Level 3 Excision/Biopsy/Incision and Drainage in Louisiana
What 75 hospitals in Louisiana charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
APC 5073Outpatient2024 Medicare data
Average charge$18,817Hospital list price billed
Average allowed$2,364Medicare's payment + patient's share
Medicare paid$1,876Average per service
State rank#8 of 491 = lowest average payment
Hospitals in Louisiana billed an average of $18,817 for level 3 excision/biopsy/incision and drainage, about 8.0 times the average medicare-allowed amount of $2,364. That payment is 12% 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 $2,364Billed $18,817
About 13¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: level 3 excision/biopsy/incision and drainage
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
How much does level 3 excision/biopsy/incision and drainage cost in Louisiana?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 75 hospitals in Louisiana was billed at $18,817 on average, while the average medicare-allowed amount was $2,364, of which Medicare paid $1,876. 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 Louisiana, average charges were 8.0 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.
