Level 3 Excision/Biopsy/Incision and Drainage in Minnesota
What 46 hospitals in Minnesota charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$12,475
Hospital list price billed
Average allowed
$2,766
Medicare's payment + patient's share
Medicare paid
$2,198
Average per service
State rank
#37 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $12,475 for level 3 excision/biopsy/incision and drainage, about 4.5 times the average medicare-allowed amount of $2,766. That payment is 3% 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 $2,766Billed $12,475
About 22¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 3 excision/biopsy/incision and drainage
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 1,785 | $12,726 | $2,855 | $2,269 |
| University of Minnesota Medical Center, FairviewMinneapolis | 282 | $17,541 | $2,578 | $2,048 |
| United HospitalSt Paul | 109 | $9,575 | $2,666 | $2,124 |
| St Cloud HospitalSt Cloud | 107 | $11,826 | $2,866 | $2,279 |
| St Lukes HospitalDuluth | 105 | $15,220 | $2,650 | $2,105 |
| Park Nicollet Methodist HospitalSaint Louis Park | 103 | $14,272 | $2,698 | $2,144 |
| Essentia Health DuluthDuluth | 96 | $8,995 | $2,596 | $2,064 |
| Mercy HospitalCoon Rapids | 92 | $10,280 | $2,687 | $2,141 |
| Abbott Northwestern Hospital INCMinneapolis | 88 | $11,505 | $2,661 | $2,115 |
| Essentia Health St Mary's Medical CenterDuluth | 75 | $15,458 | $2,638 | $2,091 |
| Mayo Clinic Health System - MankatoMankato | 73 | $9,535 | $2,801 | $2,225 |
| Regions HospitalSt Paul | 66 | $9,915 | $2,716 | $2,164 |
| Sanford Bemidji Medical CenterBemidji | 47 | $6,824 | $2,833 | $2,256 |
| Lakeview Memorial HospitalStillwater | 43 | $7,944 | $2,666 | $2,114 |
| St John's HospitalSt Paul | 43 | $17,172 | $2,375 | $1,892 |
| North Memorial Medical CenterRobbinsdale | 39 | $9,447 | $2,661 | $2,104 |
| Itasca Medical CenterGrand Rapids | 38 | $8,799 | $2,758 | $2,195 |
| Hennepin County Medical CenterMinneapolis | 36 | $13,031 | $2,716 | $2,164 |
| Alomere HealthAlexandria | 36 | $11,630 | $2,754 | $2,194 |
| Rice Memorial HospitalWillmar | 35 | $8,590 | $2,833 | $2,257 |
| Lake Region Healthcare CorporationFergus Falls | 29 | $12,366 | $2,833 | $2,257 |
| Range Regional Health ServicesHibbing | 24 | $11,953 | $2,535 | $2,020 |
| Ridgeview Medical CenterWaconia | 24 | $7,376 | $2,626 | $2,074 |
| St Francis Regional Medical CenterShakopee | 21 | $11,000 | $2,587 | $2,061 |
| Allina Health Faribault Medical CenterFaribault | 18 | $10,700 | $2,576 | $2,025 |
| Hutchinson Area Health CareHutchinson | 18 | $11,868 | $2,864 | $2,282 |
| Fairview Southdale HospitalEdina | 17 | $17,054 | $2,716 | $2,164 |
| Olmsted Medical CenterRochester | 15 | $9,386 | $2,733 | $2,171 |
| Essentia Health St Joseph's Medical CenterBrainerd | 15 | $13,428 | $2,833 | $2,257 |
| Virginia Regional Medical CenterVirginia | 15 | $10,083 | $2,645 | $2,116 |
| Winona Health ServicesWinona | 14 | $3,904 | $2,428 | $1,935 |
| Fairview Ridges HospitalBurnsville | 14 | $12,037 | $2,562 | $2,010 |
| Buffalo HospitalBuffalo | 13 | $9,672 | $2,716 | $2,164 |
| Maple Grove HospitalMaple Grove | 13 | $8,266 | $2,716 | $2,158 |
| Northfield HospitalNorthfield | 12 | $13,281 | $2,716 | $2,164 |
| Fairview Red Wing HospitalRed Wing | 12 | $9,040 | $2,696 | $2,148 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | 11 | $9,973 | $2,867 | $2,284 |
| Fairmont Medical CenterFairmont | 11 | $8,644 | $2,913 | $2,321 |
| Cambridge Medical CenterCambridge | – | – | – | – |
| Sanford Worthington Medical CenterWorthington | – | – | – | – |
| Fairview Lakes Health ServicesWyoming | – | – | – | – |
| Owatonna HospitalOwatonna | – | – | – | – |
| St Marys Regional Health CenterDetroit Lakes | – | – | – | – |
| Fairview Northland Regional HospitalPrinceton | – | – | – | – |
| Healtheast Woodwinds HospitalWoodbury | – | – | – | – |
| Gillette Children's HealthcareSt Paul | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| St John's HospitalSt Paul, MN | $2,375 |
|---|---|
| Winona Health ServicesWinona, MN | $2,428 |
| Range Regional Health ServicesHibbing, MN | $2,535 |
| Fairview Ridges HospitalBurnsville, MN | $2,562 |
| Allina Health Faribault Medical CenterFaribault, MN | $2,576 |
Highest
| Fairmont Medical CenterFairmont, MN | $2,913 |
|---|---|
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea, MN | $2,867 |
| St Cloud HospitalSt Cloud, MN | $2,866 |
| Hutchinson Area Health CareHutchinson, MN | $2,864 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $2,855 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Minnesota?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 46 hospitals in Minnesota was billed at $12,475 on average, while the average medicare-allowed amount was $2,766, of which Medicare paid $2,198. 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 Minnesota, average charges were 4.5 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.