Level 3 Excision/Biopsy/Incision and Drainage in Idaho
What 15 hospitals in Idaho charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$14,323
Hospital list price billed
Average allowed
$2,601
Medicare's payment + patient's share
Medicare paid
$2,068
Average per service
State rank
#29 of 49
1 = lowest average payment
Hospitals in Idaho billed an average of $14,323 for level 3 excision/biopsy/incision and drainage, about 5.5 times the average medicare-allowed amount of $2,601. That payment is 4% 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 $2,601Billed $14,323
About 18¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 3 excision/biopsy/incision and drainage
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Lukes Regional Medical CenterBoise | 193 | $14,420 | $2,470 | $1,963 |
| Kootenai Medical CenterCoeur D'alene | 124 | $11,634 | $2,657 | $2,114 |
| St Luke's Nampa Medical CenterNampa | 71 | $15,234 | $2,557 | $2,035 |
| St Joseph Regional Medical CenterLewiston | 70 | $14,572 | $2,707 | $2,150 |
| St Lukes Magic Valley RMCTwin Falls | 69 | $16,815 | $2,739 | $2,179 |
| Saint Alphonsus Medical Center - NampaNampa | 65 | $9,448 | $2,750 | $2,191 |
| St Alphonsus Regional Medical CenterBoise | 57 | $10,631 | $2,645 | $2,088 |
| Portneuf Medical CenterPocatello | 43 | $23,218 | $2,675 | $2,130 |
| Mountain View HospitalIdaho Falls | 37 | $8,681 | $2,474 | $1,971 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 37 | $12,803 | $2,557 | $2,037 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 34 | $25,935 | $2,557 | $2,037 |
| Northwest Specialty HospitalPost Falls | 19 | $17,378 | $2,500 | $1,960 |
| West Valley Medical CenterCaldwell | 18 | $20,095 | $2,557 | $2,037 |
| Madison Memorial HospitalRexburg | 11 | $6,488 | $2,565 | $2,027 |
| Treasure Valley HospitalBoise | – | – | – | – |
Lowest and highest allowed amounts in Idaho
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
| St Lukes Regional Medical CenterBoise, ID | $2,470 |
|---|---|
| Mountain View HospitalIdaho Falls, ID | $2,474 |
| Northwest Specialty HospitalPost Falls, ID | $2,500 |
| West Valley Medical CenterCaldwell, ID | $2,557 |
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $2,557 |
Highest
| Saint Alphonsus Medical Center - NampaNampa, ID | $2,750 |
|---|---|
| St Lukes Magic Valley RMCTwin Falls, ID | $2,739 |
| St Joseph Regional Medical CenterLewiston, ID | $2,707 |
| Portneuf Medical CenterPocatello, ID | $2,675 |
| Kootenai Medical CenterCoeur D'alene, ID | $2,657 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Idaho?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 15 hospitals in Idaho was billed at $14,323 on average, while the average medicare-allowed amount was $2,601, of which Medicare paid $2,068. 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 Idaho, average charges were 5.5 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.