Level 3 Excision/Biopsy/Incision and Drainage in New York
What 125 hospitals in New York charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$22,637
Hospital list price billed
Average allowed
$3,127
Medicare's payment + patient's share
Medicare paid
$2,483
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in New York billed an average of $22,637 for level 3 excision/biopsy/incision and drainage, about 7.2 times the average medicare-allowed amount of $3,127. That payment is 16% 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 $3,127Billed $22,637
About 14¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 3 excision/biopsy/incision and drainage
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mem Sloan-Kettering Cancer CtrNew York | 2,097 | $28,592 | $3,210 | $2,552 |
| Mount Sinai HospitalNew York | 754 | $19,679 | $3,181 | $2,529 |
| NYU Hospitals CenterNew York | 608 | $38,366 | $3,155 | $2,505 |
| New York-Presbyterian HospitalNew York | 481 | $15,088 | $3,219 | $2,561 |
| Strong Memorial HospitalRochester | 278 | $17,776 | $2,954 | $2,353 |
| Roswell Park Cancer InstituteBuffalo | 269 | $18,916 | $3,004 | $2,388 |
| University HospitalStony Brook | 172 | $29,183 | $3,159 | $2,514 |
| St Francis Hospital, RoslynRoslyn | 149 | $19,301 | $3,185 | $2,533 |
| Beth Israel Medical CenterNew York | 136 | $18,834 | $3,177 | $2,531 |
| Long Island Jewish Medical CenterNew Hyde Park | 134 | $24,883 | $3,150 | $2,504 |
| Albany Medical Center HospitalAlbany | 116 | $16,498 | $2,971 | $2,358 |
| North Shore University HospitalManhasset | 110 | $19,019 | $3,142 | $2,492 |
| Montefiore Medical CenterBronx | 105 | $33,709 | $3,179 | $2,526 |
| Glens Falls HospitalGlens Falls | 94 | $7,303 | $3,013 | $2,397 |
| White Plains Hospital CtrWhite Plains | 93 | $25,097 | $3,082 | $2,453 |
| University Hospital S U N Y Health Science CenterSyracuse | 89 | $28,669 | $2,932 | $2,315 |
| Staten Island University HospitalStaten Island | 88 | $23,107 | $3,066 | $2,423 |
| South Nassau Communities HospitalOceanside | 84 | $27,104 | $3,202 | $2,551 |
| Saratoga HospitalSaratoga Springs | 81 | $18,668 | $2,983 | $2,369 |
| Garnet Health Medical CenterGoshen | 77 | $14,625 | $3,115 | $2,465 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 75 | $13,552 | $3,227 | $2,570 |
| Vassar Brothers Medical CenterPoughkeepsie | 74 | $12,125 | $3,129 | $2,472 |
| Lenox Hill HospitalNew York | 72 | $20,798 | $3,165 | $2,512 |
| Nyack HospitalNyack | 70 | $24,177 | $3,167 | $2,514 |
| United Health Services HospsBinghamton | 70 | $18,687 | $2,978 | $2,364 |
| Samaritan HospitalTroy | 68 | $14,654 | $2,977 | $2,365 |
| Mary Imogene Bassett HospitalCooperstown | 66 | $6,214 | $3,227 | $2,565 |
| Good Samaritan Hospital Medical CenterWest Islip | 59 | $18,624 | $3,174 | $2,529 |
| Maimonides Medical CenterBrooklyn | 56 | $18,428 | $3,233 | $2,576 |
| Cornwall HospitalCornwall | 55 | $23,873 | $3,178 | $2,524 |
| Cayuga Medical Center at IthacaIthaca | 54 | $10,470 | $3,227 | $2,567 |
| St Peter's HospitalAlbany | 53 | $15,731 | $2,967 | $2,354 |
| Huntington HospitalHuntington | 52 | $29,149 | $2,840 | $2,206 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 50 | $17,983 | $2,567 | $1,922 |
| Hospital for Special SurgeryNew York | 50 | $30,865 | $3,150 | $2,499 |
| Crouse HospitalSyracuse | 49 | $9,047 | $2,902 | $2,302 |
| Buffalo General HospitalBuffalo | 47 | $10,902 | $2,915 | $2,298 |
| Northern Westchester HospitalMt Kisco | 42 | $19,245 | $2,939 | $2,282 |
| Samaritan Medical CenterWatertown | 40 | $6,275 | $3,227 | $2,571 |
| Wynn HospitalUtica | 39 | $10,395 | $1,885 | $1,485 |
| Mount Sinai WestNew York | 37 | $18,470 | $3,201 | $2,550 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 35 | $12,486 | $2,944 | $2,332 |
| Phelps Memorial Hospital AssnSleepy Hollow | 34 | $20,509 | $3,054 | $2,394 |
| St Joseph's Hospital Health CenterSyracuse | 33 | $10,677 | $3,013 | $2,400 |
| Arnot Ogden Medical CenterElmira | 32 | $7,982 | $2,918 | $2,325 |
| Westchester Medical CenterValhalla | 32 | $41,736 | $3,144 | $2,485 |
| Rochester General HospitalRochester | 31 | $14,853 | $2,858 | $2,245 |
| Adirondack Medical CenterSaranac Lake | 30 | $9,632 | $3,227 | $2,571 |
| St Catherine of Siena HospitalSmithtown | 30 | $12,440 | $3,174 | $2,529 |
| Mercy Medical CenterRockville Centre | 29 | $19,758 | $3,202 | $2,549 |
| Richmond University Medical CenterStaten Island | 28 | $16,039 | $3,233 | $2,576 |
| Rome Memorial Hospital, INCRome | 27 | $15,198 | $3,013 | $2,396 |
| Glen Cove HospitalGlen Cove | 26 | $17,547 | $3,202 | $2,551 |
| New York Community Hospital of Brooklyn, INC.Brooklyn | 25 | $12,850 | $3,233 | $2,576 |
| Hudson Valley Hospital CenterCortlandt Manor | 25 | $17,028 | $3,233 | $2,576 |
| Northern Dutchess HospitalRhinebeck | 24 | $9,642 | $3,069 | $2,416 |
| Corning HospitalCorning | 24 | $22,861 | $3,013 | $2,400 |
| Plainview HospitalPlainview | 24 | $19,321 | $3,053 | $2,402 |
| Long Island Community HospitalPatchogue | 23 | $34,402 | $3,064 | $2,419 |
| Erie County Medical CenterBuffalo | 23 | $9,304 | $2,817 | $2,201 |
| Southside HospitalBay Shore | 20 | $22,521 | $3,198 | $2,548 |
| New York Hospital Medical Center of QueensNew York | 20 | $19,117 | $3,105 | $2,447 |
| Ellis HospitalSchenectady | 20 | $13,895 | $3,013 | $2,390 |
| Canton-Potsdam HospitalPotsdam | 20 | $8,412 | $2,843 | $2,264 |
| Auburn Memorial HospitalAuburn | 20 | $10,126 | $3,227 | $2,571 |
| Putnam Hospital CenterCarmel | 19 | $11,268 | $3,063 | $2,406 |
| Columbia Memorial HospitalHudson | 18 | $11,404 | $3,013 | $2,400 |
| Peconic Bay Medical CenterRiverhead | 17 | $19,999 | $2,876 | $2,231 |
| Cortland Regional Medical Center, INCCortland | 17 | $19,452 | $3,227 | $2,571 |
| Unity Hospital of RochesterRochester | 17 | $10,030 | $3,013 | $2,400 |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | 16 | $13,481 | $2,506 | $1,984 |
| Sisters of Charity HospitalBuffalo | 15 | $6,205 | $3,013 | $2,400 |
| Brookdale Hospital Medical CenterBrooklyn | 15 | $7,858 | $3,075 | $2,393 |
| St Charles HospitalPort Jefferson | 15 | $15,878 | $3,174 | $2,529 |
| F F Thompson HospitalCanandaigua | 13 | $8,896 | $3,013 | $2,400 |
| Aurelia Osborn Fox Memorial HospitalOneonta | 13 | $4,928 | $2,781 | $2,168 |
| Flushing Hospital Medical CenterNew York | 12 | $3,908 | $3,233 | $2,576 |
| Clifton Springs Hospital and ClinicClifton Springs | 12 | $8,480 | $3,013 | $2,400 |
| Healthalliance Hospital Marys Avenue CampusKingston | 11 | $13,216 | $3,072 | $2,448 |
| St Joseph's Medical CenterYonkers | – | – | – | – |
| Wyoming County Community HospitalWarsaw | – | – | – | – |
| Bronxcare Hospital CenterBronx | – | – | – | – |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| Nassau University Medical CenterEast Meadow | – | – | – | – |
| Newark-Wayne Community HospitalNewark | – | – | – | – |
| Chenango Memorial Hospital, INCNorwich | – | – | – | – |
| St Mary's Hospital at AmsterdamAmsterdam | – | – | – | – |
| Geneva General HospitalGeneva | – | – | – | – |
| Niagara Falls Memorial Medical CenterNiagara Falls | – | – | – | – |
| United Memorial Medical CenterBatavia | – | – | – | – |
| Mount Vernon HospitalMt Vernon | – | – | – | – |
| Jones Memorial HospitalWellsville | – | – | – | – |
| Ny Eye and Ear InfirmaryNew York | – | – | – | – |
| Kenmore Mercy HospitalBuffalo | – | – | – | – |
| Olean General HospitalOlean | – | – | – | – |
| Oneida Healthcare CenterOneida | – | – | – | – |
| Jacobi Medical CenterBronx | – | – | – | – |
| Elmhurst Hospital CenterNew York | – | – | – | – |
| Bon Secours Community HospitalPort Jervis | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Good Samaritan Hospital of SuffernSuffern | – | – | – | – |
| Highland HospitalRochester | – | – | – | – |
| Westfield Memorial Hospital, INCWestfield | – | – | – | – |
| Montefiore New Rochelle HospitalNew Rochelle | – | – | – | – |
| Mount St Mary's Hospital and Health CenterLewiston | – | – | – | – |
| South Brooklyn HealthBrooklyn | – | – | – | – |
| Metropolitan Hospital CenterNew York | – | – | – | – |
| Kings County Hospital CenterBrooklyn | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| St Anthony Community HospitalWarwick | – | – | – | – |
| St John's Riverside HospitalYonkers | – | – | – | – |
| Claxton-Hepburn Medical CenterOgdensburg | – | – | – | – |
| Oswego HospitalOswego | – | – | – | – |
| Wyckoff Heights Medical CenterBrooklyn | – | – | – | – |
| Brooks Memorial HospitalDunkirk | – | – | – | – |
| Queens Hospital CenterJamaica | – | – | – | – |
| Nicholas H Noyes Memorial HospitalDansville | – | – | – | – |
| UPMC Chautauqua at WcaJamestown | – | – | – | – |
| Harlem Hospital CenterNew York | – | – | – | – |
| Nathan Littauer HospitalGloversville | – | – | – | – |
| Mercy HospitalBuffalo | – | – | – | – |
| St Joseph HospitalBethpage | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| Woodhull Medical and Mental Health CenterBrooklyn | – | – | – | – |
| St Barnabas HospitalBronx | – | – | – | – |
Lowest and highest allowed amounts in New York
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
| Wynn HospitalUtica, NY | $1,885 |
|---|---|
| Brooklyn Hospital Center at Downtown CampusBrooklyn, NY | $2,506 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY | $2,567 |
| Aurelia Osborn Fox Memorial HospitalOneonta, NY | $2,781 |
| Erie County Medical CenterBuffalo, NY | $2,817 |
Highest
| New York Community Hospital of Brooklyn, INC.Brooklyn, NY | $3,233 |
|---|---|
| Richmond University Medical CenterStaten Island, NY | $3,233 |
| Flushing Hospital Medical CenterNew York, NY | $3,233 |
| Maimonides Medical CenterBrooklyn, NY | $3,233 |
| Hudson Valley Hospital CenterCortlandt Manor, NY | $3,233 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in New York?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 125 hospitals in New York was billed at $22,637 on average, while the average medicare-allowed amount was $3,127, of which Medicare paid $2,483. 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 York, average charges were 7.2 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.