Level 3 Excision/Biopsy/Incision and Drainage in West Virginia
What 22 hospitals in West Virginia charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$15,357
Hospital list price billed
Average allowed
$2,309
Medicare's payment + patient's share
Medicare paid
$1,830
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in West Virginia billed an average of $15,357 for level 3 excision/biopsy/incision and drainage, about 6.7 times the average medicare-allowed amount of $2,309. 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 $2,309Billed $15,357
About 15¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 3 excision/biopsy/incision and drainage
Every West 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 |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 143 | $15,939 | $2,352 | $1,867 |
| Charleston Area Medical CenterCharleston | 107 | $17,533 | $2,359 | $1,868 |
| Wheeling HospitalWheeling | 89 | $16,193 | $2,190 | $1,743 |
| United Hospital CenterBridgeport | 78 | $11,901 | $2,652 | $2,110 |
| Camden Clark Memorial HospitalParkersburg | 64 | $13,275 | $2,213 | $1,750 |
| St Mary's Medical CenterHuntington | 56 | $14,800 | $2,066 | $1,627 |
| Raleigh General HospitalBeckley | 53 | $13,989 | $2,409 | $1,915 |
| Cabell-Huntington Hospital INCHuntington | 44 | $17,369 | $2,377 | $1,885 |
| Mon Health Medical CenterMorgantown | 39 | $19,513 | $2,271 | $1,790 |
| Thomas Memorial HospitalSouth Charleston | 36 | $17,767 | $2,409 | $1,919 |
| Berkeley Medical CenterMartinsburg | 35 | $9,592 | $2,192 | $1,722 |
| Weirton Medical CenterWeirton | 34 | $20,146 | $2,377 | $1,892 |
| Princeton Community HospitalPrinceton | 28 | $18,601 | $2,402 | $1,886 |
| Reynolds Memorial HospitalGlen Dale | 19 | $7,456 | $2,322 | $1,850 |
| Stonewall Jackson Mem HospWeston | 19 | $9,246 | $1,588 | $1,266 |
| Logan Regional Medical CenterLogan | 14 | $13,426 | $2,203 | $1,698 |
| Greenbrier Valley Medical CenterRonceverte | 11 | $17,155 | $1,913 | $1,518 |
| Rivers HealthPoint Pleasant | – | – | – | – |
| Davis Memorial HospitalElkins | – | – | – | – |
| Saint Francis HospitalCharleston | – | – | – | – |
| Beckley Arh HospitalBeckley | – | – | – | – |
| Camc Charleston Surgical HospitalCharleston | – | – | – | – |
Lowest and highest allowed amounts in West 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
| Stonewall Jackson Mem HospWeston, WV | $1,588 |
|---|---|
| Greenbrier Valley Medical CenterRonceverte, WV | $1,913 |
| St Mary's Medical CenterHuntington, WV | $2,066 |
| Wheeling HospitalWheeling, WV | $2,190 |
| Berkeley Medical CenterMartinsburg, WV | $2,192 |
Highest
| United Hospital CenterBridgeport, WV | $2,652 |
|---|---|
| Raleigh General HospitalBeckley, WV | $2,409 |
| Thomas Memorial HospitalSouth Charleston, WV | $2,409 |
| Princeton Community HospitalPrinceton, WV | $2,402 |
| Weirton Medical CenterWeirton, WV | $2,377 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in West Virginia?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 22 hospitals in West Virginia was billed at $15,357 on average, while the average medicare-allowed amount was $2,309, 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 West Virginia, average charges were 6.7 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.