Level 3 Excision/Biopsy/Incision and Drainage in Nevada
What 19 hospitals in Nevada charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$34,593
Hospital list price billed
Average allowed
$2,993
Medicare's payment + patient's share
Medicare paid
$2,375
Average per service
State rank
#41 of 49
1 = lowest average payment
Hospitals in Nevada billed an average of $34,593 for level 3 excision/biopsy/incision and drainage, about 11.6 times the average medicare-allowed amount of $2,993. That payment is 11% 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 $2,993Billed $34,593
About 9¢ was paid for every $1 hospitals in Nevada billed for this service.
Nevada hospitals: level 3 excision/biopsy/incision and drainage
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Renown Regional Medical CenterReno | 161 | $27,322 | $3,024 | $2,408 |
| Mountainview HospitalLas Vegas | 100 | $39,640 | $3,001 | $2,381 |
| Carson Tahoe HospitalCarson City | 58 | $22,904 | $2,998 | $2,389 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 40 | $37,938 | $3,043 | $2,423 |
| University Medical CenterLas Vegas | 37 | $39,163 | $2,906 | $2,304 |
| Summerlin Hospital Medical CenterLas Vegas | 31 | $31,517 | $2,965 | $2,340 |
| Southern Hills Hospital and Medical CenterLas Vegas | 28 | $62,210 | $2,966 | $2,344 |
| Renown South Meadows Medical CenterReno | 20 | $23,236 | $2,739 | $2,182 |
| Saint Mary's Regional Medical CenterReno | 18 | $29,833 | $2,909 | $2,278 |
| Sunrise Hospital and Medical CenterLas Vegas | 17 | $51,823 | $2,779 | $2,154 |
| Centennial Hills Hospital Medical CenterLas Vegas | 15 | $47,286 | $3,043 | $2,425 |
| Northern Nevada Medical CenterSparks | 12 | $33,140 | $3,451 | $2,717 |
| Spring Valley Hospital Medical CenterLas Vegas | 12 | $52,105 | $3,043 | $2,421 |
| North Vista HospitalNorth las Vegas | – | – | – | – |
| Northeastern Nevada Regional HospitalElko | – | – | – | – |
| Valley Hospital Medical CenterLas Vegas | – | – | – | – |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | – | – | – | – |
| Henderson HospitalHenderson | – | – | – | – |
| Northern Nevada Sierra Medical CenterReno | – | – | – | – |
Lowest and highest allowed amounts in Nevada
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
| Renown South Meadows Medical CenterReno, NV | $2,739 |
|---|---|
| Sunrise Hospital and Medical CenterLas Vegas, NV | $2,779 |
| University Medical CenterLas Vegas, NV | $2,906 |
| Saint Mary's Regional Medical CenterReno, NV | $2,909 |
| Summerlin Hospital Medical CenterLas Vegas, NV | $2,965 |
Highest
| Northern Nevada Medical CenterSparks, NV | $3,451 |
|---|---|
| Spring Valley Hospital Medical CenterLas Vegas, NV | $3,043 |
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $3,043 |
| Centennial Hills Hospital Medical CenterLas Vegas, NV | $3,043 |
| Renown Regional Medical CenterReno, NV | $3,024 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Nevada?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 19 hospitals in Nevada was billed at $34,593 on average, while the average medicare-allowed amount was $2,993, of which Medicare paid $2,375. 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 Nevada, average charges were 11.6 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.