facebook tracking Level 3 Excision/Biopsy/Incision and Drainage cost in New Hampshire: 13 hospitals compared (APC 5073)

Level 3 Excision/Biopsy/Incision and Drainage in New Hampshire

What 13 hospitals in New Hampshire charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.

APC 5073 Outpatient 2024 Medicare data
Average charge $16,680 Hospital list price billed
Average allowed $2,742 Medicare's payment + patient's share
Medicare paid $2,183 Average per service
State rank #35 of 49 1 = lowest average payment

Hospitals in New Hampshire billed an average of $16,680 for level 3 excision/biopsy/incision and drainage, about 6.1 times the average medicare-allowed amount of $2,742. That payment is 2% 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 $2,742Billed $16,680

About 16¢ was paid for every $1 hospitals in New Hampshire billed for this service.

New Hampshire hospitals: level 3 excision/biopsy/incision and drainage

Every New Hampshire hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Mary Hitchcock Mem HospitalLebanon 309 $16,864 $2,845 $2,265
Wentworth-Douglass HospitalDover 87 $12,679 $2,424 $1,930
Elliot HospitalManchester 63 $19,942 $2,632 $2,097
Exeter HospitalExeter 60 $14,643 $2,724 $2,167
St Joseph HospitalNashua 57 $15,966 $2,775 $2,211
Catholic Medical CenterManchester 38 $17,926 $2,775 $2,207
Cheshire Medical CenterKeene 37 $10,413 $2,724 $2,168
Concord HospitalConcord 36 $19,986 $2,710 $2,160
Southern Nh Medical CenterNashua 36 $20,152 $2,775 $2,202
Portsmouth Regional HospitalPortsmouth 17 $27,786 $2,828 $2,251
Concord Hospital- LaconiaLaconia – – – –
Frisbie Memorial HospitalRochester – – – –
Parkland Medical CenterDerry – – – –
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Lowest and highest allowed amounts in New Hampshire

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

Wentworth-Douglass HospitalDover, NH$2,424
Elliot HospitalManchester, NH$2,632
Concord HospitalConcord, NH$2,710
Cheshire Medical CenterKeene, NH$2,724
Exeter HospitalExeter, NH$2,724

Highest

Mary Hitchcock Mem HospitalLebanon, NH$2,845
Portsmouth Regional HospitalPortsmouth, NH$2,828
Southern Nh Medical CenterNashua, NH$2,775
Catholic Medical CenterManchester, NH$2,775
St Joseph HospitalNashua, NH$2,775

Level 3 Excision/Biopsy/Incision and Drainage in other states

Questions

How much does level 3 excision/biopsy/incision and drainage cost in New Hampshire?

In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 13 hospitals in New Hampshire was billed at $16,680 on average, while the average medicare-allowed amount was $2,742, of which Medicare paid $2,183. 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 New Hampshire, average charges were 6.1 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.