Level 3 Excision/Biopsy/Incision and Drainage in New Mexico
What 21 hospitals in New Mexico charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$17,339
Hospital list price billed
Average allowed
$2,543
Medicare's payment + patient's share
Medicare paid
$2,015
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $17,339 for level 3 excision/biopsy/incision and drainage, about 6.8 times the average medicare-allowed amount of $2,543. That payment is 6% 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 $2,543Billed $17,339
About 15¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 3 excision/biopsy/incision and drainage
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UNM HospitalAlbuquerque | 156 | $9,972 | $2,502 | $1,988 |
| Presbyterian HospitalAlbuquerque | 89 | $10,800 | $2,470 | $1,954 |
| St Vincent HospitalSanta Fe | 62 | $18,432 | $2,841 | $2,250 |
| San Juan Regional Medical CenterFarmington | 52 | $15,476 | $2,758 | $2,193 |
| Lovelace Medical CenterAlbuquerque | 36 | $22,778 | $2,348 | $1,826 |
| Mountain View Regional Medical CenterLas Cruces | 36 | $25,769 | $2,420 | $1,908 |
| Memorial Medical Center INCLas Cruces | 34 | $25,589 | $2,474 | $1,972 |
| CHRISTUS Southern New MexicoAlamogordo | 30 | $39,469 | $2,650 | $2,105 |
| Roswell Regional HospitalRoswell | 17 | $29,191 | $2,475 | $1,956 |
| Presbyterian Santa Fe Medical CenterSanta Fe | 12 | $8,484 | $2,149 | $1,713 |
| Lovelace Women's HospitalAlbuquerque | 11 | $37,490 | $2,515 | $2,004 |
| Eastern New Mexico Medical CenterRoswell | – | – | – | – |
| Espanola HospitalEspanola | – | – | – | – |
| Plains Regional Medical CenterClovis | – | – | – | – |
| Artesia General HospitalArtesia | – | – | – | – |
| Los Alamos Medical CenterLos Alamos | – | – | – | – |
| Carlsbad Medical CenterCarlsbad | – | – | – | – |
| Covenant Health Hobbs HospitalHobbs | – | – | – | – |
| Lovelace Westside HospitalAlbuquerque | – | – | – | – |
| Roosevelt General HospitalPortales | – | – | – | – |
| Three Crosses Regional Hospital LLCLas Cruces | – | – | – | – |
Lowest and highest allowed amounts in New Mexico
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
| Presbyterian Santa Fe Medical CenterSanta Fe, NM | $2,149 |
|---|---|
| Lovelace Medical CenterAlbuquerque, NM | $2,348 |
| Mountain View Regional Medical CenterLas Cruces, NM | $2,420 |
| Presbyterian HospitalAlbuquerque, NM | $2,470 |
| Memorial Medical Center INCLas Cruces, NM | $2,474 |
Highest
| St Vincent HospitalSanta Fe, NM | $2,841 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $2,758 |
| CHRISTUS Southern New MexicoAlamogordo, NM | $2,650 |
| Lovelace Women's HospitalAlbuquerque, NM | $2,515 |
| UNM HospitalAlbuquerque, NM | $2,502 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in New Mexico?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 21 hospitals in New Mexico was billed at $17,339 on average, while the average medicare-allowed amount was $2,543, of which Medicare paid $2,015. 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 Mexico, average charges were 6.8 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.