Level 3 Excision/Biopsy/Incision and Drainage in Illinois
What 104 hospitals in Illinois charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$22,246
Hospital list price billed
Average allowed
$2,553
Medicare's payment + patient's share
Medicare paid
$2,028
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $22,246 for level 3 excision/biopsy/incision and drainage, about 8.7 times the average medicare-allowed amount of $2,553. That payment is 5% 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 $2,553Billed $22,246
About 11¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 3 excision/biopsy/incision and drainage
Every Illinois 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 University of Chicago Medical CenterChicago | 495 | $30,106 | $2,709 | $2,149 |
| Rush University Medical CenterChicago | 288 | $14,649 | $2,756 | $2,194 |
| Northwestern Memorial HospitalChicago | 263 | $29,201 | $2,701 | $2,150 |
| Evanston HospitalEvanston | 231 | $14,568 | $1,923 | $1,530 |
| Swedish Covenant HospitalChicago | 173 | $15,216 | $1,226 | $974 |
| Loyola University Medical CenterMaywood | 173 | $21,378 | $2,714 | $2,151 |
| Memorial Medical CenterSpringfield | 145 | $20,832 | $2,626 | $2,090 |
| Central Dupage HospitalWinfield | 142 | $29,499 | $2,664 | $2,119 |
| Palos Community HospitalPalos Heights | 138 | $28,398 | $2,616 | $2,084 |
| Lake Forest HospitalLake Forest | 105 | $27,927 | $2,477 | $1,972 |
| Northwestern Medicine McHenryMcHenry | 99 | $25,640 | $2,545 | $2,019 |
| Carle Foundation HospitalUrbana | 95 | $21,963 | $2,333 | $1,853 |
| Delnor Community HospitalGeneva | 93 | $31,538 | $2,752 | $2,185 |
| Advocate Illinois Masonic Medical CenterChicago | 82 | $25,432 | $2,454 | $1,950 |
| Advocate Lutheran General HospitalPark Ridge | 82 | $14,441 | $2,441 | $1,939 |
| Elmhurst Memorial HospitalElmhurst | 81 | $24,881 | $2,671 | $2,110 |
| Kishwaukee Community HospitalDekalb | 81 | $25,253 | $2,736 | $2,174 |
| Midwestern Region Med CenterZion | 80 | $31,122 | $2,681 | $2,136 |
| Silver Cross HospitalJoliet | 80 | $12,019 | $2,698 | $2,148 |
| Decatur Memorial HospitalDecatur | 77 | $14,543 | $2,626 | $2,085 |
| Swedish American HospitalRockford | 75 | $33,656 | $2,709 | $2,143 |
| Edward HospitalNaperville | 69 | $26,391 | $2,574 | $2,017 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 66 | $18,457 | $2,616 | $2,074 |
| Advocate Good Shepherd HospitalBarrington | 65 | $17,181 | $2,681 | $2,135 |
| Blessing HospitalQuincy | 64 | $21,969 | $2,383 | $1,899 |
| Copley Memorial HospitalAurora | 63 | $23,456 | $2,703 | $2,138 |
| Saint Francis Medical CenterPeoria | 61 | $27,541 | $2,549 | $2,024 |
| Saint Anthony Medical CenterRockford | 60 | $20,690 | $2,727 | $2,165 |
| Riverside Medical CenterKankakee | 56 | $24,459 | $2,672 | $2,129 |
| Northwest Community HospitalArlington Heights | 56 | $14,907 | $2,698 | $2,142 |
| Alexian Brothers Medical CenterElk Grove Village | 56 | $24,629 | $2,688 | $2,126 |
| Memorial Hospital of CarbondaleCarbondale | 52 | $24,189 | $2,586 | $2,048 |
| Advocate Good Samaritan HospitalDowners Grove | 52 | $19,195 | $2,646 | $2,106 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 45 | $20,196 | $2,698 | $2,149 |
| Sarah Bush Lincoln Health CenterMattoon | 45 | $18,596 | $2,684 | $2,129 |
| Advocate Condell Medical CenterLibertyville | 44 | $22,312 | $2,438 | $1,942 |
| St Johns HospitalSpringfield | 43 | $25,743 | $2,626 | $2,092 |
| Resurrection Medical CenterChicago | 43 | $22,930 | $2,698 | $2,149 |
| Trinity Rock IslandRock Island | 42 | $11,895 | $2,626 | $2,092 |
| University of Illinois Hospital and ClinicsChicago | 41 | $17,910 | $2,764 | $2,200 |
| Good Samaritan Regional Hlth CenterMt Vernon | 40 | $16,944 | $2,574 | $2,040 |
| Memorial HospitalBelleville | 38 | $13,989 | $2,626 | $2,092 |
| Sherman HospitalElgin | 34 | $20,110 | $2,694 | $2,141 |
| Advocate Trinity HospitalChicago | 34 | $19,291 | $2,572 | $2,023 |
| Adventist la Grange Memorial HospitalLa Grange | 34 | $14,230 | $2,619 | $2,081 |
| St Elizabeth HospitalBelleville | 32 | $21,449 | $2,626 | $2,092 |
| Javon Bea HospitalRockford | 29 | $16,497 | $2,517 | $2,006 |
| St Alexius Medical CenterSchaumburg | 29 | $25,679 | $2,688 | $2,115 |
| St Marys HospitalCentralia | 26 | $19,017 | $2,525 | $2,012 |
| John H Stroger Jr HospitalChicago | 26 | $10,697 | $2,698 | $2,149 |
| Ingalls Memorial HospitalHarvey | 25 | $23,732 | $2,612 | $2,063 |
| Provena St Joseph Medical CenterJoliet | 22 | $27,296 | $2,698 | $2,149 |
| Alton Memorial HospitalAlton | 21 | $13,752 | $2,501 | $1,989 |
| Hinsdale HospitalHinsdale | 21 | $12,853 | $2,107 | $1,679 |
| Rush Oak Park HospitalOak Park | 20 | $15,855 | $2,595 | $2,042 |
| Illini HospitalSilvis | 20 | $7,407 | $2,522 | $1,978 |
| Anderson HospitalMaryville | 19 | $10,874 | $2,626 | $2,092 |
| Adventist Bolingbrook HospitalBolingbrook | 19 | $9,992 | $1,590 | $1,267 |
| OSF Saint Elizabeth Mdl CtrOttawa | 18 | $14,378 | $2,610 | $2,080 |
| Methodist Medical Center of IllinoisPeoria | 18 | $27,078 | $2,626 | $2,089 |
| Morris Hospital & Healthcare CentersMorris | 17 | $13,735 | $2,698 | $2,143 |
| St Joseph Medical CenterBloomington | 17 | $20,668 | $2,626 | $2,092 |
| Proctor HospitalPeoria | 16 | $28,993 | $2,462 | $1,961 |
| St Mary Medical CenterGalesburg | 16 | $18,132 | $2,637 | $2,097 |
| Bromenn Healthcare SystemNormal | 16 | $11,654 | $2,626 | $2,092 |
| Little Company of Mary HospitalEvergreen Park | 15 | $19,693 | $2,617 | $2,055 |
| Macneal HospitalBerwyn | 14 | $19,838 | $2,764 | $2,202 |
| Rhc St Francis HospitalEvanston | 14 | $23,464 | $2,606 | $2,045 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 14 | $25,398 | $2,698 | $2,142 |
| Graham Hospital AssociationCanton | 13 | $14,539 | $2,812 | $2,241 |
| Mt Sinai Hospital Medical CenterChicago | 12 | $14,396 | $2,698 | $2,145 |
| St Anthonys Memorial HospitalEffingham | 12 | $14,940 | $2,812 | $2,241 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 11 | $19,499 | $2,563 | $2,002 |
| Fhn Memorial HospitalFreeport | 11 | $16,856 | $2,533 | $2,018 |
| Saint Joseph HospitalChicago | 11 | $33,291 | $2,764 | $2,202 |
| Herrin HospitalHerrin | – | – | – | – |
| OSF Saint Katharine Medical CenterDixon | – | – | – | – |
| Cgh Medical CenterSterling | – | – | – | – |
| West Suburban Hosp Med CenterOak Park | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| Jersey Community HospitalJerseyville | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| Mc Donough District HospitalMacomb | – | – | – | – |
| OSF Sacred Heart Medical CenterDanville | – | – | – | – |
| OSF Heart of Mary Medical CenterUrbana | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Pekin Memorial HospitalPekin | – | – | – | – |
| Gateway Regional Medical CenterGranite City | – | – | – | – |
| Holy Cross HospitalChicago | – | – | – | – |
| HSHS Holy Family HospitalGreenville | – | – | – | – |
| St Josephs HospitalBreese | – | – | – | – |
| Provena St Marys HospitalKankakee | – | – | – | – |
| Insight Hospital and Medical Center ChicagoChicago | – | – | – | – |
| OSF Saint James HospitalPontiac | – | – | – | – |
| St Marys HospitalDecatur | – | – | – | – |
| Provena Mercy Medical CenterAurora | – | – | – | – |
| Heartland Regional Medical CenterMarion | – | – | – | – |
| Harrisburg Medical CenterHarrisburg | – | – | – | – |
| Provena - Saint Joseph HospitalElgin | – | – | – | – |
| Adventist GlenoaksGlendale Heights | – | – | – | – |
| Crossroads Community HospitalMt Vernon | – | – | – | – |
| Provident Hospital of ChicagoChicago | – | – | – | – |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | – | – | – | – |
| Children's Memorial HospitalChicago | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Swedish Covenant HospitalChicago, IL | $1,226 |
|---|---|
| Adventist Bolingbrook HospitalBolingbrook, IL | $1,590 |
| Evanston HospitalEvanston, IL | $1,923 |
| Hinsdale HospitalHinsdale, IL | $2,107 |
| Carle Foundation HospitalUrbana, IL | $2,333 |
Highest
| Graham Hospital AssociationCanton, IL | $2,812 |
|---|---|
| St Anthonys Memorial HospitalEffingham, IL | $2,812 |
| University of Illinois Hospital and ClinicsChicago, IL | $2,764 |
| Macneal HospitalBerwyn, IL | $2,764 |
| Saint Joseph HospitalChicago, IL | $2,764 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Illinois?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 104 hospitals in Illinois was billed at $22,246 on average, while the average medicare-allowed amount was $2,553, of which Medicare paid $2,028. 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 Illinois, average charges were 8.7 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.