Level 3 Excision/Biopsy/Incision and Drainage in Pennsylvania
What 128 hospitals in Pennsylvania charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$26,486
Hospital list price billed
Average allowed
$2,581
Medicare's payment + patient's share
Medicare paid
$2,052
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $26,486 for level 3 excision/biopsy/incision and drainage, about 10.3 times the average medicare-allowed amount of $2,581. That payment is 4% 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 $2,581Billed $26,486
About 10¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 3 excision/biopsy/incision and drainage
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 606 | $37,241 | $2,694 | $2,144 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 319 | $19,778 | $2,404 | $1,909 |
| Lehigh Valley HospitalAllentown | 239 | $26,117 | $2,588 | $2,059 |
| Temple University HospitalPhiladelphia | 231 | $62,545 | $2,160 | $1,720 |
| Geisinger Medical CenterDanville | 230 | $40,016 | $2,529 | $2,011 |
| Milton S Hershey Medical CenterHershey | 216 | $31,495 | $2,516 | $1,999 |
| Thomas Jefferson University HospitalPhiladelphia | 193 | $19,945 | $2,688 | $2,137 |
| St Luke's Hospital BethlehemBethlehem | 191 | $36,432 | $2,665 | $2,115 |
| Lancaster General HospitalLancaster | 180 | $14,778 | $2,517 | $2,001 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 152 | $36,964 | $2,428 | $1,933 |
| Reading Hospital and Med CtrWest Reading | 123 | $23,633 | $2,596 | $2,068 |
| York HospitalYork | 121 | $11,234 | $2,661 | $2,120 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 113 | $17,059 | $2,863 | $2,280 |
| Chester County HospitalWest Chester | 111 | $17,559 | $2,741 | $2,184 |
| Abington Memorial HospitalAbington | 108 | $15,638 | $2,646 | $2,099 |
| UPMC Presbyterian ShadysidePittsburgh | 91 | $36,540 | $2,538 | $2,022 |
| UPMC Pinnacle HospitalsHarrisburg | 90 | $19,010 | $2,501 | $1,984 |
| Penn Presbyterian Medical CenterPhiladelphia | 72 | $36,434 | $2,594 | $2,060 |
| Fox Chase Cancer CenterPhiladelphia | 70 | $39,886 | $2,698 | $2,137 |
| Main Line Hospital PaoliPaoli | 69 | $12,897 | $2,741 | $2,183 |
| Doylestown HospitalDoylestown | 69 | $14,936 | $2,741 | $2,180 |
| Riddle Memorial HospitalMedia | 69 | $12,840 | $2,761 | $2,199 |
| Dubois Regional Medical CenterDubois | 68 | $21,619 | $2,718 | $2,165 |
| West Penn HospitalPittsburgh | 65 | $30,409 | $2,507 | $1,991 |
| Geisinger-Community Medical CenterScranton | 62 | $32,451 | $2,513 | $2,002 |
| Robert Packer HospitalSayre | 62 | $22,131 | $2,610 | $2,080 |
| Williamsport Hospital & Medical CenterWilliamsport | 61 | $22,160 | $2,538 | $2,022 |
| St Joseph Medical CenterReading | 57 | $22,569 | $2,591 | $2,061 |
| Main Line Hospital LankenauWynnewood | 57 | $13,312 | $2,568 | $2,043 |
| Ephrata Community HospitalEphrata | 57 | $20,713 | $2,546 | $2,027 |
| Grand View HospitalSellersville | 55 | $14,946 | $2,741 | $2,181 |
| Pocono Medical CenterEast Stroudsburg | 53 | $35,197 | $2,719 | $2,166 |
| Chambersburg HospitalChambersburg | 52 | $12,789 | $2,835 | $2,255 |
| Holy Spirit HospitalCamp Hill | 51 | $27,296 | $2,538 | $2,008 |
| Mount Nittany Medical CenterState College | 46 | $17,816 | $2,867 | $2,285 |
| Phoenixville HospitalPhoenixville | 44 | $21,006 | $2,719 | $2,161 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 44 | $24,294 | $2,503 | $1,993 |
| St Mary Medical CenterLanghorne | 42 | $17,270 | $2,750 | $2,176 |
| Altoona Regional Health SystemAltoona | 41 | $15,959 | $2,718 | $2,164 |
| St Luke's Hospital - Anderson CampusEaston | 41 | $39,797 | $2,527 | $2,013 |
| St Luke's Hospital - Monroe CampusStroudsburg | 41 | $35,720 | $2,692 | $2,144 |
| Carlisle Regional Medical CtrCarlisle | 40 | $21,614 | $2,573 | $2,050 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 40 | $12,454 | $2,741 | $2,182 |
| Allegheny General HospitalPittsburgh | 39 | $25,294 | $2,486 | $1,966 |
| Conemaugh Valley Memorial HospitalJohnstown | 39 | $16,806 | $2,718 | $2,166 |
| Hazleton General HospitalHazleton | 38 | $28,755 | $2,538 | $2,017 |
| Lewistown HospitalLewistown | 36 | $22,721 | $1,961 | $1,560 |
| Jefferson Health- NortheastPhiladelphia | 36 | $16,140 | $2,645 | $2,095 |
| Wilkes-Barre General HospitalWilkes-Barre | 36 | $31,835 | $2,484 | $1,963 |
| Jefferson Regional Medical CenterClairton | 35 | $22,818 | $2,494 | $1,984 |
| St Clair Memorial HospitalPittsburgh | 34 | $12,819 | $2,478 | $1,962 |
| Saint Vincent Health CenterErie | 33 | $26,935 | $2,995 | $2,382 |
| Good Samaritan HospitalLebanon | 33 | $11,384 | $2,531 | $2,013 |
| St Luke's Quakertown HospitalQuakertown | 32 | $45,950 | $2,502 | $1,980 |
| Lansdale HospitalLansdale | 31 | $12,537 | $2,597 | $2,055 |
| Jameson Memorial HospitalNew Castle | 31 | $11,696 | $2,478 | $1,958 |
| Uniontown HospitalUniontown | 31 | $9,586 | $2,538 | $2,022 |
| Mercy Hospital ScrantonScranton | 31 | $37,500 | $2,489 | $1,983 |
| Pottstown Memorial Med CenterPottstown | 30 | $23,356 | $2,666 | $2,113 |
| Hamot Medical CenterErie | 29 | $23,242 | $2,995 | $2,386 |
| Meadville Medical CenterMeadville | 29 | $34,877 | $2,670 | $2,118 |
| UPMC EastMonroeville | 29 | $30,177 | $2,538 | $2,022 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 28 | $19,935 | $2,269 | $1,808 |
| Surgical Institute of ReadingWyomissing | 28 | $10,554 | $2,467 | $1,955 |
| Crozer Chester Medical CenterChester | 27 | $23,537 | $2,638 | $2,102 |
| AHN Wexford HospitalWexford | 27 | $28,047 | $2,538 | $2,022 |
| Washington Hospital, theWashington | 25 | $9,117 | $2,538 | $2,020 |
| Heritage Valley BeaverBeaver | 24 | $11,975 | $2,538 | $2,022 |
| Holy Redeemer Hosp and Med CtrJenkintown | 24 | $16,057 | $2,666 | $2,124 |
| Penn State Health Lancaster Medical CenterLancaster | 24 | $27,786 | $2,421 | $1,910 |
| UPMC LititzLititz | 22 | $13,554 | $2,345 | $1,866 |
| UPMC PassavantPittsburgh | 22 | $23,219 | $2,538 | $2,022 |
| Albert Einstein Medical CenterPhiladelphia | 22 | $15,382 | $2,761 | $2,199 |
| Northwest Medical CenterOil City | 21 | $15,321 | $2,538 | $2,022 |
| Butler Health SystemButler | 21 | $14,168 | $2,465 | $1,962 |
| UPMC MemorialYork | 20 | $16,503 | $2,468 | $1,956 |
| Hanover HospitalHanover | 20 | $15,949 | $2,675 | $2,130 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 20 | $13,074 | $2,666 | $2,114 |
| Evangelical Community HospitalLewisburg | 19 | $23,339 | $2,271 | $1,804 |
| Gettysburg HospitalGettysburg | 19 | $13,156 | $2,063 | $1,644 |
| Indiana Regional Medical CenterIndiana | 19 | $16,119 | $2,723 | $2,166 |
| St Luke's Hospital - Carbon CampusLehighton | 19 | $50,904 | $2,481 | $1,955 |
| UPMC St MargaretPittsburgh | 16 | $23,133 | $2,538 | $2,022 |
| Excela Health Westmoreland Regional HospitalGreensburg | 16 | $11,379 | $2,538 | $2,022 |
| Mercy Health SystemConshohocken | 16 | $24,320 | $2,588 | $2,053 |
| Nazareth HospitalPhiladelphia | 16 | $30,487 | $2,575 | $2,024 |
| Geisinger Medical Center MuncyMuncy | 16 | $16,180 | $2,538 | $2,022 |
| Lehigh Valley Hospital - Dickson CityDickson City | 16 | $18,483 | $2,538 | $2,020 |
| Somerset HospitalSomerset | 15 | $12,898 | $2,718 | $2,163 |
| Wayne Memorial HospitalHonesdale | 14 | $14,548 | $2,726 | $2,172 |
| Allegheny Valley HospitalNatrona Heights | 13 | $15,971 | $2,538 | $2,017 |
| Physicians Care Surgical HospitalRoyersford | 13 | $25,110 | $2,666 | $2,109 |
| Latrobe Area HospitalLatrobe | 12 | $11,388 | $2,157 | $1,719 |
| Oss Orthopaedic HospitalYork | 12 | $9,139 | $2,625 | $2,091 |
| Penn State Health Hampden Medical CenterEnola | 12 | $28,437 | $2,272 | $1,774 |
| Grove City Medical CenterGrove City | 11 | $26,442 | $2,261 | $1,801 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Bloomsburg HospitalBloomsburg | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| UPMC KaneKane | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Mercy Suburban HospitalNorristown | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Waynesboro HospitalWaynesboro | – | – | – | – |
| Warren General HospitalWarren | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Easton HospitalEaston | – | – | – | – |
| ACMH HospitalKittanning | – | – | – | – |
| UPMC HorizonGreenville | – | – | – | – |
| St Luke's Miners Memorial HospitalCoaldale | – | – | – | – |
| Highlands HospitalConnellsville | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Punxsutawney Area HospitalPunxsutawney | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Excela Health Frick HospitalMt Pleasant | – | – | – | – |
| Roxborough Memorial HospitalPhiladelphia | – | – | – | – |
| Bucks County Specialty HospitalBensalem | – | – | – | – |
| Advanced Surgical HospitalWashington | – | – | – | – |
| Wellspan Surgery and Rehabilitation HospitalYork | – | – | – | – |
| Wills Eye HospitalPhiladelphia | – | – | – | – |
| Geisinger St. Luke's HospitalOrwigsburg | – | – | – | – |
| Children's Hosp of PittsburghPittsburgh | – | – | – | – |
| Children's Hospital of PhiladelphiaPhiladelphia | – | – | – | – |
| St Christopher's Hospital for ChildrenPhiladelphia | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Lewistown HospitalLewistown, PA | $1,961 |
|---|---|
| Gettysburg HospitalGettysburg, PA | $2,063 |
| Latrobe Area HospitalLatrobe, PA | $2,157 |
| Temple University HospitalPhiladelphia, PA | $2,160 |
| Grove City Medical CenterGrove City, PA | $2,261 |
Highest
| Saint Vincent Health CenterErie, PA | $2,995 |
|---|---|
| Hamot Medical CenterErie, PA | $2,995 |
| Mount Nittany Medical CenterState College, PA | $2,867 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $2,863 |
| Chambersburg HospitalChambersburg, PA | $2,835 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Pennsylvania?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 128 hospitals in Pennsylvania was billed at $26,486 on average, while the average medicare-allowed amount was $2,581, of which Medicare paid $2,052. 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 Pennsylvania, average charges were 10.3 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.