Level 3 Excision/Biopsy/Incision and Drainage in Oregon
What 31 hospitals in Oregon charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$17,345
Hospital list price billed
Average allowed
$3,054
Medicare's payment + patient's share
Medicare paid
$2,428
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $17,345 for level 3 excision/biopsy/incision and drainage, about 5.7 times the average medicare-allowed amount of $3,054. That payment is 13% 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 $3,054Billed $17,345
About 18¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 3 excision/biopsy/incision and drainage
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 436 | $21,685 | $2,973 | $2,367 |
| Rogue Valley Medical CenterMedford | 173 | $17,683 | $3,402 | $2,700 |
| St Charles Medical Center - BendBend | 115 | $14,582 | $3,002 | $2,390 |
| Providence Portland Medical CenterPortland | 70 | $13,186 | $2,905 | $2,307 |
| Salem HospitalSalem | 61 | $14,810 | $3,079 | $2,435 |
| Three Rivers Community HospitalGrants Pass | 52 | $17,321 | $2,803 | $2,234 |
| Sky Lakes Medical CenterKlamath Falls | 49 | $16,200 | $3,695 | $2,933 |
| Good Samaritan Regional Medical CenterCorvallis | 41 | $12,608 | $2,878 | $2,293 |
| Bay Area HospitalCoos Bay | 40 | $12,286 | $3,047 | $2,411 |
| Providence St Vincent Medical CenterPortland | 32 | $14,627 | $2,981 | $2,375 |
| Legacy Good Samaritan Medical CenterPortland | 29 | $11,735 | $2,879 | $2,294 |
| Legacy Meridian Park Medical CenterTualatin | 29 | $11,521 | $2,981 | $2,375 |
| Sacred Heart Medical Center - RiverbendSpringfield | 29 | $20,542 | $2,956 | $2,353 |
| Providence Medford Medical CenterMedford | 27 | $14,232 | $3,450 | $2,740 |
| Samaritan Albany General HospitalAlbany | 23 | $10,627 | $2,950 | $2,348 |
| Mercy Medical CenterRoseburg | 22 | $13,998 | $2,992 | $2,361 |
| Adventist Medical CenterPortland | 21 | $19,319 | $2,981 | $2,375 |
| Hillsboro Medical CenterHillsboro | 18 | $20,578 | $2,981 | $2,375 |
| Legacy Emanuel Medical CenterPortland | 17 | $16,839 | $2,631 | $2,096 |
| Legacy Mount Hood Medical CenterGresham | 15 | $11,371 | $2,823 | $2,217 |
| Providence Milwaukie HospitalMilwaukie | 12 | $13,138 | $2,982 | $2,360 |
| Providence Newberg HospitalNewberg | 11 | $13,106 | $2,981 | $2,375 |
| Mid-Columbia Medical CenterThe Dalles | – | – | – | – |
| Ashland Community HospitalAshland | – | – | – | – |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Silverton Hospital NetworkSilverton | – | – | – | – |
| Providence Willamette Falls Medical CenterOregon City | – | – | – | – |
| St Alphonsus Medical Center - Ontario, INCOntario | – | – | – | – |
| Santiam Memorial HospitalStayton | – | – | – | – |
| Willamette Valley Medical CtrMcMinnville | – | – | – | – |
| Kaiser Sunnyside Medical CenterClackamas | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Legacy Emanuel Medical CenterPortland, OR | $2,631 |
|---|---|
| Three Rivers Community HospitalGrants Pass, OR | $2,803 |
| Legacy Mount Hood Medical CenterGresham, OR | $2,823 |
| Good Samaritan Regional Medical CenterCorvallis, OR | $2,878 |
| Legacy Good Samaritan Medical CenterPortland, OR | $2,879 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $3,695 |
|---|---|
| Providence Medford Medical CenterMedford, OR | $3,450 |
| Rogue Valley Medical CenterMedford, OR | $3,402 |
| Salem HospitalSalem, OR | $3,079 |
| Bay Area HospitalCoos Bay, OR | $3,047 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Oregon?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 31 hospitals in Oregon was billed at $17,345 on average, while the average medicare-allowed amount was $3,054, of which Medicare paid $2,428. 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 Oregon, average charges were 5.7 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.