Level 3 Excision/Biopsy/Incision and Drainage in Indiana
What 77 hospitals in Indiana charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$18,254
Hospital list price billed
Average allowed
$2,539
Medicare's payment + patient's share
Medicare paid
$2,018
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $18,254 for level 3 excision/biopsy/incision and drainage, about 7.2 times the average medicare-allowed amount of $2,539. That payment is 6% 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 $2,539Billed $18,254
About 14¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 3 excision/biopsy/incision and drainage
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Clarian Health PartnersIndianapolis | 226 | $20,039 | $2,580 | $2,051 |
| Franciscan Health IndianapolisIndianapolis | 170 | $22,918 | $2,589 | $2,063 |
| Deaconess Hospital INCEvansville | 165 | $12,925 | $2,290 | $1,825 |
| Union Hospital INCTerre Haute | 129 | $13,102 | $2,567 | $2,044 |
| Community Hospital NorthIndianapolis | 125 | $17,659 | $2,534 | $2,010 |
| Community HospitalMunster | 122 | $16,694 | $2,637 | $2,094 |
| Parkview HospitalFort Wayne | 111 | $23,971 | $2,558 | $2,033 |
| Community Hospital EastIndianapolis | 103 | $15,141 | $2,536 | $2,013 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 72 | $20,618 | $2,533 | $2,018 |
| St Mary's Medical Center of Evansville INCEvansville | 71 | $27,646 | $2,504 | $1,990 |
| Franciscan Health LafayetteLafayette | 70 | $25,761 | $2,504 | $1,985 |
| Memorial Hospital and Health Care CenterJasper | 66 | $15,195 | $2,357 | $1,865 |
| Community Hospital SouthIndianapolis | 65 | $16,376 | $2,589 | $2,062 |
| Bloomington HospitalBloomington | 64 | $15,409 | $2,567 | $2,045 |
| St Mary Medical Center INCHobart | 63 | $16,128 | $2,596 | $2,057 |
| Saint Joseph Reg Medical CtrSouth Bend | 58 | $11,211 | $2,552 | $2,018 |
| Reid Hosp & Hlth Care ServicesRichmond | 57 | $17,273 | $2,542 | $2,006 |
| Hendricks Regional HealthDanville | 54 | $19,119 | $2,567 | $2,042 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 52 | $16,223 | $2,533 | $2,013 |
| Porter, Valparaiso HospitalValparaiso | 50 | $31,175 | $2,454 | $1,937 |
| Indiana University Health North HospitalCarmel | 49 | $19,857 | $2,565 | $2,043 |
| Columbus Regional HospitalColumbus | 47 | $17,476 | $2,614 | $2,083 |
| Orthoindy HospitalIndianapolis | 47 | $15,588 | $2,490 | $1,959 |
| IU Health Goshen HospitalGoshen | 46 | $15,722 | $2,624 | $2,091 |
| Memorial Hospital of South BendSouth Bend | 45 | $12,352 | $2,519 | $1,995 |
| St Vincent Hospital & Health ServicesIndianapolis | 45 | $30,444 | $2,554 | $2,028 |
| Good Samaritan HospitalVincennes | 44 | $15,363 | $2,533 | $2,018 |
| Indiana University Health Arnett HospitalLafayette | 42 | $16,443 | $2,533 | $2,014 |
| Elkhart General HospitalElkhart | 39 | $11,378 | $2,570 | $2,037 |
| Ball Memorial Hospital INCMuncie | 39 | $18,605 | $2,569 | $2,047 |
| Terre Haute Regional HospitalTerre Haute | 34 | $23,660 | $2,533 | $2,018 |
| Franciscan St Margaret Health - DyerDyer | 34 | $13,653 | $2,672 | $2,126 |
| Howard Regional Health SystemKokomo | 33 | $17,794 | $2,598 | $2,070 |
| Franciscan St Anthony Health - Crown PointCrown Point | 30 | $14,272 | $2,601 | $2,057 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 30 | $22,371 | $2,357 | $1,864 |
| Witham Health ServicesLebanon | 28 | $12,808 | $2,567 | $2,044 |
| Memorial HospitalLogansport | 25 | $7,050 | $2,604 | $2,075 |
| Community Hospital of Anderson and Madison CountyAnderson | 21 | $13,623 | $2,347 | $1,850 |
| La Porte Regional Health SystLa Porte | 20 | $29,213 | $2,432 | $1,917 |
| Saint John's Health SystemAnderson | 20 | $27,373 | $2,567 | $2,035 |
| Lutheran Hospital of IndianaFort Wayne | 19 | $27,302 | $2,575 | $2,048 |
| Johnson Memorial HospitalFranklin | 18 | $17,599 | $2,567 | $2,045 |
| Indiana University Health West HospitalAvon | 18 | $21,271 | $2,567 | $2,035 |
| Methodist Hospitals, INCGary | 17 | $21,811 | $2,672 | $2,128 |
| Hancock Regional HospitalGreenfield | 17 | $12,882 | $2,567 | $2,045 |
| St Catherine Hospital INCEast Chicago | 16 | $15,610 | $2,672 | $2,129 |
| Clark Memorial HospitalJeffersonville | 16 | $15,798 | $2,533 | $2,014 |
| Women's Hospital theNewburgh | 16 | $15,486 | $2,533 | $2,018 |
| Franciscan Physicians Hospital LLCMunster | 16 | $16,215 | $2,673 | $2,119 |
| St Joseph Hospital & Health Center INCKokomo | 15 | $18,123 | $2,598 | $2,070 |
| Dearborn County HospitalLawrenceburg | 15 | $16,833 | $2,364 | $1,883 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 15 | $24,055 | $2,580 | $2,056 |
| Riverview HospitalNoblesville | 14 | $19,109 | $2,420 | $1,899 |
| Physicians' Medical Center LLCNew Albany | 14 | $12,161 | $2,533 | $2,011 |
| Marion General HospitalMarion | 13 | $19,023 | $2,749 | $2,190 |
| King's Daughters' Hospital and Health Services,TheMadison | 13 | $12,405 | $2,713 | $2,155 |
| Major HospitalShelbyville | 11 | $17,452 | $2,567 | $2,045 |
| Eskenazi HealthIndianapolis | – | – | – | – |
| Henry County Memorial HospitalNew Castle | – | – | – | – |
| Dekalb Memorial Hospital INCAuburn | – | – | – | – |
| St Joseph HospitalFort Wayne | – | – | – | – |
| St Francis Hospital MooresvilleMooresville | – | – | – | – |
| Daviess Community HospitalWashington | – | – | – | – |
| Schneck Medical CenterSeymour | – | – | – | – |
| Bluffton Regional Medical CenterBluffton | – | – | – | – |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | – | – | – | – |
| Parkview Huntington HospitalHuntington | – | – | – | – |
| Parkview Whitley HospitalColumbia City | – | – | – | – |
| Kosciusko Community HospitalWarsaw | – | – | – | – |
| Dupont Hospital LLCFort Wayne | – | – | – | – |
| St Vincent Heart Center of Indiana LLCIndianapolis | – | – | – | – |
| St Vincent Carmel Hospital INCCarmel | – | – | – | – |
| Pinnacle HospitalCrown Point | – | – | – | – |
| Unity Medical and Surgical HospitalMishawaka | – | – | – | – |
| Ascension St Vincent FishersFishers | – | – | – | – |
| Monroe HospitalBloomington | – | – | – | – |
| Franciscan Health Orthopedic Hospital CarmelCarmel | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| Deaconess Hospital INCEvansville, IN | $2,290 |
|---|---|
| Community Hospital of Anderson and Madison CountyAnderson, IN | $2,347 |
| Memorial Hospital and Health Care CenterJasper, IN | $2,357 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $2,357 |
| Dearborn County HospitalLawrenceburg, IN | $2,364 |
Highest
| Marion General HospitalMarion, IN | $2,749 |
|---|---|
| King's Daughters' Hospital and Health Services,TheMadison, IN | $2,713 |
| Franciscan Physicians Hospital LLCMunster, IN | $2,673 |
| Franciscan St Margaret Health - DyerDyer, IN | $2,672 |
| Methodist Hospitals, INCGary, IN | $2,672 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Indiana?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 77 hospitals in Indiana was billed at $18,254 on average, while the average medicare-allowed amount was $2,539, of which Medicare paid $2,018. 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 Indiana, average charges were 7.2 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.