Level 3 Excision/Biopsy/Incision and Drainage in Massachusetts
What 55 hospitals in Massachusetts charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$14,457
Hospital list price billed
Average allowed
$3,020
Medicare's payment + patient's share
Medicare paid
$2,403
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $14,457 for level 3 excision/biopsy/incision and drainage, about 4.8 times the average medicare-allowed amount of $3,020. That payment is 12% above 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 $3,020Billed $14,457
About 21¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 excision/biopsy/incision and drainage
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Dana-Farber Cancer InstituteBoston | 1,353 | $17,107 | $3,042 | $2,421 |
| Massachusetts General HospitalBoston | 638 | $14,608 | $3,004 | $2,390 |
| Lahey Clinic HospitalBurlington | 262 | $8,817 | $2,998 | $2,385 |
| Umass Memorial Medical Center INCWorcester | 260 | $18,348 | $3,019 | $2,403 |
| Beth Israel Deaconess Medical CenterBoston | 199 | $16,362 | $2,993 | $2,382 |
| Brigham and Women's HosptialBoston | 158 | $19,273 | $2,986 | $2,370 |
| Baystate Medical CenterSpringfield | 140 | $10,744 | $3,052 | $2,429 |
| Cape Cod HospitalHyannis | 131 | $16,330 | $3,005 | $2,393 |
| Southcoast Hospital Group, INCFall River | 122 | $16,914 | $3,012 | $2,391 |
| Massachusetts Eye and Ear InfirmaryBoston | 110 | $11,237 | $3,052 | $2,430 |
| Boston Medical Center CorporationBoston | 107 | $13,842 | $3,000 | $2,386 |
| Tufts Medical CenterBoston | 104 | $16,957 | $2,858 | $2,277 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 82 | $6,348 | $3,025 | $2,404 |
| Berkshire Medical Center INCPittsfield | 78 | $20,572 | $3,205 | $2,554 |
| Lowell General HospitalLowell | 74 | $14,777 | $3,027 | $2,407 |
| South Shore HospitalSouth Weymouth | 74 | $5,871 | $3,020 | $2,397 |
| Winchester HospitalWinchester | 71 | $8,641 | $3,052 | $2,431 |
| Newton-Wellesley HospitalNewton Lower Falls | 67 | $10,490 | $3,052 | $2,431 |
| Beverly Hospital CorporationBeverly | 63 | $13,916 | $3,052 | $2,430 |
| Mercy Medical CenterSpringfield | 57 | $8,578 | $2,987 | $2,366 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 49 | $12,283 | $3,052 | $2,431 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 48 | $8,179 | $2,924 | $2,330 |
| Emerson HospitalConcord | 42 | $13,442 | $3,052 | $2,431 |
| Harrington Memorial HospitalSouthbridge | 38 | $7,991 | $2,971 | $2,367 |
| Melrosewakefield HealthcareMelrose | 38 | $12,882 | $2,988 | $2,367 |
| Healthalliance Hospitals, INCLeominster | 36 | $16,346 | $3,052 | $2,431 |
| Faulkner HospitalBoston | 36 | $10,507 | $3,052 | $2,430 |
| Holyoke Medical CenterHolyoke | 33 | $11,406 | $2,989 | $2,361 |
| Anna Jaques HospitalNewburyport | 33 | $6,186 | $3,052 | $2,431 |
| Morton Hospital & Medical CenterTaunton | 33 | $12,914 | $3,052 | $2,431 |
| Mount Auburn HospitalCambridge | 31 | $6,928 | $3,052 | $2,425 |
| St Vincent HospitalWorcester | 31 | $30,978 | $3,052 | $2,431 |
| Union HospitalLynn | 30 | $6,904 | $2,971 | $2,350 |
| Heywood HospitalGardner | 27 | $6,042 | $3,052 | $2,431 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 25 | $10,802 | $3,052 | $2,431 |
| Lawrence General HospitalLawrence | 24 | $9,369 | $3,052 | $2,431 |
| Falmouth HospitalFalmouth | 23 | $10,616 | $3,052 | $2,428 |
| Sturdy Memorial HospitalAttleboro | 22 | $6,871 | $3,052 | $2,431 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 18 | $7,723 | $2,747 | $2,178 |
| Cambridge Health AllianceCambridge | 17 | $8,034 | $3,052 | $2,429 |
| Marlborough HospitalMarlborough | 17 | $14,091 | $2,766 | $2,143 |
| Milford Regional Medical CenterMilford | 17 | $5,477 | $3,052 | $2,420 |
| Baystate Franklin Medical CenterGreenfield | 12 | $11,535 | $2,886 | $2,257 |
| New England Baptist HospitalBoston | 11 | $9,691 | $3,052 | $2,431 |
| Carney HospitalDorchester | – | – | – | – |
| Wing Memorial Hospital and Medical CenterPalmer | – | – | – | – |
| Boston Medical Center-BrightonBrighton | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Noble HospitalWestfield | – | – | – | – |
| Holy Family Hospital, a Caritas Family HospitalMethuen | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Milton HospitalMilton | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
| Nantucket Cottage HospitalNantucket | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $2,747 |
|---|---|
| Marlborough HospitalMarlborough, MA | $2,766 |
| Tufts Medical CenterBoston, MA | $2,858 |
| Baystate Franklin Medical CenterGreenfield, MA | $2,886 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $2,924 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $3,205 |
|---|---|
| Milford Regional Medical CenterMilford, MA | $3,052 |
| Mount Auburn HospitalCambridge, MA | $3,052 |
| Falmouth HospitalFalmouth, MA | $3,052 |
| Cambridge Health AllianceCambridge, MA | $3,052 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Massachusetts?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 55 hospitals in Massachusetts was billed at $14,457 on average, while the average medicare-allowed amount was $3,020, of which Medicare paid $2,403. 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 Massachusetts, average charges were 4.8 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.