facebook tracking Level 3 Excision/Biopsy/Incision and Drainage cost in Washington: 48 hospitals compared (APC 5073)

Level 3 Excision/Biopsy/Incision and Drainage in Washington

What 48 hospitals in Washington 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 $18,372 Hospital list price billed
Average allowed $2,906 Medicare's payment + patient's share
Medicare paid $2,310 Average per service
State rank #40 of 49 1 = lowest average payment

Hospitals in Washington billed an average of $18,372 for level 3 excision/biopsy/incision and drainage, about 6.3 times the average medicare-allowed amount of $2,906. That payment is 8% 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 $2,906Billed $18,372

About 16¢ was paid for every $1 hospitals in Washington billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Fred Hutchinson Cancer CenterSeattle 628 $19,806 $2,891 $2,301
Kadlec Regional Medical CenterRichland 168 $15,535 $2,828 $2,244
Swedish Medical CenterSeattle 154 $22,444 $2,999 $2,379
St Michael Medical CenterBremerton 140 $21,146 $3,030 $2,405
University of Washington Medical CtrSeattle 121 $18,813 $2,833 $2,253
Olympic Medical CenterPort Angeles 101 $8,640 $3,054 $2,433
Confluence Health HospitalWenatchee 97 $12,685 $3,052 $2,426
Skagit Valley HospitalMt Vernon 95 $15,241 $2,873 $2,289
Virginia Mason Medical CenterSeattle 94 $13,763 $2,767 $2,192
Providence Sacred Heart Medical CenterSpokane 84 $19,305 $2,839 $2,260
Evergreenhealth Medical CenterKirkland 80 $10,893 $2,873 $2,280
Yakima Valley Memorial HospitalYakima 76 $12,566 $3,022 $2,402
Swedish Edmonds HospitalEdmonds 74 $17,139 $2,887 $2,296
Tacoma General HospitalTacoma 73 $24,268 $2,864 $2,264
Providence Regional Medical Center EverettEverett 71 $19,983 $2,902 $2,312
Valley Hospital & Medical CenterSpokane 65 $17,415 $2,822 $2,243
Providence St Peter HospitalOlympia 64 $17,613 $2,873 $2,287
Valley Medical CenterRenton 62 $17,595 $2,865 $2,274
Good Samaritan Hospital & Rehab CenterPuyallup 60 $21,575 $2,889 $2,292
Deaconess Medical CenterSpokane 51 $17,607 $2,852 $2,272
Peacehealth St Joseph Medical CenterBellingham 50 $17,045 $3,054 $2,434
Overlake Hospital Medical CenterBellevue 43 $19,974 $2,848 $2,258
St Joseph Medical CenterTacoma 42 $33,395 $2,928 $2,330
Capital Medical CenterOlympia 39 $17,418 $2,793 $2,213
Legacy Salmon Creek Medical CenterVancouver 37 $9,307 $2,917 $2,311
Providence St Mary Medical CenterWalla Walla 36 $15,691 $3,054 $2,434
Harborview Medical CenterSeattle 35 $20,201 $2,852 $2,267
S W Washington Medical CenterVancouver 29 $16,710 $2,981 $2,375
St Anthony HospitalGig Harbor 29 $29,572 $2,928 $2,333
St Clare HospitalLakewood 27 $36,453 $2,928 $2,329
Swedish IssaquahIssaquah 26 $16,912 $2,813 $2,223
Highline Medical CenterBurien 21 $26,134 $2,902 $2,303
Peachealth St John Medical CenterLongview 20 $19,555 $3,160 $2,510
Trios HealthKennewick 20 $20,611 $2,852 $2,262
St Francis Community HospitalFederal Way 12 $32,821 $2,517 $1,919
Island HospitalAnacortes 11 $11,544 $2,873 $2,289
Auburn Regional Medical CenterAuburn – – – –
Providence Centralia HospitalCentralia – – – –
Swedish Medical Center/Cherry HillSeattle – – – –
Grays Harbor Community HospitalAberdeen – – – –
Samaritan HospitalMoses Lake – – – –
Toppenish Community HospitalToppenish – – – –
Group Health Central HospitalSeattle – – – –
Cascade Valley HospitalArlington – – – –
Providence Holy Family HospitalSpokane – – – –
Evergreenhealth MonroeMonroe – – – –
Multicare Covington Medical CenterCovington – – – –
Seattle Children's HospitalSeattle – – – –
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Lowest and highest allowed amounts in Washington

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

St Francis Community HospitalFederal Way, WA$2,517
Virginia Mason Medical CenterSeattle, WA$2,767
Capital Medical CenterOlympia, WA$2,793
Swedish IssaquahIssaquah, WA$2,813
Valley Hospital & Medical CenterSpokane, WA$2,822

Highest

Peachealth St John Medical CenterLongview, WA$3,160
Olympic Medical CenterPort Angeles, WA$3,054
Providence St Mary Medical CenterWalla Walla, WA$3,054
Peacehealth St Joseph Medical CenterBellingham, WA$3,054
Confluence Health HospitalWenatchee, WA$3,052

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

Questions

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

In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 48 hospitals in Washington was billed at $18,372 on average, while the average medicare-allowed amount was $2,906, of which Medicare paid $2,310. 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 Washington, average charges were 6.3 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.