What 48 hospitals in Washington charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
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.
About 16¢ was paid for every $1 hospitals in Washington billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.