Level 3 Excision/Biopsy/Incision and Drainage in Missouri
What 64 hospitals in Missouri charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$18,007
Hospital list price billed
Average allowed
$2,442
Medicare's payment + patient's share
Medicare paid
$1,939
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $18,007 for level 3 excision/biopsy/incision and drainage, about 7.4 times the average medicare-allowed amount of $2,442. That payment is 9% 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 $2,442Billed $18,007
About 14¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 excision/biopsy/incision and drainage
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 442 | $20,240 | $2,352 | $1,868 |
| University Hospitals & ClinicsColumbia | 157 | $19,597 | $2,365 | $1,882 |
| Mercy Hospital SpringfieldSpringfield | 153 | $14,178 | $2,365 | $1,878 |
| Mosaic Life Care at St JosephSt Joseph | 141 | $11,495 | $2,643 | $2,099 |
| Lester E Cox Medical CentersSpringfield | 121 | $13,705 | $2,338 | $1,855 |
| Missouri Baptist Medical CenterTown and Country | 107 | $13,484 | $2,447 | $1,941 |
| St Louis University HospitalSt Louis | 99 | $35,324 | $2,484 | $1,977 |
| St John's Mercy Medical CenterSt Louis | 94 | $10,517 | $2,486 | $1,970 |
| St Lukes HospitalChesterfield | 94 | $13,453 | $2,508 | $1,991 |
| Freeman Health System - Freeman WestJoplin | 91 | $19,618 | $2,368 | $1,878 |
| Nkc HealthNorth Kansas City | 74 | $16,312 | $2,461 | $1,956 |
| St Lukes Hospital of Kansas CityKansas City | 73 | $31,815 | $2,427 | $1,923 |
| Mercy Hospital SouthSt Louis | 72 | $10,330 | $2,529 | $2,007 |
| St Francis Medical CenterCape Girardeau | 63 | $21,975 | $2,600 | $2,071 |
| Liberty HospitalLiberty | 55 | $18,146 | $2,415 | $1,911 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 54 | $30,411 | $2,481 | $1,977 |
| Southeast Missouri HospitalCape Girardeau | 50 | $13,720 | $2,433 | $1,927 |
| SSM St Joseph Hospital WestLake St Louis | 48 | $8,475 | $2,451 | $1,930 |
| Boone Hospital CenterColumbia | 46 | $17,565 | $2,418 | $1,926 |
| Saint Luke's Northland HospSmithville | 42 | $30,107 | $2,481 | $1,977 |
| Research Medical CenterKansas City | 41 | $36,118 | $2,482 | $1,972 |
| Phelps County Regional Medical CenterRolla | 38 | $24,021 | $2,708 | $2,156 |
| St Johns Mercy HospitalWashington | 38 | $10,514 | $2,529 | $2,011 |
| Mercy Hospital JoplinJoplin | 34 | $10,907 | $2,256 | $1,781 |
| SSM St Joseph Health CenterSt Charles | 31 | $10,694 | $2,436 | $1,941 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 30 | $9,623 | $2,484 | $1,973 |
| SSM Depaul Health CenterBridgeton | 30 | $14,464 | $2,418 | $1,913 |
| SSM St Mary's Health CenterSt Louis | 29 | $12,573 | $2,416 | $1,908 |
| Golden Valley Memorial HospitalClinton | 28 | $19,263 | $2,582 | $2,042 |
| Centerpoint Medical CenterIndependence | 27 | $22,259 | $2,482 | $1,970 |
| Cox Medical Center BransonBranson | 22 | $13,596 | $2,466 | $1,946 |
| Lake Regional Health SystemOsage Beach | 22 | $8,920 | $2,559 | $2,039 |
| Barnes-Jewish West County HospitalSt Louis | 21 | $12,567 | $2,264 | $1,804 |
| Jefferson Memorial HospitalCrystal City | 20 | $11,010 | $2,529 | $2,015 |
| Mosaic Medical Center - MaryvilleMaryville | 20 | $12,259 | $2,590 | $2,063 |
| St Johns Hospital-LebanonLebanon | 19 | $7,605 | $2,559 | $2,039 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 19 | $45,599 | $2,559 | $2,039 |
| Lee's Summit HospitalLee's Summit | 17 | $29,682 | $2,481 | $1,977 |
| St Luke's Des Peres HospitalSaint Louis | 16 | $14,729 | $2,403 | $1,889 |
| Barnes-Jewish St Peters HospitalSt Peters | 16 | $13,621 | $2,529 | $2,003 |
| St Marys Health CenterJefferson City | 15 | $22,608 | $2,404 | $1,916 |
| Truman Medical Center Hospital HillKansas City | 13 | $7,954 | $2,079 | $1,656 |
| Parkland Health CenterFarmington | 12 | $13,174 | $2,708 | $2,158 |
| Bothwell Regional Health CenterSedalia | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Texas County Memorial HospitalHouston | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Pemiscot Memorial HospitalHayti | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Ozarks Medical CenterWest Plains | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| Western Missouri Medical CenterWarrensburg | – | – | – | – |
| Truman Medical Center LakewoodKansas City | – | – | – | – |
| Missouri Delta Medical CenterSikeston | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Citizens Memorial HospitalBolivar | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
| St Louis Children's HospitalSt Louis | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Truman Medical Center Hospital HillKansas City, MO | $2,079 |
|---|---|
| Mercy Hospital JoplinJoplin, MO | $2,256 |
| Barnes-Jewish West County HospitalSt Louis, MO | $2,264 |
| Lester E Cox Medical CentersSpringfield, MO | $2,338 |
| Barnes Jewish HospitalSt Louis, MO | $2,352 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $2,708 |
|---|---|
| Parkland Health CenterFarmington, MO | $2,708 |
| Mosaic Life Care at St JosephSt Joseph, MO | $2,643 |
| St Francis Medical CenterCape Girardeau, MO | $2,600 |
| Mosaic Medical Center - MaryvilleMaryville, MO | $2,590 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Missouri?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 64 hospitals in Missouri was billed at $18,007 on average, while the average medicare-allowed amount was $2,442, of which Medicare paid $1,939. 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 Missouri, average charges were 7.4 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.