Level 3 Excision/Biopsy/Incision and Drainage in Tennessee
What 67 hospitals in Tennessee charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$16,805
Hospital list price billed
Average allowed
$2,308
Medicare's payment + patient's share
Medicare paid
$1,830
Average per service
State rank
#3 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $16,805 for level 3 excision/biopsy/incision and drainage, about 7.3 times the average medicare-allowed amount of $2,308. 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 $2,308Billed $16,805
About 14¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 3 excision/biopsy/incision and drainage
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 570 | $15,543 | $2,304 | $1,834 |
| Univ of Tn Mem HospitalKnoxville | 257 | $9,066 | $2,257 | $1,790 |
| Jackson-Madison Cnty Gen HospJackson | 140 | $11,225 | $2,495 | $1,976 |
| Baptist Memorial HospitalMemphis | 114 | $15,859 | $2,365 | $1,872 |
| Johnson City Medical CenterJohnson City | 102 | $31,955 | $2,451 | $1,948 |
| Centennial Medical CenterNashville | 89 | $39,417 | $2,417 | $1,919 |
| Baptist Memorial Hospital TiptonCovington | 83 | $5,537 | $1,981 | $1,572 |
| Wellmont Holston Vly Med CtrKingsport | 78 | $16,830 | $2,398 | $1,893 |
| Wellmont Bristol Regional Medical CenterBristol | 75 | $13,160 | $2,366 | $1,863 |
| St Thomas HospitalNashville | 75 | $14,654 | $2,423 | $1,923 |
| Memorial Healthcare System, INCChattanooga | 70 | $18,017 | $2,359 | $1,874 |
| Regional One HealthMemphis | 69 | $7,156 | $1,124 | $893 |
| Maury Regional HospitalColumbia | 63 | $16,638 | $2,291 | $1,802 |
| Cookeville Regional Med CenterCookeville | 61 | $7,998 | $2,606 | $2,077 |
| Erlanger Medical CenterChattanooga | 58 | $14,958 | $2,337 | $1,843 |
| Methodist Healthcare-MemphisMemphis | 57 | $20,996 | $2,344 | $1,868 |
| Saint Thomas Rutherford HospitalMurfreesboro | 57 | $14,514 | $2,427 | $1,933 |
| Blount Memorial HospitalMaryville | 42 | $15,612 | $2,469 | $1,967 |
| Parkwest Medical CenterKnoxville | 42 | $8,557 | $2,212 | $1,731 |
| Fort Sanders Reg Medical CtrKnoxville | 36 | $10,217 | $2,296 | $1,819 |
| Summit Medical CenterHermitage | 34 | $29,854 | $2,448 | $1,950 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 33 | $7,370 | $2,287 | $1,809 |
| Physicians Regional Medical CenterKnoxville | 31 | $31,978 | $2,343 | $1,867 |
| Morristown-Hamblen HospitalMorristown | 29 | $7,393 | $2,343 | $1,864 |
| St Francis HospitalMemphis | 28 | $39,659 | $2,127 | $1,639 |
| Williamson Medical CenterFranklin | 25 | $14,300 | $2,448 | $1,950 |
| Leconte Medical CenterSevierville | 25 | $7,907 | $2,269 | $1,789 |
| Sumner Regional Medical CenterGallatin | 24 | $37,541 | $2,437 | $1,939 |
| Cleveland Community HospitalCleveland | 23 | $28,991 | $2,422 | $1,910 |
| Hendersonville Medical CenterHendersonville | 20 | $38,724 | $2,253 | $1,755 |
| Vanderbilt Clarksville HospitalClarksville | 19 | $26,212 | $2,507 | $1,967 |
| Vanderbilt Wilson County HospitalLebanon | 19 | $27,462 | $2,448 | $1,950 |
| Henry County Medical CenterParis | 18 | $12,645 | $2,343 | $1,864 |
| Saint Francis Bartlett Medical CenterBartlett | 13 | $34,360 | $2,106 | $1,618 |
| Baptist Memorial Hospital Union CityUnion City | 12 | $14,666 | $2,383 | $1,899 |
| Vanderbilt Bedford HospitalShelbyville | 12 | $31,843 | $2,434 | $1,939 |
| Parkridge Medical CenterChattanooga | 12 | $27,577 | $2,262 | $1,769 |
| Skyline Medical CenterNashville | 11 | $57,735 | $2,271 | $1,773 |
| Unity Medical CenterManchester | – | – | – | – |
| Cumberland Medical CenterCrossville | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Sycamore Shoals HospitalElizabethton | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Lafollette Medical CenterLa Follette | – | – | – | – |
| Horizon Medical CenterDickson | – | – | – | – |
| Greeneville Community HospitalGreeneville | – | – | – | – |
| St Mary's Jefferson Memorial HospitalJefferson City | – | – | – | – |
| Claiborne County HospitalTazewell | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Milan General HospitalMilan | – | – | – | – |
| Volunteer Community HospitalMartin | – | – | – | – |
| Tristar Northcrest Medical CenterSpringfield | – | – | – | – |
| Athens Regional Medical CenterAthens | – | – | – | – |
| Dyersburg Regional Medical CenterDyersburg | – | – | – | – |
| Sweetwater Hospital AssociationSweetwater | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Fort Sanders Loudon Med CenterLoudon | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
| River Park HospitalMcMinnville | – | – | – | – |
| Tennova Healthcare - Newport Medical CenterNewport | – | – | – | – |
| Crockett HospitalLeoma | – | – | – | – |
| Indian Path Medical CenterKingsport | – | – | – | – |
| Franklin Woods Community HospitalJohnson City | – | – | – | – |
| Livingston Regional HospitalLivingston | – | – | – | – |
| Saint Thomas Highlands HospitalSparta | – | – | – | – |
| Southern Hills Medical CtrNashville | – | – | – | – |
| Stonecrest Medical CenterSmyrna | – | – | – | – |
Lowest and highest allowed amounts in Tennessee
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
| Regional One HealthMemphis, TN | $1,124 |
|---|---|
| Baptist Memorial Hospital TiptonCovington, TN | $1,981 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $2,106 |
| St Francis HospitalMemphis, TN | $2,127 |
| Parkwest Medical CenterKnoxville, TN | $2,212 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $2,606 |
|---|---|
| Vanderbilt Clarksville HospitalClarksville, TN | $2,507 |
| Jackson-Madison Cnty Gen HospJackson, TN | $2,495 |
| Blount Memorial HospitalMaryville, TN | $2,469 |
| Johnson City Medical CenterJohnson City, TN | $2,451 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Tennessee?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 67 hospitals in Tennessee was billed at $16,805 on average, while the average medicare-allowed amount was $2,308, of which Medicare paid $1,830. 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 Tennessee, average charges were 7.3 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.