Level 3 Excision/Biopsy/Incision and Drainage in Oklahoma
What 56 hospitals in Oklahoma charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$17,581
Hospital list price billed
Average allowed
$2,315
Medicare's payment + patient's share
Medicare paid
$1,836
Average per service
State rank
#5 of 49
1 = lowest average payment
Hospitals in Oklahoma billed an average of $17,581 for level 3 excision/biopsy/incision and drainage, about 7.6 times the average medicare-allowed amount of $2,315. That payment is 14% 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 $2,315Billed $17,581
About 13¢ was paid for every $1 hospitals in Oklahoma billed for this service.
Oklahoma hospitals: level 3 excision/biopsy/incision and drainage
Every Oklahoma hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Health Center, INCOklahoma City | 315 | $7,435 | $2,413 | $1,914 |
| O U Medical CenterOklahoma City | 228 | $26,902 | $1,695 | $1,343 |
| Saint Francis Hospital, INCTulsa | 194 | $21,708 | $2,383 | $1,892 |
| St Anthony HospitalOklahoma City | 165 | $10,658 | $2,426 | $1,930 |
| Integris Baptist Medical CenterOklahoma City | 127 | $23,549 | $2,411 | $1,911 |
| Hillcrest Medical CenterTulsa | 103 | $40,800 | $2,423 | $1,924 |
| Comanche County Memorial HospitalLawton | 65 | $11,055 | $2,057 | $1,639 |
| Integris Southwest Medical CenterOklahoma City | 65 | $22,634 | $2,390 | $1,889 |
| Stillwater Medical CenterStillwater | 44 | $12,758 | $2,575 | $2,037 |
| Duncan Regional Hospital, INCDuncan | 39 | $12,314 | $2,585 | $2,060 |
| Mercy Memorial Health CenterArdmore | 39 | $7,299 | $2,577 | $2,044 |
| Oklahoma Surgical Hospital, LLCTulsa | 39 | $12,068 | $2,240 | $1,774 |
| St John Medical Center, INCTulsa | 35 | $17,581 | $2,392 | $1,895 |
| SSM Health St Anthony Hospital - ShawneeShawnee | 34 | $8,798 | $2,319 | $1,836 |
| Community HospitalOklahoma City | 33 | $19,861 | $2,448 | $1,945 |
| Northeastern Health SystemTahlequah | 32 | $10,369 | $2,520 | $1,995 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City | 32 | $12,256 | $2,311 | $1,823 |
| Jackson County Memorial HospitalAltus | 23 | $11,782 | $2,639 | $2,102 |
| Mercy Hospital AdaAda | 22 | $10,407 | $2,622 | $2,089 |
| Hillcrest Hospital SouthTulsa | 22 | $25,847 | $2,380 | $1,873 |
| Muskogee Regional Medical CenterMuskogee | 20 | $20,324 | $2,413 | $1,922 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City | 20 | $7,619 | $2,448 | $1,950 |
| Integris Bass Baptist Health CenterEnid | 19 | $17,732 | $2,286 | $1,821 |
| Midwest Regional Medical CenterMidwest City | 19 | $37,892 | $2,345 | $1,848 |
| Norman Regional Health SystemNorman | 18 | $20,763 | $2,231 | $1,732 |
| Saint Francis Hospital SouthTulsa | 13 | $19,479 | $2,265 | $1,775 |
| McAlester Regional Health CenterMcAlester | 12 | $8,175 | $2,584 | $2,059 |
| Surgical Hospital of OklahomaOklahoma City | 11 | $11,236 | $2,448 | $1,950 |
| Ascension St John Broken ArrowBroken Arrow | 11 | $15,920 | $2,413 | $1,922 |
| Woodward Regional HospitalWoodward | – | – | – | – |
| Integris Baptist Reg Hlth CtrMiami | – | – | – | – |
| Integris Health Ponca CityPonca City | – | – | – | – |
| Alliancehealth DurantDurant | – | – | – | – |
| Hillcrest Hospital PryorPryor | – | – | – | – |
| Jane Phillips Medical CenterBartlesville | – | – | – | – |
| Great Plains Regional Med CtrElk City | – | – | – | – |
| St Mary's Regional Medical CenterEnid | – | – | – | – |
| Claremore Regional HospitalClaremore | – | – | – | – |
| Grady Memorial HospitalChickasha | – | – | – | – |
| Oklahoma State University Medical CenterTulsa | – | – | – | – |
| Southwestern Medical CenterLawton | – | – | – | – |
| Cushing Regional HospitalCushing | – | – | – | – |
| Integris Grove General HospGrove | – | – | – | – |
| Elkview General HospitalHobart | – | – | – | – |
| Lakeside Women's HospitalOklahoma City | – | – | – | – |
| Oklahoma Spine HospitalOklahoma City | – | – | – | – |
| Integris Canadian Valley HospitalYukon | – | – | – | – |
| Oklahoma Heart HospitalOklahoma City | – | – | – | – |
| Tulsa Spine & Specialty HospitalTulsa | – | – | – | – |
| Onecore HealthOklahoma City | – | – | – | – |
| Summit Medical CenterEdmond | – | – | – | – |
| St John OwassoOwasso | – | – | – | – |
| Bailey Medical Center, L L COwasso | – | – | – | – |
| Integris Health Edmond HospitalEdmond | – | – | – | – |
| Stillwater Medical - PerryPerry | – | – | – | – |
| Elkview General HospitalHobart | – | – | – | – |
Lowest and highest allowed amounts in Oklahoma
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
| O U Medical CenterOklahoma City, OK | $1,695 |
|---|---|
| Comanche County Memorial HospitalLawton, OK | $2,057 |
| Norman Regional Health SystemNorman, OK | $2,231 |
| Oklahoma Surgical Hospital, LLCTulsa, OK | $2,240 |
| Saint Francis Hospital SouthTulsa, OK | $2,265 |
Highest
| Jackson County Memorial HospitalAltus, OK | $2,639 |
|---|---|
| Mercy Hospital AdaAda, OK | $2,622 |
| Duncan Regional Hospital, INCDuncan, OK | $2,585 |
| McAlester Regional Health CenterMcAlester, OK | $2,584 |
| Mercy Memorial Health CenterArdmore, OK | $2,577 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Oklahoma?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 56 hospitals in Oklahoma was billed at $17,581 on average, while the average medicare-allowed amount was $2,315, of which Medicare paid $1,836. 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 Oklahoma, average charges were 7.6 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.