Level 3 Excision/Biopsy/Incision and Drainage in Kentucky
What 55 hospitals in Kentucky charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$18,489
Hospital list price billed
Average allowed
$2,415
Medicare's payment + patient's share
Medicare paid
$1,917
Average per service
State rank
#12 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $18,489 for level 3 excision/biopsy/incision and drainage, about 7.7 times the average medicare-allowed amount of $2,415. That payment is 10% 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 $2,415Billed $18,489
About 13¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 3 excision/biopsy/incision and drainage
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 341 | $12,009 | $2,423 | $1,927 |
| University of Kentucky HospLexington | 173 | $21,966 | $2,288 | $1,807 |
| University of Louisville HospitalLouisville | 134 | $19,512 | $2,357 | $1,873 |
| Baptist Hospital EastLouisville | 126 | $29,090 | $2,448 | $1,947 |
| St Elizabeth Med Center-SouthEdgewood | 94 | $17,704 | $2,379 | $1,893 |
| Western Baptist HospitalPaducah | 84 | $22,887 | $2,562 | $2,032 |
| King's Daughters' Medical CenterAshland | 82 | $22,156 | $2,364 | $1,871 |
| Hardin Memorial HospitalElizabethtown | 64 | $24,051 | $2,387 | $1,887 |
| Jewish HospitalLouisville | 57 | $17,403 | $2,319 | $1,844 |
| Central Baptist HospitalLexington | 56 | $23,782 | $2,410 | $1,906 |
| The Medical Center at Bowling GreenBowling Green | 48 | $22,071 | $2,455 | $1,948 |
| Baptist Hospital NortheastLa Grange | 44 | $29,492 | $2,448 | $1,949 |
| Owensboro Medical Health SystemOwensboro | 43 | $18,773 | $2,629 | $2,095 |
| Pikeville Medical CenterPikeville | 42 | $17,012 | $2,581 | $2,054 |
| Ephraim McDowell Regional Medical CenterDanville | 36 | $9,890 | $2,364 | $1,884 |
| Baptist Health Deaconess MadisonvilleMadisonville | 34 | $21,173 | $2,552 | $2,031 |
| Saint Joseph HospitalLexington | 33 | $14,454 | $2,401 | $1,898 |
| Flaget Memorial HospitalBardstown | 32 | $15,889 | $2,448 | $1,950 |
| St Elizabeth FlorenceFlorence | 28 | $16,593 | $2,380 | $1,878 |
| Murray-Calloway County HospitalMurray | 23 | $14,462 | $2,384 | $1,897 |
| St Elizabeth Ft ThomasFort Thomas | 22 | $18,218 | $2,359 | $1,879 |
| T J Samson Community HospitalGlasgow | 22 | $11,982 | $2,418 | $1,888 |
| Deaconess Henderson HospitalHenderson | 21 | $14,826 | $2,503 | $1,994 |
| Hazard Arh Regional Medical CenterHazard | 20 | $14,392 | $2,446 | $1,948 |
| Jennie Stuart Medical CenterHopkinsville | 19 | $7,430 | $2,553 | $2,031 |
| Saint Joseph LondonLondon | 17 | $6,716 | $2,272 | $1,784 |
| Baptist Regional Medical CtrCorbin | 17 | $13,526 | $2,272 | $1,777 |
| Taylor Regional HospitalCampbellsville | 16 | $9,215 | $2,384 | $1,899 |
| Highlands Regional Medical CenterPrestonsburg | 14 | $15,825 | $2,410 | $1,920 |
| St Claire Regional Medical CenterMorehead | 13 | $9,666 | $2,418 | $1,926 |
| Saint Joseph EastLexington | 12 | $14,294 | $2,461 | $1,961 |
| Lourdes HospitalPaducah | 11 | $18,458 | $2,600 | $2,067 |
| Lake Cumberland Regional HospitalSomerset | 11 | $25,364 | $2,619 | $2,087 |
| Whitesburg Arh HospitalWhitesburg | – | – | – | – |
| Muhlenberg Community HospitalGreenville | – | – | – | – |
| Jewish Hospital - ShelbyvilleShelbyville | – | – | – | – |
| Meadowview Regional Medical CenterMaysville | – | – | – | – |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | – | – | – | – |
| Spring View HospitalLebanon | – | – | – | – |
| Memorial HospitalManchester | – | – | – | – |
| Baptist Health RichmondRichmond | – | – | – | – |
| Saint Joseph Mount SterlingMt Sterling | – | – | – | – |
| The Medical Center at RussellvilleRussellville | – | – | – | – |
| Williamson Arh HospitalSouth Williamson | – | – | – | – |
| Twin Lakes Regional Medical CenterLeitchfield | – | – | – | – |
| Paintsville Arh HospitalPaintsville | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Clark Regional Medical CenterWinchester | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Rockcastle Reg Hospital & Respiratory Care CtrMt Vernon | – | – | – | – |
| Jackson Purchase Medical CenterMayfield | – | – | – | – |
| Greenview Regional HospitalBowling Green | – | – | – | – |
| Frankfort Regional Medical CenterFrankfort | – | – | – | – |
| Three Rivers Medical CenterLouisa | – | – | – | – |
| Kentucky River Medical CenterJackson | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Saint Joseph LondonLondon, KY | $2,272 |
|---|---|
| Baptist Regional Medical CtrCorbin, KY | $2,272 |
| University of Kentucky HospLexington, KY | $2,288 |
| Jewish HospitalLouisville, KY | $2,319 |
| University of Louisville HospitalLouisville, KY | $2,357 |
Highest
| Owensboro Medical Health SystemOwensboro, KY | $2,629 |
|---|---|
| Lake Cumberland Regional HospitalSomerset, KY | $2,619 |
| Lourdes HospitalPaducah, KY | $2,600 |
| Pikeville Medical CenterPikeville, KY | $2,581 |
| Western Baptist HospitalPaducah, KY | $2,562 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Kentucky?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 55 hospitals in Kentucky was billed at $18,489 on average, while the average medicare-allowed amount was $2,415, of which Medicare paid $1,917. 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 Kentucky, average charges were 7.7 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.