Level 3 Excision/Biopsy/Incision and Drainage in Iowa
What 31 hospitals in Iowa charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$15,596
Hospital list price billed
Average allowed
$2,447
Medicare's payment + patient's share
Medicare paid
$1,944
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $15,596 for level 3 excision/biopsy/incision and drainage, about 6.4 times the average medicare-allowed amount of $2,447. That payment is 9% 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 $2,447Billed $15,596
About 16¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 3 excision/biopsy/incision and drainage
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Iowa Hospital & ClinicsIowa City | 412 | $20,226 | $2,461 | $1,954 |
| Iowa Methodist Medical CenterDes Moines | 170 | $13,122 | $2,376 | $1,879 |
| Mercy Medical Center-Des MoinesDes Moines | 123 | $21,148 | $2,371 | $1,884 |
| Genesis Medical Center-DavenportDavenport | 86 | $8,115 | $2,395 | $1,902 |
| Allen Memorial HospitalWaterloo | 78 | $9,174 | $2,258 | $1,793 |
| Mercy Medical Center-North IowaMason City | 76 | $15,237 | $2,718 | $2,166 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 59 | $10,923 | $2,409 | $1,919 |
| Southeast Iowa Regional Medical CenterWest Burlington | 58 | $9,274 | $2,624 | $2,091 |
| St Lukes Regional Medical CenterSioux City | 33 | $8,435 | $2,438 | $1,942 |
| Mercyone Waterloo Medical CenterWaterloo | 32 | $22,800 | $2,431 | $1,932 |
| Mary Greeley Medical CenterAmes | 31 | $8,830 | $2,377 | $1,881 |
| St Lukes HospitalCedar Rapids | 25 | $12,507 | $2,451 | $1,943 |
| Jennie Edmundson HospitalCouncil Bluffs | 23 | $11,198 | $2,560 | $2,040 |
| Mercy Medical Center-ClintonClinton | 23 | $22,180 | $2,603 | $2,073 |
| Trinity Regional Medical CenterFort Dodge | 21 | $9,681 | $2,603 | $2,074 |
| Mercyone Siouxland Medical CenterSioux City | 20 | $18,375 | $2,496 | $1,975 |
| Mercy Medical Center-DubuqueDubuque | 16 | $19,969 | $2,591 | $2,064 |
| Alegent Health Mercy HospitalCouncil Bluffs | 15 | $17,550 | $2,481 | $1,961 |
| The Finley HospitalDubuque | 14 | $11,284 | $2,431 | $1,937 |
| Mercy HospitalIowa City | 13 | $18,249 | $2,225 | $1,710 |
| Trinity Medical CenterDavenport | 12 | $11,107 | $2,434 | $1,939 |
| Spencer Municipal HospitalSpencer | 12 | $10,247 | $2,431 | $1,937 |
| Marshalltown Medical & Surgical CenterMarshalltown | – | – | – | – |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity MuscatineMuscatine | – | – | – | – |
| Mercyone Newton Medical CenterNewton | – | – | – | – |
| Sartori Memorial HospitalCedar Falls | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| Broadlawns Medical CenterDes Moines | – | – | – | – |
| Lakes Regional HealthcareSpirit Lake | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
Lowest and highest allowed amounts in Iowa
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
| Mercy HospitalIowa City, IA | $2,225 |
|---|---|
| Allen Memorial HospitalWaterloo, IA | $2,258 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $2,371 |
| Iowa Methodist Medical CenterDes Moines, IA | $2,376 |
| Mary Greeley Medical CenterAmes, IA | $2,377 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $2,718 |
|---|---|
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $2,624 |
| Mercy Medical Center-ClintonClinton, IA | $2,603 |
| Trinity Regional Medical CenterFort Dodge, IA | $2,603 |
| Mercy Medical Center-DubuqueDubuque, IA | $2,591 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Iowa?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 31 hospitals in Iowa was billed at $15,596 on average, while the average medicare-allowed amount was $2,447, of which Medicare paid $1,944. 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 Iowa, average charges were 6.4 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.