Level 3 Excision/Biopsy/Incision and Drainage in Maine
What 17 hospitals in Maine charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$14,330
Hospital list price billed
Average allowed
$2,354
Medicare's payment + patient's share
Medicare paid
$1,869
Average per service
State rank
#7 of 49
1 = lowest average payment
Hospitals in Maine billed an average of $14,330 for level 3 excision/biopsy/incision and drainage, about 6.1 times the average medicare-allowed amount of $2,354. That payment is 13% 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 $2,354Billed $14,330
About 16¢ was paid for every $1 hospitals in Maine billed for this service.
Maine hospitals: level 3 excision/biopsy/incision and drainage
Every Maine hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Maine Medical CenterPortland | 118 | $13,198 | $1,797 | $1,424 |
| Eastern Maine Medical CenterBangor | 110 | $15,248 | $2,476 | $1,971 |
| Maine General Medical CenterWaterville | 65 | $13,226 | $2,747 | $2,189 |
| Central Maine Medical CenterLewiston | 33 | $15,719 | $2,563 | $2,023 |
| Penobscot Bay Medical CenterRockport | 27 | $11,550 | $2,611 | $2,079 |
| Northern Light a R Gould HospitalPresque Isle | 26 | $21,642 | $2,344 | $1,868 |
| Mercy HospitalPortland | 18 | $14,082 | $2,552 | $2,009 |
| Cary Medical CenterCaribou | 16 | $13,189 | $2,438 | $1,943 |
| St Joseph HospitalBangor | 15 | $11,466 | $2,309 | $1,809 |
| Southern Maine Health CareBiddeford | 14 | $15,466 | $2,670 | $2,127 |
| Mid Coast HospitalBrunswick | 14 | $13,860 | $2,670 | $2,127 |
| York HospitalYork | – | – | – | – |
| St Marys Regional Medical CenterLewiston | – | – | – | – |
| Franklin Memorial HospitalFarmington | – | – | – | – |
| Northern Light Inland HospitalWaterville | – | – | – | – |
| Maine Coast Memorial HospitalEllsworth | – | – | – | – |
| Northern Maine Medical CenterFort Kent | – | – | – | – |
Lowest and highest allowed amounts in Maine
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
| Maine Medical CenterPortland, ME | $1,797 |
|---|---|
| St Joseph HospitalBangor, ME | $2,309 |
| Northern Light a R Gould HospitalPresque Isle, ME | $2,344 |
| Cary Medical CenterCaribou, ME | $2,438 |
| Eastern Maine Medical CenterBangor, ME | $2,476 |
Highest
| Maine General Medical CenterWaterville, ME | $2,747 |
|---|---|
| Southern Maine Health CareBiddeford, ME | $2,670 |
| Mid Coast HospitalBrunswick, ME | $2,670 |
| Penobscot Bay Medical CenterRockport, ME | $2,611 |
| Central Maine Medical CenterLewiston, ME | $2,563 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Maine?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 17 hospitals in Maine was billed at $14,330 on average, while the average medicare-allowed amount was $2,354, of which Medicare paid $1,869. 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 Maine, average charges were 6.1 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.