Level 3 Excision/Biopsy/Incision and Drainage in New Jersey
What 59 hospitals in New Jersey charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$22,626
Hospital list price billed
Average allowed
$3,013
Medicare's payment + patient's share
Medicare paid
$2,394
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in New Jersey billed an average of $22,626 for level 3 excision/biopsy/incision and drainage, about 7.5 times the average medicare-allowed amount of $3,013. That payment is 12% 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 $3,013Billed $22,626
About 13¢ was paid for every $1 hospitals in New Jersey billed for this service.
New Jersey hospitals: level 3 excision/biopsy/incision and drainage
Every New Jersey hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Morristown Memorial HospitalMorristown | 279 | $20,135 | $3,052 | $2,431 |
| Cooper University HospitalCamden | 164 | $27,445 | $2,825 | $2,247 |
| Hackensack University Medical CenterHackensack | 154 | $21,482 | $3,154 | $2,506 |
| Robert Wood Johnson University HospitalNew Brunswick | 143 | $33,074 | $3,082 | $2,441 |
| Community Medical CenterToms River | 102 | $12,761 | $2,906 | $2,306 |
| Virtua West Jersey HospitalVoorhees | 89 | $28,206 | $2,923 | $2,315 |
| Jefferson Stratford HospitalCherry Hill | 89 | $17,066 | $2,975 | $2,370 |
| Jfk Medical CenterEdison | 87 | $21,532 | $2,987 | $2,374 |
| Riverview Medical CenterRed Bank | 81 | $16,471 | $2,975 | $2,367 |
| Overlook HospitalSummit | 81 | $19,192 | $3,166 | $2,514 |
| University Medical Center at PrincetonPrinceton | 73 | $27,021 | $3,015 | $2,402 |
| Centrastate Medical CenterFreehold | 71 | $13,625 | $2,970 | $2,364 |
| Valley HospitalRidgewood | 67 | $18,062 | $3,233 | $2,576 |
| Holy Name Medical CenterTeaneck | 63 | $15,236 | $3,233 | $2,576 |
| Chilton HospitalPompton Plains | 61 | $19,299 | $3,114 | $2,464 |
| Southern Ocean Medical CenterManahawkin | 57 | $22,917 | $2,975 | $2,369 |
| Somerset Medical CenterSomerville | 56 | $16,883 | $2,851 | $2,243 |
| Atlanticare Regional Medical Center - City DivAtlantic City | 56 | $21,474 | $2,975 | $2,370 |
| Inspira Medical Center Mullica HillElmer | 56 | $20,231 | $2,932 | $2,328 |
| Monmouth Medical CenterLong Branch | 56 | $15,829 | $2,926 | $2,314 |
| Capital Health System-Mercer CampusTrenton | 54 | $87,209 | $2,975 | $2,370 |
| Bayshore Community HospitalHolmdel | 54 | $18,864 | $3,012 | $2,399 |
| Ocean Medical CenterBrick | 48 | $16,314 | $2,975 | $2,370 |
| Englewood Hospital and Medical CenterEnglewood | 42 | $43,293 | $3,233 | $2,572 |
| Newton Memorial HospitalNewton | 34 | $28,811 | $2,975 | $2,359 |
| Jersey Shore University Medical CenterNeptune City | 34 | $15,614 | $3,012 | $2,396 |
| Saint Barnabas Medical CenterLivingston | 31 | $16,112 | $2,974 | $2,353 |
| Jersey City Medical CenterJersey City | 28 | $10,042 | $3,234 | $2,569 |
| Inspira Medical Center VinelandVineland | 22 | $20,192 | $2,840 | $2,254 |
| Monmouth Medical Center-Southern CampusLakewood | 22 | $14,876 | $2,867 | $2,262 |
| Cape Regional Medical Center INCCape May Court House | 19 | $12,024 | $2,850 | $2,245 |
| Robert Wood Johnson University Hospital HamiltonHamilton | 17 | $14,930 | $2,975 | $2,370 |
| St Joseph's Regional Medical CenterPaterson | 16 | $17,541 | $3,032 | $2,403 |
| Warren HospitalPhillipsburg | 16 | $31,648 | $2,975 | $2,370 |
| Newark Beth Israel Medical CenterNewark | 15 | $18,343 | $3,052 | $2,432 |
| Hunterdon Medical CenterFlemington | 15 | $13,582 | $2,975 | $2,370 |
| Shore Memorial HospitalSomers Point | 15 | $23,921 | $2,817 | $2,200 |
| Saint Clare's HospitalDenville | 12 | $29,159 | $3,001 | $2,335 |
| Virtua Memorial Hospital of Burlington CountyMt Holly | 12 | $28,729 | $2,975 | $2,370 |
| Raritan Bay Medical CenterPerth Amboy | 11 | $12,985 | $3,015 | $2,402 |
| Palisades Medical Ctr-Ny Presbyterian Healthcare SNorth Bergen | – | – | – | – |
| St Mary's HospitalPassaic | – | – | – | – |
| Clara Maass Medical CenterBelleville | – | – | – | – |
| Heights University HospitalJersey City | – | – | – | – |
| Robert Wood Johnson University Hospital at RahwayRahway | – | – | – | – |
| Bayonne Hospital CenterBayonne | – | – | – | – |
| Trinitas HospitalElizabeth | – | – | – | – |
| Our Lady of Lourdes Medical CenterCamden | – | – | – | – |
| Deborah Heart and Lung CenterBrowns Mills | – | – | – | – |
| Mountainside HospitalGlen Ridge | – | – | – | – |
| Bergen Regional Medical CenterParamus | – | – | – | – |
| Virtua Willingboro HospitalWillingboro | – | – | – | – |
| Saint Peter's University HospitalNew Brunswick | – | – | – | – |
| Capital Health System-Fuld CampusTrenton | – | – | – | – |
| Saint Michael's Medical CenterNewark | – | – | – | – |
| Hackettstown Regional Medical CenterHackettstown | – | – | – | – |
| Hudson Regional HospitalSecaucus | – | – | – | – |
| Umdnj University HospitalNewark | – | – | – | – |
| Hackensack Meridian Health Pascack Valley MedicalWestwood | – | – | – | – |
Lowest and highest allowed amounts in New Jersey
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
| Shore Memorial HospitalSomers Point, NJ | $2,817 |
|---|---|
| Cooper University HospitalCamden, NJ | $2,825 |
| Inspira Medical Center VinelandVineland, NJ | $2,840 |
| Cape Regional Medical Center INCCape May Court House, NJ | $2,850 |
| Somerset Medical CenterSomerville, NJ | $2,851 |
Highest
| Jersey City Medical CenterJersey City, NJ | $3,234 |
|---|---|
| Englewood Hospital and Medical CenterEnglewood, NJ | $3,233 |
| Holy Name Medical CenterTeaneck, NJ | $3,233 |
| Valley HospitalRidgewood, NJ | $3,233 |
| Overlook HospitalSummit, NJ | $3,166 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in New Jersey?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 59 hospitals in New Jersey was billed at $22,626 on average, while the average medicare-allowed amount was $3,013, of which Medicare paid $2,394. 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 Jersey, average charges were 7.5 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.