Level 3 Excision/Biopsy/Incision and Drainage in Virginia
What 69 hospitals in Virginia charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$22,935
Hospital list price billed
Average allowed
$2,525
Medicare's payment + patient's share
Medicare paid
$2,005
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $22,935 for level 3 excision/biopsy/incision and drainage, about 9.1 times the average medicare-allowed amount of $2,525. 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 $2,525Billed $22,935
About 11¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 excision/biopsy/incision and drainage
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Medical College of Virginia HospitalsRichmond | 493 | $32,044 | $2,416 | $1,915 |
| University of Virginia Medical CenterCharlottesville | 463 | $16,839 | $2,566 | $2,043 |
| Winchester Medical Center INCWinchester | 178 | $7,744 | $2,719 | $2,148 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 130 | $21,151 | $2,609 | $2,079 |
| Sentara Leigh HospitalNorfolk | 125 | $23,942 | $2,409 | $1,907 |
| Sentara Norfolk General HospitalNorfolk | 121 | $29,441 | $2,424 | $1,919 |
| Henrico Doctors' HospitalRichmond | 115 | $47,371 | $2,416 | $1,911 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 112 | $21,145 | $2,601 | $2,068 |
| Riverside Regional Medical CenterNewport News | 112 | $12,639 | $2,429 | $1,924 |
| Sentara Rmh Medical CenterHarrisonburg | 104 | $19,587 | $2,794 | $2,226 |
| Inova Fair Oaks HospitalFairfax | 100 | $14,239 | $2,665 | $2,123 |
| Virginia Hospital Center - ArlingtonArlington | 98 | $14,944 | $2,665 | $2,123 |
| Cjw Medical CenterRichmond | 96 | $54,930 | $2,426 | $1,928 |
| Sentara Obici HospitalSuffolk | 94 | $26,754 | $2,374 | $1,881 |
| Carilion Medical CenterRoanoke | 92 | $18,859 | $2,446 | $1,945 |
| Sentara Bayside HospitalVirginia Beach | 88 | $26,291 | $2,450 | $1,947 |
| Inova Alexandria HospitalAlexandria | 84 | $12,473 | $2,618 | $2,074 |
| Sentara Careplex HospitalHampton | 83 | $27,095 | $2,401 | $1,898 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 74 | $22,475 | $2,609 | $2,079 |
| Inova Fairfax HospitalFalls Church | 71 | $14,242 | $2,567 | $2,044 |
| Mary Washington Hospital, INCFredericksburg | 69 | $13,696 | $2,665 | $2,123 |
| Martha Jefferson HospitalCharlottesville | 69 | $18,375 | $2,442 | $1,938 |
| Augusta HealthFishersville | 68 | $15,217 | $2,747 | $2,188 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 66 | $14,316 | $2,410 | $1,916 |
| Sentara Virginia Beach General HospitalVirginia Beach | 61 | $27,384 | $2,440 | $1,932 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 60 | $25,350 | $2,382 | $1,884 |
| Inova Loudoun HospitalLeesburg | 56 | $11,296 | $2,665 | $2,120 |
| Bon Secours - Maryview Medical CenterPortsmouth | 55 | $24,197 | $2,393 | $1,903 |
| Bon Secours - St Francis Medical CenterMidlothian | 55 | $20,323 | $2,436 | $1,934 |
| Inova Mount Vernon HospitalAlexandria | 52 | $14,804 | $2,665 | $2,118 |
| Chesapeake General HospitalChesapeake | 43 | $18,385 | $2,472 | $1,970 |
| Reston Hospital CenterReston | 42 | $18,711 | $2,652 | $2,105 |
| Sentara Northern Virginia Medical CenterWoodbridge | 41 | $20,620 | $2,665 | $2,118 |
| Southside Regional Medical CenterPetersburg | 40 | $45,184 | $2,473 | $1,963 |
| John Randolph Medical CenterHopewell | 35 | $47,626 | $2,472 | $1,964 |
| Danville Regional Medical CenterDanville | 31 | $22,112 | $2,460 | $1,940 |
| Clinch Valley Medical CenterRichlands | 30 | $39,229 | $2,446 | $1,949 |
| Carilion New River Vly Med CtrChristiansburg | 29 | $17,249 | $2,446 | $1,949 |
| Lewisgale Medical CenterSalem | 29 | $54,814 | $2,446 | $1,949 |
| Stafford Hospital CenterStafford | 28 | $13,834 | $2,589 | $2,047 |
| Montgomery Regional HospitalBlacksburg | 25 | $39,324 | $2,377 | $1,870 |
| Culpeper Regional HospitalCulpeper | 24 | $11,210 | $2,600 | $2,057 |
| Prince William HospitalManassas | 24 | $11,529 | $2,687 | $2,141 |
| Riverside Shore Memorial HospitalNassawadox | 21 | $11,056 | $2,620 | $2,078 |
| The Fauquier Hospital, INCWarrenton | 19 | $21,489 | $2,446 | $1,899 |
| Southside Community Hospital, INCFarmville | 18 | $18,398 | $2,648 | $2,109 |
| Johnston Memorial HospitalAbingdon | 16 | $20,208 | $2,446 | $1,939 |
| UVA Health Haymarket Medical CenterHaymarket | 15 | $8,934 | $2,687 | $2,141 |
| Halifax Regional HospitalSouth Boston | 11 | $24,223 | $2,704 | $2,154 |
| Warren Memorial HospitalFront Royal | – | – | – | – |
| Smyth County Community HospitalMarion | – | – | – | – |
| Mary Immaculate HospitalNewport News | – | – | – | – |
| Riverside Tappahannock HospitalTappahannock | – | – | – | – |
| Bedford Memorial HospitalBedford | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Southampton Memorial HospitalFranklin | – | – | – | – |
| Bon Secours - Richmond Community HospitalRichmond | – | – | – | – |
| Bon Secours Southern Virginia Medical CenterEmporia | – | – | – | – |
| Community Memorial Healthcenter, INCSouth Hill | – | – | – | – |
| Wythe County Community HospitalWytheville | – | – | – | – |
| Wellmont Lonesome Pine HospitalBig Stone Gap | – | – | – | – |
| Twin County Regional HospitalGalax | – | – | – | – |
| Pulaski Community HospitalPulaski | – | – | – | – |
| Alleghany Regional HospitalJackson River | – | – | – | – |
| Buchanan General HospitalGrundy | – | – | – | – |
| Riverside Walter Reed HospitalGloucester | – | – | – | – |
| Spotsylvania Regional Medical CenterFredericksburg | – | – | – | – |
| Stonesprings Hospital CenterDulles | – | – | – | – |
| Children's HospitalNorfolk | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Sentara Obici HospitalSuffolk, VA | $2,374 |
|---|---|
| Montgomery Regional HospitalBlacksburg, VA | $2,377 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $2,382 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $2,393 |
| Sentara Careplex HospitalHampton, VA | $2,401 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $2,794 |
|---|---|
| Augusta HealthFishersville, VA | $2,747 |
| Winchester Medical Center INCWinchester, VA | $2,719 |
| Halifax Regional HospitalSouth Boston, VA | $2,704 |
| Prince William HospitalManassas, VA | $2,687 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Virginia?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 69 hospitals in Virginia was billed at $22,935 on average, while the average medicare-allowed amount was $2,525, of which Medicare paid $2,005. 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 Virginia, average charges were 9.1 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.