facebook tracking Level 3 Excision/Biopsy/Incision and Drainage cost in Texas: 252 hospitals compared (APC 5073)

Level 3 Excision/Biopsy/Incision and Drainage in Texas

What 252 hospitals in Texas charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.

APC 5073 Outpatient 2024 Medicare data
Average charge $24,668 Hospital list price billed
Average allowed $2,547 Medicare's payment + patient's share
Medicare paid $2,024 Average per service
State rank #25 of 49 1 = lowest average payment

Hospitals in Texas billed an average of $24,668 for level 3 excision/biopsy/incision and drainage, about 9.7 times the average medicare-allowed amount of $2,547. That payment is 6% 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 $2,547Billed $24,668

About 10¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 3 excision/biopsy/incision and drainage

Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Tx M D Anderson CtrHouston 3,313 $20,320 $2,622 $2,086
UT Southwestern University HospitalDallas 578 $28,289 $2,530 $2,010
Methodist Hospital,TheHouston 179 $37,969 $2,538 $2,005
St David's South Austin Medical CenterAustin 166 $27,630 $2,489 $1,981
Trinity Mother Frances SystTyler 153 $23,068 $2,438 $1,938
Scott & White Memorial HospitalTemple 151 $17,384 $2,552 $2,025
Mem Hermann Southwest HospHouston 150 $25,858 $2,517 $2,000
Medical City Dallas HospitalDallas 150 $52,449 $2,546 $2,025
Methodist HospitalSan Antonio 140 $35,611 $2,447 $1,942
Scott & White Hospital-Round RockRound Rock 124 $17,393 $2,485 $1,976
Baylor University Medical CenterDallas 123 $19,473 $2,480 $1,969
Methodist Sugar Land HospitalSugar Land 121 $29,167 $2,617 $2,081
Baptist Medical CenterSan Antonio 117 $59,524 $2,432 $1,930
Hendrick Health SystemAbilene 103 $33,501 $2,582 $2,053
Bsa HospitalAmarillo 101 $23,800 $2,379 $1,886
Baylor Regional Medical Center at PlanoPlano 100 $13,405 $2,537 $2,014
Texas Health Presbyterian Hospital DallasDallas 92 $18,295 $2,529 $2,013
Houston Methodist the Woodlands HospitalThe Woodlands 86 $30,785 $2,525 $2,001
Texoma Healthcare SystemDenison 85 $23,123 $2,509 $1,989
Memorial Hermann Texas Medical CenterHouston 80 $31,309 $2,635 $2,096
United Regional Hlth Care SystWichita Falls 77 $18,626 $2,625 $2,083
Baylor Regional Medical Center at GrapevineGrapevine 77 $13,215 $2,486 $1,962
Houston Methodist West HospitalHouston 77 $34,738 $2,576 $2,040
Shannon Medical CenterSan Angelo 73 $14,451 $2,612 $2,075
Denton Community HospitalDenton 73 $19,178 $2,537 $2,016
St Lukes Episcopal HospitalHouston 69 $31,775 $2,597 $2,069
CHRISTUS Santa Rosa HospitalSan Antonio 67 $33,173 $2,466 $1,963
CHRISTUS St Michael Health SystemTexarkana 67 $19,117 $2,436 $1,929
Methodist Willowbrook HospitalHouston 67 $34,790 $2,635 $2,099
East Texas Medical CenterTyler 65 $23,635 $2,428 $1,934
Hillcrest Baptist Med CenterWaco 63 $16,229 $2,526 $2,006
Houston Methodist Clear Lake HospitalHouston 62 $31,524 $2,601 $2,065
CHRISTUS HospitalBeaumont 61 $12,775 $2,600 $2,060
Baylor All Saints Medical Center at FwFort Worth 59 $21,042 $2,531 $2,009
Baylor Medical Center at WaxahachieWaxahachie 58 $11,547 $2,495 $1,973
North Austin Medical CenterAustin 57 $36,188 $2,501 $1,992
University of Texas Medical Branch GalGalveston 56 $26,486 $2,635 $2,099
Providence Health CenterWaco 56 $16,156 $2,537 $2,017
Covenant Medical CenterLubbock 53 $46,728 $2,466 $1,961
Texas Health Harris Methodist Fort WorthFort Worth 53 $15,648 $2,557 $2,036
Titus Regional Medical CenterMt Pleasant 51 $12,068 $2,602 $2,064
Medical Center of PlanoPlano 51 $50,903 $2,557 $2,037
University Medical CenterLubbock 51 $23,830 $2,427 $1,926
Texas Health Presbyterian Hospital PlanoPlano 51 $23,422 $2,517 $1,997
Baylor Scott & White Medical Center- College StatiCollege Station 51 $17,892 $2,553 $2,017
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 50 $13,740 $2,354 $1,859
Doctors Hospital at RenaissanceEdinburg 50 $34,733 $2,466 $1,950
Round Rock Medical CenterRound Rock 49 $41,011 $2,460 $1,952
Baylor Scott and White Medical Center McKinneyMc Kinney 49 $12,103 $2,557 $2,037
St Davids HospitalAustin 47 $54,053 $2,501 $1,991
Mem Hermann Mem City HospHouston 46 $21,166 $2,589 $2,054
Texas Health Arlington Memorial HospitalArlington 44 $13,882 $2,565 $2,044
Texas Health Presbyterian Hospital RockwallRockwall 44 $16,253 $2,557 $2,037
Good Shepherd Medical Center MarshallMarshall 42 $25,874 $2,528 $2,014
Baylor Medical Center at IrvingIrving 42 $18,442 $2,509 $1,988
University Health SystemSan Antonio 42 $17,129 $2,466 $1,959
Memorial Hermann Sugar Land HospitalSugar Land 42 $22,563 $2,635 $2,099
Mem Hermann Baptist HospitalBeaumont 41 $20,078 $2,573 $2,050
Texas Health Presbyterian Hospital AllenAllen 40 $21,022 $2,557 $2,034
Citizens Medical CenterVictoria 39 $20,846 $2,480 $1,969
Clear Lake Regional Medical CenterWebster 39 $58,346 $2,635 $2,096
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 39 $20,354 $2,565 $2,042
Houston Methodist Baytown HospitalBaytown 38 $32,097 $2,566 $2,041
Texas Health Harris Methodist Hospital Southwest FFort Worth 37 $16,939 $2,510 $1,989
Quail Creek Surgical HospitalAmarillo 37 $13,656 $2,226 $1,752
Baylor Scott & White Medical Center - Marble FallsMarble Falls 37 $15,951 $2,641 $2,104
Memorial Hermann Katy HospitalKaty 36 $23,711 $2,635 $2,099
St Joseph Regional Health CenterBryan 35 $37,971 $2,366 $1,854
Denton Regional Medical CenterDenton 35 $39,351 $2,565 $2,042
Memorial Hermann NortheastHumble 35 $19,744 $2,440 $1,917
Kingwood Medical CenterKingwood 35 $46,494 $2,635 $2,099
Methodist Mansfield Medical CenterMansfield 34 $15,845 $2,505 $1,983
Texas Health Presbyterian Hospital Flower MoundFlower Mound 34 $24,648 $2,565 $2,038
Jps Health NetworkFort Worth 33 $16,791 $2,457 $1,939
University Medical Center at BrackenridgeAustin 33 $30,913 $2,454 $1,945
Methodist Richardson Medical CenterRichardson 32 $16,832 $2,509 $1,999
Seton Medical Center WilliamsonRound Rock 32 $22,821 $2,506 $1,986
Midland Memorial HospitalMidland 31 $23,449 $2,259 $1,787
Tomball Regional HospitalTomball 31 $41,335 $2,635 $2,096
Hill Country Memorial HospitalFredericksburg 28 $24,138 $2,466 $1,962
Longview Regional Medical CenterLongview 28 $46,860 $2,528 $2,010
Methodist Charlton Medical CenterDallas 28 $13,622 $2,557 $2,037
Lake Pointe Medical CenterRowlett 28 $18,735 $2,557 $2,037
North Central Surgical Center LLPDallas 28 $11,796 $2,393 $1,888
University Medical Center of El PasoEl Paso 26 $15,773 $1,878 $1,481
Adventhealth Central TexasKilleen 26 $14,016 $2,593 $2,066
Methodist Stone Oak HospitalSan Antonio 26 $32,676 $2,321 $1,813
Medical Center HospitalOdessa 25 $13,910 $2,466 $1,964
Paris Regional Medical CenterParis 25 $39,087 $2,739 $2,182
Seton Medical Center AustinAustin 24 $25,070 $2,336 $1,811
Detar Hospital NavarroVictoria 23 $50,490 $2,316 $1,804
Hunt Regional Medical CenterGreenville 23 $9,932 $2,482 $1,962
University of Texas Health Science Center at TylerTyler 23 $12,474 $1,823 $1,433
St Luke's the Woodlands HospitalConroe 23 $44,817 $2,635 $2,099
Parkland Health and Hospital SystemDallas 21 $27,695 $2,557 $2,037
Las Palmas Medical CenterEl Paso 21 $40,237 $2,348 $1,871
Sid Peterson Memorial HospitalKerrville 20 $12,099 $2,466 $1,959
Medical City DecaturDecatur 19 $38,278 $2,566 $2,031
Baylor Orthopedic and Spine Hospital at ArlingtonArlington 19 $11,344 $2,295 $1,829
Guadalupe Regional Medical CenterSeguin 18 $11,298 $1,945 $1,528
Huguley Health SystemFort Worth 18 $16,663 $2,565 $2,044
Tops Surgical Specialty HospitalHouston 18 $14,011 $2,549 $2,003
Medical Center of McKinneyMcKinney 17 $33,494 $2,443 $1,918
Brownwood Regional Medical CenterBrownwood 17 $33,207 $2,641 $2,104
Texas Institute for Surgery at Presbyterian HospitDallas 17 $11,862 $2,557 $2,037
Covenant Children's HospitalLubbock 17 $23,449 $2,466 $1,956
Cedar Park Regional Medical CenterCedar Park 17 $35,642 $2,384 $1,870
Seton Medical Center Harker HeightsHarker Heights 17 $9,738 $2,593 $2,059
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos 16 $34,452 $2,501 $1,993
Baylor Medical Center at CarrolltonCarrollton 16 $17,828 $2,554 $2,032
Texas Orthopedic HospitalHouston 16 $34,580 $2,635 $2,099
Texas Health Hospital FriscoFrisco 16 $22,138 $2,557 $2,026
Weatherford Regional Medical CenterWeatherford 15 $43,530 $2,565 $2,044
Northwest Texas Hlthcare SystAmarillo 15 $40,305 $2,466 $1,964
Columbus Community HospitalColumbus 15 $9,057 $2,471 $1,969
Doctors Hospital of LaredoLaredo 15 $42,134 $2,466 $1,958
Memorial Hermann Surgical Hospital KingwoodKingwood 15 $17,015 $2,635 $2,099
Texas Health Harris Methodist Hospital AllianceFort Worth 15 $21,692 $2,565 $2,040
Resolute Health HospitalNew Braunfels 15 $33,369 $2,471 $1,969
Laredo Medical CenterLaredo 14 $38,790 $2,480 $1,962
Methodist Dallas Medical CenterDallas 14 $19,378 $2,557 $2,030
Lubbock Heart Hospital LpLubbock 14 $12,416 $2,466 $1,964
Baylor Medical Center at Trophy ClubRoanoke 14 $15,698 $2,515 $2,004
Lifecare Specialty HospitalDallas 14 $17,694 $2,553 $2,033
Baylor Scott and White Surgical Hospital at ShermaSherman 14 $20,530 $2,480 $1,976
Medical City AllianceFort Worth 14 $15,724 $2,565 $2,044
Valley Baptist Medical CenterHarlingen 13 $52,246 $2,466 $1,964
CHI St Lukes Health Memorial LufkinLufkin 13 $21,027 $2,276 $1,808
Lake Granbury Medical CenterGranbury 13 $35,962 $2,566 $2,031
Texas Spine and Joint HospitalTyler 13 $16,625 $2,466 $1,964
Seton Medical Center HaysKyle 13 $20,694 $2,501 $1,978
South Texas Health SystemEdinburg 12 $78,082 $2,302 $1,785
Corpus Christi Medical Center,TheCorpus Christi 12 $41,173 $2,569 $2,047
Patients Medical Center, LtdPasadena 12 $17,034 $2,635 $2,099
Sierra Providence East Medical CenterEl Paso 12 $50,024 $2,291 $1,801
Townsen Memorial HospitalHumble 12 $49,867 $1,713 $1,365
Mary Shiels HospitalDallas 11 $12,485 $2,557 $2,020
Rio Grande Regional HospitalMcAllen 11 $42,636 $2,466 $1,964
Baylor Medical Center at FriscoFrisco 11 $18,380 $2,557 $2,037
Texas Regional Medical Center at SunnyvaleSunnyvale 11 $40,080 $2,557 $2,037
Providence Memorial HospitalEl Paso – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Rolling Plains Memorial HospitalSweetwater – – – –
Brazosport Regional Health SystemLake Jackson – – – –
CHRISTUS Spohn HospitalBeeville – – – –
North Hills HospitalNorth Richland Hills – – – –
North Texas Medical CenterGainesville – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Connally Memorial Medical CenterFloresville – – – –
Knapp Medical CenterWeslaco – – – –
Ascension Seton SmithvilleSmithville – – – –
Texas Health Harris Methodist Hospital CleburneCleburne – – – –
Val Verde Regional Medical CenterDel Rio – – – –
Hereford Regional Medical CenterHereford – – – –
Grace Medical CenterLubbock – – – –
Methodist Hospital AtascosaJourdanton – – – –
Mission Regional Medical CenterMission – – – –
East Texas Medical Center JacksonvilleJacksonville – – – –
Wadley Regional Medical CenterTexarkana – – – –
Conroe Regional Medical CenterConroe – – – –
Memorial HospitalGonzales – – – –
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs – – – –
Faith Community HospitalJacksboro – – – –
Harris County Hospital DistrictHouston – – – –
Texas Health Presbyterian Hospital KaufmanKaufman – – – –
Oakbend Medical CenterRichmond – – – –
Huntsville Memorial HospitalHuntsville – – – –
Texas Health Harris Methodist Hospital StephenvillStephenville – – – –
Dallas Medical CenterDallas – – – –
East Texas Medical Center AthensAthens – – – –
CHI St Lukes Health Memorial LivingstonLivingston – – – –
Parkview Regional HospitalMexia – – – –
Texas Health Harris Methodist Hospital AzleAzle – – – –
Navarro Regional HospitalCorsicana – – – –
Glen Rose Medical CenterGlen Rose – – – –
Matagorda General HospitalBay City – – – –
Etmc HendersonHenderson – – – –
Woodland Heights Medical CenterLufkin – – – –
Nacogdoches Memorial HospitalNacogdoches – – – –
The Medical Center of Southeast TexasPort Arthur – – – –
Covenant Hospital PlainviewPlainview – – – –
Palo Pinto General HospitalMineral Wells – – – –
Wilbarger General HospitalVernon – – – –
Cuero Community HospitalCuero – – – –
Houston Northwest Medical CenterHouston – – – –
West Houston Medical CenterHouston – – – –
Nacogdoches Medical CenterNacogdoches – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Odessa Regional HospitalOdessa – – – –
Valley Regional Medical CenterBrownsville – – – –
Sierra Medical CenterEl Paso – – – –
Medical Center of LewisvilleLewisville – – – –
Plaza Medical Center of Fort WorthFort Worth – – – –
Womans Hospital of Texas,TheHouston – – – –
Medical Center of ArlingtonArlington – – – –
White Rock Medical CenterDallas – – – –
Dallas Regional Medical CenterMesquite – – – –
Healthsouth Surgical HospitalAustin – – – –
Las Colinas Medical CenterIrving – – – –
Cornerstone Regional HospitalEdinburg – – – –
Kell West Regional HospitalWichita Falls – – – –
Surgery Specialty Hospitals of America SE HoustonPasadena – – – –
Ennis Regional Medical CenterEnnis – – – –
Physicians Centre,TheBryan – – – –
Baylor Heart and Vascular HospitalDallas – – – –
Harlingen Medical CenterHarlingen – – – –
South Texas Spine and Surgical HospitalSan Antonio – – – –
Sugar Land Surgical Hospital LLPSugar Land – – – –
Seton Southwest HospitalAustin – – – –
Seton Northwest HospitalAustin – – – –
Usmd Hospital at Arlington L PArlington – – – –
Baylor Surgical Hospital at las ColinasIrving – – – –
Baylor Surgical Hospital at Fort WorthFort Worth – – – –
Centennial Medical CenterFrisco – – – –
Texas Health Harris Methodist Hospital SouthlakeSouthlake – – – –
Texas Health Center for Diagnostics & Surgery PlanPlano – – – –
The Heart Hospital Baylor DentonDenton – – – –
Cornerstone Specialty Hospitals AustinAustin – – – –
Post Acute Medical at Luling LLCLuling – – – –
Pam Specialty Hospital of Victoria NorthVictoria – – – –
Horizon Medical Center of DentonDenton – – – –
Driscoll Children's HospitalCorpus Christi – – – –
Texas Childrens HospitalHouston – – – –
El Paso Children's HospitalEl Paso – – – –
Houston Physicians' HospitalWebster – – – –
The Heart Hospital Baylor PlanoPlano – – – –
St Luke's Sugar Land HospitalSugar Land – – – –
Foundation Surgical Hospital of San AntonioSan Antonio – – – –
St Lukes Lakeside HospitalConroe – – – –
Baylor Scott & White Emergency HospitalAubrey – – – –
Methodist McKinney HospitalMcKinney – – – –
Texas Health Heart & Vascular Hospital ArlingtonArlington – – – –
Methodist Hospital for SurgeryAddison – – – –
St Luke's Hospital at the VintageHouston – – – –
Baptist Neighborhood Hospital Thousand OaksSan Antonio – – – –
HCA Houston Healthcare PearlandPearland – – – –
Baytown Medical Center LpBaytown – – – –
Legent Orthopedic + SpineSan Antonio – – – –
The Hospitals of Providence Transmountain CampusEl Paso – – – –
Baylor Scott & White Medical Center PflugervillePflugerville – – – –
Baylor Scott & White Medical Center - BudaBuda – – – –
Methodist Southlake Medical CenterSouthlake – – – –
Altus Houston Hospital, LpHouston – – – –
Baylor Scott & White Medical Center- AustinAustin – – – –
Legent Orthopedic HospitalGrapevine – – – –
The Woodlands Specialty HospitalSpring – – – –
North Houston Surgical Hospital LLCSpring – – – –
Methodist Midlothian Medical CenterMidlothian – – – –
Texas Health Hospital MansfieldMansfield – – – –
Legent Surgical Hospital PlanoPlano – – – –
Pam Rehabilitation Hospital of Corpus ChristiCorpus Christi – – – –
Level 3 Excision/Biopsy/Incision and Drainage: all states All Texas hospitals Texas hospital finances
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Lowest and highest allowed amounts in Texas

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 3 Excision/Biopsy/Incision and Drainage in other states

Florida · $2,534 Illinois · $2,553 Indiana · $2,539 New Mexico · $2,543 Pennsylvania · $2,581 Utah · $2,538 Virginia · $2,525 Wisconsin · $2,589

Questions

How much does level 3 excision/biopsy/incision and drainage cost in Texas?

In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 252 hospitals in Texas was billed at $24,668 on average, while the average medicare-allowed amount was $2,547, of which Medicare paid $2,024. 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 Texas, average charges were 9.7 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.