Level 3 Excision/Biopsy/Incision and Drainage in Hawaii
What 12 hospitals in Hawaii charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$17,257
Hospital list price billed
Average allowed
$3,259
Medicare's payment + patient's share
Medicare paid
$2,578
Average per service
State rank
#48 of 49
1 = lowest average payment
Hospitals in Hawaii billed an average of $17,257 for level 3 excision/biopsy/incision and drainage, about 5.3 times the average medicare-allowed amount of $3,259. That payment is 21% 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 $3,259Billed $17,257
About 19¢ was paid for every $1 hospitals in Hawaii billed for this service.
Hawaii hospitals: level 3 excision/biopsy/incision and drainage
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 103 | $18,653 | $3,159 | $2,496 |
| Hilo Medical CenterHilo | 40 | $32,438 | $3,500 | $2,787 |
| Straub Clinic and HospitalHonolulu | 36 | $10,781 | $3,268 | $2,603 |
| Wilcox Memorial HospitalLihue | 22 | $13,468 | $3,259 | $2,541 |
| Pali Momi Medical CenterAiea | 22 | $11,021 | $3,039 | $2,373 |
| Castle Medical CenterKailua | 19 | $7,972 | $3,268 | $2,597 |
| Kuakini Medical CenterHonolulu | 18 | $9,497 | $3,268 | $2,599 |
| Maui Memorial Medical CenterWailuku | 16 | $16,941 | $3,500 | $2,777 |
| North Hawaii Community HospitalKamuela | 14 | $18,959 | $3,332 | $2,620 |
| Kaiser Foundation HospitalHonolulu | – | – | – | – |
| Kona Community HospitalKealakekua | – | – | – | – |
| Kapiolani Med Ctr for WomenHonolulu | – | – | – | – |
Lowest and highest allowed amounts in Hawaii
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
| Pali Momi Medical CenterAiea, HI | $3,039 |
|---|---|
| The Queens Medical CenterHonolulu, HI | $3,159 |
| Wilcox Memorial HospitalLihue, HI | $3,259 |
| Straub Clinic and HospitalHonolulu, HI | $3,268 |
| Kuakini Medical CenterHonolulu, HI | $3,268 |
Highest
| Maui Memorial Medical CenterWailuku, HI | $3,500 |
|---|---|
| Hilo Medical CenterHilo, HI | $3,500 |
| North Hawaii Community HospitalKamuela, HI | $3,332 |
| Castle Medical CenterKailua, HI | $3,268 |
| Kuakini Medical CenterHonolulu, HI | $3,268 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Hawaii?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 12 hospitals in Hawaii was billed at $17,257 on average, while the average medicare-allowed amount was $3,259, of which Medicare paid $2,578. 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 Hawaii, average charges were 5.3 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.