Level 3 Excision/Biopsy/Incision and Drainage in Michigan
What 84 hospitals in Michigan charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$13,517
Hospital list price billed
Average allowed
$2,475
Medicare's payment + patient's share
Medicare paid
$1,965
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in Michigan billed an average of $13,517 for level 3 excision/biopsy/incision and drainage, about 5.5 times the average medicare-allowed amount of $2,475. That payment is 8% 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 $2,475Billed $13,517
About 18¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 3 excision/biopsy/incision and drainage
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Univ of Michigan HospitalsAnn Arbor | 378 | $20,198 | $2,611 | $2,077 |
| William Beaumont HospitalRoyal Oak | 224 | $19,080 | $2,474 | $1,963 |
| Henry Ford HospitalDetroit | 207 | $8,045 | $2,238 | $1,778 |
| William Beaumont Hospital-TroyTroy | 187 | $17,344 | $2,502 | $1,986 |
| Spectrum Health - Butterworth CampusGrand Rapids | 158 | $10,439 | $2,353 | $1,858 |
| Karmanos Cancer CenterDetroit | 109 | $10,631 | $2,466 | $1,957 |
| Bronson Methodist HospitalKalamazoo | 89 | $8,116 | $2,485 | $1,980 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 88 | $12,461 | $2,572 | $2,036 |
| Providence Hospital and Medical CentersSouthfield | 85 | $12,799 | $2,478 | $1,969 |
| St John Hospital and Medical CenterDetroit | 82 | $8,782 | $2,468 | $1,950 |
| Midmichigan Medical Center-MidlandMidland | 81 | $9,093 | $2,586 | $2,058 |
| Allegiance HealthJackson | 79 | $12,085 | $2,537 | $2,020 |
| Munson Medical CenterTraverse City | 79 | $10,155 | $2,593 | $2,057 |
| Beaumont Hospital - DearbornDearborn | 72 | $22,517 | $2,474 | $1,965 |
| St Joseph Mercy OaklandPontiac | 61 | $11,634 | $2,532 | $2,017 |
| Covenant Medical Center, INCSaginaw | 61 | $10,229 | $2,437 | $1,931 |
| Edward W Sparrow HospitalLansing | 58 | $14,609 | $2,450 | $1,952 |
| Northern Michigan Regional HospitalPetoskey | 57 | $8,406 | $2,631 | $2,089 |
| Bay Regional Medical CenterBay City | 52 | $7,226 | $2,532 | $2,017 |
| Borgess Medical CenterKalamazoo | 47 | $16,074 | $2,475 | $1,971 |
| Promedica Monroe Regional HospitalMonroe | 44 | $9,344 | $2,491 | $1,976 |
| Henry Ford Macomb HospitalClinton Twp | 42 | $10,483 | $2,482 | $1,973 |
| McLaren Regional Medical CenterFlint | 41 | $11,144 | $2,637 | $2,100 |
| Corewell Health Trenton HospitalTrenton | 41 | $19,898 | $2,422 | $1,922 |
| Battle Creek Health SystemBattle Creek | 38 | $8,145 | $2,488 | $1,982 |
| St Mary Mercy HospitalLivonia | 35 | $13,244 | $2,002 | $1,595 |
| McLaren Greater LansingLansing | 35 | $7,251 | $2,422 | $1,906 |
| Marquette General Hlth SystemMarquette | 34 | $19,464 | $2,718 | $2,151 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 34 | $19,554 | $2,230 | $1,766 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 34 | $10,625 | $2,537 | $2,014 |
| Saint Mary's Health CareGrand Rapids | 30 | $16,737 | $2,328 | $1,838 |
| Henry Ford Health Warren HospitalWarren | 30 | $13,703 | $2,311 | $1,828 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 30 | $15,679 | $2,669 | $2,127 |
| McLaren MacombMt Clemens | 30 | $16,236 | $2,439 | $1,925 |
| University of Michigan Health - WestWyoming | 30 | $7,419 | $2,390 | $1,890 |
| Alpena Regional Medical CenterAlpena | 29 | $9,603 | $2,595 | $2,053 |
| Lakeland Hospital, St JosephSt Joseph | 28 | $12,215 | $2,476 | $1,973 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 25 | $18,116 | $2,199 | $1,721 |
| Lapeer Regional Medical CenterLapeer | 25 | $9,163 | $2,532 | $2,018 |
| Memorial HealthcareOwosso | 23 | $8,752 | $2,488 | $1,982 |
| Chelsea Community HospitalChelsea | 23 | $20,212 | $2,672 | $2,129 |
| Trinity Health Muskegon HospitalMuskegon | 22 | $17,357 | $2,557 | $2,038 |
| Corewell Health Big Rapids HospitalBig Rapids | 22 | $12,098 | $2,583 | $2,035 |
| Chippewa County War Memorial HospitalSault Sainte Marie | 21 | $5,591 | $2,525 | $2,012 |
| Henry Ford Wyandotte HospitalWyandotte | 19 | $10,442 | $2,519 | $2,003 |
| McLaren OaklandPontiac | 19 | $8,711 | $2,503 | $1,994 |
| Port Huron HospitalPort Huron | 19 | $7,106 | $2,503 | $1,994 |
| Saint Joseph Mercy Livingston HospitalHowell | 16 | $13,693 | $2,471 | $1,944 |
| Mymichigan Medical Center SaginawSaginaw | 16 | $10,914 | $2,532 | $2,018 |
| Central Michigan Community HospitalMt Pleasant | 16 | $9,756 | $2,491 | $1,985 |
| Mercy Hospital - CadillacCadillac | 16 | $6,489 | $1,613 | $1,285 |
| Surgeons Choice Medical CenterSouthfield | 16 | $10,728 | $2,253 | $1,745 |
| Huron Valley-Sinai HospitalCommerce Twp | 15 | $26,665 | $2,532 | $2,018 |
| Holland Community HospitalHolland | 14 | $11,516 | $2,158 | $1,691 |
| Otsego Memorial HospitalGaylord | 14 | $8,198 | $2,500 | $1,961 |
| Ascension Providence Rochester HospitalRochester | 14 | $16,037 | $2,388 | $1,874 |
| Promedica Charles and Virginia Hickman HospitalAdrian | 12 | $17,369 | $2,454 | $1,920 |
| Corewell Health Wayne HospitalWayne | 12 | $19,988 | $2,291 | $1,826 |
| Zeeland Community HospitalZeeland | – | – | – | – |
| Three Rivers Area HospitalThree Rivers | – | – | – | – |
| Insight Hospital and Medical Center ColdwaterColdwater | – | – | – | – |
| Sinai-Grace HospitalDetroit | – | – | – | – |
| Mymichigan Medical Center AlmaAlma | – | – | – | – |
| St Joseph Mercy Port HuronPort Huron | – | – | – | – |
| Spectrum Health United Memorial - United CampusGreenville | – | – | – | – |
| Hillsdale Community Health CenterHillsdale | – | – | – | – |
| Dickinson County Memorial HospitalIron Mountain | – | – | – | – |
| Mercy Hospital - GraylingGrayling | – | – | – | – |
| Corewell Health Watervliet HospitalWatervliet | – | – | – | – |
| West Branch Regional Medical CenterWest Branch | – | – | – | – |
| St Joseph Health SystemTawas City | – | – | – | – |
| Harper University HospitalDetroit | – | – | – | – |
| Portage Health HospitalHancock | – | – | – | – |
| Corewell Health Ludington HospitalLudington | – | – | – | – |
| Hurley Medical CenterFlint | – | – | – | – |
| Trinity Health Grand Haven HospitalGrand Haven | – | – | – | – |
| Midmichigan Medical Center-ClareClare | – | – | – | – |
| Carson City HospitalCarson City | – | – | – | – |
| Oaklawn HospitalMarshall | – | – | – | – |
| St John River District HospitalEast China | – | – | – | – |
| Garden City HospitalGarden City | – | – | – | – |
| Beaumont Hospital - TaylorTaylor | – | – | – | – |
| Detroit Receiving Hospital & Univ Health CenterDetroit | – | – | – | – |
| Sturgis HospitalSturgis | – | – | – | – |
Lowest and highest allowed amounts in Michigan
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 Hospital - CadillacCadillac, MI | $1,613 |
|---|---|
| St Mary Mercy HospitalLivonia, MI | $2,002 |
| Holland Community HospitalHolland, MI | $2,158 |
| Beaumont Hospital - Farmington HillsFarmington Hls, MI | $2,199 |
| Beaumont Hospital, Grosse PointeGrosse Pointe, MI | $2,230 |
Highest
| Marquette General Hlth SystemMarquette, MI | $2,718 |
|---|---|
| Chelsea Community HospitalChelsea, MI | $2,672 |
| Genesys Regional Medical Center - Health ParkGrand Blanc, MI | $2,669 |
| McLaren Regional Medical CenterFlint, MI | $2,637 |
| Northern Michigan Regional HospitalPetoskey, MI | $2,631 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Michigan?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 84 hospitals in Michigan was billed at $13,517 on average, while the average medicare-allowed amount was $2,475, of which Medicare paid $1,965. 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 Michigan, average charges were 5.5 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.