
| Navicent Health BaldwinMilledgeville | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Redmond Regional Medical CenterRome | – | – | – | – |
| Piedmont Columbus Regional NorthsideColumbus | – | – | – | – |
| Piedmont Macon North HospitalMacon | – | – | – | – |
| Dekalb Medical Center at HillandaleLithonia | – | – | – | – |
| Blue Ridge Medical CenterBlue Ridge | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Wellstar Windy Hill HospitalMarietta | – | – | – | – |
| Athur M Blank HospitalAtlanta | – | – | – | – |
Lowest and highest allowed amounts in Georgia
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
| Wellstar Cobb HospitalAustell, GA | $1,607 |
|---|---|
| St Joseph's Hospital - SavannahSavannah, GA | $2,041 |
| Piedmont Augusta HospitalAugusta, GA | $2,184 |
| Houston Medical CenterWarner Robins, GA | $2,295 |
| Memorial Health Univ Med Cen, INCSavannah, GA | $2,311 |
Highest
| Phoebe Putney Memorial HospitalAlbany, GA | $2,675 |
|---|---|
| Emory Johns Creek HospitalJohns Creek, GA | $2,637 |
| Northside Hospital DuluthDuluth, GA | $2,637 |
| Emory Decatur HospitalDecatur, GA | $2,637 |
| Gwinnett Medical CenterLawrenceville, GA | $2,637 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Georgia?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 89 hospitals in Georgia was billed at $24,936 on average, while the average medicare-allowed amount was $2,501, of which Medicare paid $1,985. 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 Georgia, average charges were 10.0 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.