Level 3 Excision/Biopsy/Incision and Drainage in North Carolina
What 79 hospitals in North Carolina charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$17,803
Hospital list price billed
Average allowed
$2,479
Medicare's payment + patient's share
Medicare paid
$1,967
Average per service
State rank
#18 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $17,803 for level 3 excision/biopsy/incision and drainage, about 7.2 times the average medicare-allowed amount of $2,479. That payment is 8% 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 $2,479Billed $17,803
About 14¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 3 excision/biopsy/incision and drainage
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 568 | $20,390 | $2,545 | $2,025 |
| Carolinas Medical Center/Behav HealthCharlotte | 428 | $24,943 | $2,443 | $1,932 |
| UNC HospitalsChapel Hill | 360 | $11,404 | $2,577 | $2,049 |
| North Carolina Baptist HospitalWinston-Salem | 251 | $20,367 | $2,528 | $2,003 |
| Presbyterian HospitalCharlotte | 184 | $13,377 | $2,345 | $1,868 |
| New Hanover Regional Medical CenterWilmington | 154 | $14,470 | $2,551 | $2,032 |
| Duke Regional HospitalDurham | 127 | $16,702 | $2,515 | $1,994 |
| Margaret R Pardee Mem HospitalHendersonville | 100 | $8,863 | $2,428 | $1,926 |
| Atrium Health PinevilleCharlotte | 96 | $29,299 | $2,490 | $1,970 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 89 | $26,032 | $2,439 | $1,942 |
| Firsthealth Moore Regional HospitalPinehurst | 87 | $12,493 | $2,497 | $1,985 |
| Moses H Cone Memorial Hospital, theGreensboro | 84 | $14,077 | $2,501 | $1,980 |
| Forsyth Memorial HospitalWinston-Salem | 79 | $13,774 | $2,236 | $1,764 |
| ECU Health Medical CenterGreenville | 75 | $18,544 | $2,421 | $1,919 |
| Caromont Regional Medical CenterGastonia | 65 | $12,956 | $2,491 | $1,972 |
| Duke Health Raleigh HospitalRaleigh | 61 | $18,655 | $2,433 | $1,918 |
| Carolinas Medical Center-NortheastConcord | 56 | $30,561 | $2,553 | $2,034 |
| Johnston Memorial HospitalSmithfield | 54 | $13,824 | $2,454 | $1,926 |
| Carolina East Medical CenterNew Bern | 53 | $10,450 | $2,608 | $2,070 |
| Albemarle Hospital AuthorityElizabeth City | 47 | $27,499 | $2,578 | $2,054 |
| Thomasville Medical CenterThomasville | 45 | $12,543 | $1,243 | $991 |
| Wakemed, Raleigh CampusRaleigh | 41 | $18,110 | $2,558 | $2,034 |
| Alamance Regional Medical CenterBurlington | 41 | $14,016 | $2,557 | $2,036 |
| Adventhealth HendersonvilleFletcher | 37 | $18,541 | $2,473 | $1,970 |
| Presbyterian Hospital-MatthewsMatthews | 37 | $14,768 | $2,553 | $2,028 |
| High Point Regional Hlth SystHigh Point | 34 | $13,274 | $2,466 | $1,952 |
| Rex HospitalRaleigh | 34 | $12,236 | $2,498 | $1,978 |
| Presbyterian Hospital HuntersvilleHuntersville | 34 | $13,051 | $2,553 | $2,034 |
| Rowan Regional Medical CenterSalisbury | 33 | $13,541 | $2,492 | $1,969 |
| Onslow Memorial HospitalJacksonville | 33 | $8,992 | $2,488 | $1,982 |
| Wakemed, Cary HospitalCary | 32 | $14,656 | $2,175 | $1,718 |
| Carolinas Medical Center-UnionMonroe | 29 | $21,840 | $2,483 | $1,962 |
| Frye Regional Medical CenterHickory | 27 | $25,714 | $2,452 | $1,938 |
| Wayne Memorial HospitalGoldsboro | 26 | $8,940 | $2,807 | $2,218 |
| Nash General HospitalRocky Mount | 24 | $15,001 | $2,467 | $1,956 |
| Cape Fear Valley Medical CenterFayetteville | 23 | $9,740 | $2,426 | $1,915 |
| Haywood Regional Medical CenterClyde | 23 | $23,096 | $2,473 | $1,966 |
| Medical Park HospitalWinston-Salem | 22 | $7,812 | $2,590 | $2,064 |
| Carolinas Med Ctr-UniversityCharlotte | 20 | $26,070 | $2,452 | $1,933 |
| Iredell Memorial Hospital INCStatesville | 19 | $17,720 | $2,553 | $2,034 |
| Carteret General HospitalMorehead City | 19 | $15,336 | $2,541 | $2,002 |
| Catawba Valley Medical CenterHickory | 19 | $14,115 | $2,408 | $1,896 |
| Roanoke Chowan HospitalAhoskie | 18 | $9,041 | $2,531 | $1,993 |
| Scotland Memorial HospitalLaurinburg | 17 | $21,056 | $2,527 | $2,013 |
| Grace Hospital INCMorganton | 17 | $20,352 | $2,211 | $1,738 |
| Lake Norman Regional Medical CenterMooresville | 16 | $24,156 | $2,426 | $1,903 |
| ECU Health North HospitalRoanoke Rapids | 15 | $9,921 | $2,648 | $2,110 |
| Brunswick Community HospitalSupply | 14 | $18,144 | $2,473 | $1,970 |
| Rutherford Hospital INCRutherfordton | 12 | $33,375 | $2,515 | $1,976 |
| Maria Parham HospitalHenderson | 12 | $19,005 | $2,267 | $1,806 |
| Novant Health Mint Hill Medical CenterCharlotte | 11 | $15,168 | $2,568 | $2,046 |
| Northern Hospital of Surry CountyMt Airy | – | – | – | – |
| C J Harris Community HospitalSylva | – | – | – | – |
| Central Carolina HospitalSanford | – | – | – | – |
| Cleveland Regional Medical CenterShelby | – | – | – | – |
| Sampson Regional Medical CenterClinton | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| Caldwell Memorial HospitalLenoir | – | – | – | – |
| North Carolina Eye & Ear HospDurham | – | – | – | – |
| Southeastern Regional Medical CenterLumberton | – | – | – | – |
| Watauga Medical CenterBoone | – | – | – | – |
| UNC RockinghamEden | – | – | – | – |
| Wilkes Regional Medical CenterNorth Wilkesboro | – | – | – | – |
| Columbus Regional Healthcare SystemWhiteville | – | – | – | – |
| Betsy Johnson Regional HospitalDunn | – | – | – | – |
| McDowell HospitalMarion | – | – | – | – |
| Lexington Memorial Hospital INCLexington | – | – | – | – |
| Hugh Chatham Memorial HospitalElkin | – | – | – | – |
| Vidant Edgecombe HospitalTarboro | – | – | – | – |
| Stanly Regional Medical CenterAlbemarle | – | – | – | – |
| Duplin General HospitalKenansville | – | – | – | – |
| Randolph HospitalAsheboro | – | – | – | – |
| Wilson Medical CenterWilson | – | – | – | – |
| Granville Medical CenterOxford | – | – | – | – |
| Carolinas Medical Center-LincolnLincolnton | – | – | – | – |
| Davie Medical CenterBermuda Run | – | – | – | – |
| Cape Fear Valley Hoke HospitalRaeford | – | – | – | – |
| Novant Health Ballantyne Medical CenterCharlotte | – | – | – | – |
| Highsmith-Rainey Memorial HospFayetteville | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Thomasville Medical CenterThomasville, NC | $1,243 |
|---|---|
| Wakemed, Cary HospitalCary, NC | $2,175 |
| Grace Hospital INCMorganton, NC | $2,211 |
| Forsyth Memorial HospitalWinston-Salem, NC | $2,236 |
| Maria Parham HospitalHenderson, NC | $2,267 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $2,807 |
|---|---|
| ECU Health North HospitalRoanoke Rapids, NC | $2,648 |
| Carolina East Medical CenterNew Bern, NC | $2,608 |
| Medical Park HospitalWinston-Salem, NC | $2,590 |
| Albemarle Hospital AuthorityElizabeth City, NC | $2,578 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in North Carolina?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 79 hospitals in North Carolina was billed at $17,803 on average, while the average medicare-allowed amount was $2,479, of which Medicare paid $1,967. 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 North Carolina, 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.