Level 3 Excision/Biopsy/Incision and Drainage in Wisconsin
What 63 hospitals in Wisconsin charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$15,314
Hospital list price billed
Average allowed
$2,589
Medicare's payment + patient's share
Medicare paid
$2,058
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $15,314 for level 3 excision/biopsy/incision and drainage, about 5.9 times the average medicare-allowed amount of $2,589. That payment is 4% 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 $2,589Billed $15,314
About 17¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 3 excision/biopsy/incision and drainage
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 464 | $13,503 | $2,648 | $2,108 |
| Froedtert Mem Lutheran HsptlMilwaukee | 406 | $19,462 | $2,496 | $1,979 |
| Aurora St Lukes Medical CenterMilwaukee | 192 | $13,298 | $2,662 | $2,117 |
| Gundersen Luth Med CtrLa Crosse | 166 | $12,894 | $2,677 | $2,133 |
| Luther Hospital Mayo Health SystemEau Claire | 125 | $10,204 | $2,657 | $2,112 |
| St Mary's HospitalMadison | 106 | $16,979 | $2,653 | $2,113 |
| Aurora Memorial Hsptl BurlingtonBurlington | 83 | $15,002 | $2,672 | $2,129 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 74 | $8,735 | $2,641 | $2,103 |
| Aspirus Wausau HospitalWausau | 74 | $19,925 | $2,350 | $1,867 |
| Waukesha Memorial HospitalWaukesha | 71 | $20,833 | $2,560 | $2,033 |
| Appleton Med CtrAppleton | 69 | $14,200 | $2,531 | $2,009 |
| Aurora Medical CenterGrafton | 61 | $17,323 | $2,584 | $2,057 |
| Aurora Sheboygan Mem Med CtrSheboygan | 58 | $15,622 | $2,589 | $2,062 |
| Bellin Memorial HsptlGreen Bay | 54 | $16,295 | $2,448 | $1,951 |
| Mercy Hlth Sys CorpJanesville | 50 | $13,638 | $2,547 | $2,021 |
| Ascension SE Wisconsin HospitalMilwaukee | 50 | $15,694 | $2,547 | $2,021 |
| Marshfield Medical CenterMarshfield | 47 | $8,125 | $2,527 | $1,985 |
| Aurora Baycare Med CtrGreen Bay | 43 | $15,119 | $2,558 | $2,036 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 40 | $22,744 | $2,674 | $2,125 |
| Community Mem HsptlMenomonee Falls | 39 | $18,415 | $2,589 | $2,062 |
| St Josephs Com Hsptl West BendWest Bend | 36 | $17,362 | $2,531 | $2,005 |
| Aurora West Allis Medical CenterWest Allis | 36 | $15,648 | $2,577 | $2,051 |
| Aurora Med Ctr KenoshaKenosha | 36 | $19,972 | $2,610 | $2,063 |
| Aurora Med Ctr OshkoshOshkosh | 34 | $13,660 | $2,558 | $2,038 |
| Froedtert SouthKenosha | 31 | $19,252 | $2,604 | $2,060 |
| Aurora Medical CenterSummit | 29 | $12,639 | $2,520 | $1,988 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 27 | $15,575 | $2,674 | $2,130 |
| St Vincent HsptlGreen Bay | 26 | $24,240 | $2,558 | $2,038 |
| St Elizabeth HsptlAppleton | 25 | $16,043 | $2,559 | $2,039 |
| Beloit Mem HsptlBeloit | 24 | $8,119 | $2,464 | $1,963 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 21 | $14,118 | $2,672 | $2,129 |
| St Agnes HsptlFond du Lac | 19 | $12,202 | $2,658 | $2,094 |
| Marshfield Medical Center - Eau ClaireEau Claire | 19 | $7,410 | $2,419 | $1,928 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 18 | $19,734 | $2,543 | $2,024 |
| Fort HealthcareFort Atkinson | 18 | $13,874 | $2,589 | $2,062 |
| Aurora Med Center-Washington CountyHartford | 17 | $17,148 | $2,591 | $2,064 |
| Thedacare Regional Med Ctr - NeenahNeenah | 17 | $14,300 | $2,543 | $2,026 |
| Marshfield Medical Center - Rice LakeRice Lake | 16 | $7,254 | $2,723 | $2,170 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 16 | $20,057 | $2,543 | $2,026 |
| St Nicholas HospitalSheboygan | 16 | $22,470 | $2,587 | $2,061 |
| Oakleaf Surgical HospitalEau Claire | 14 | $10,618 | $2,554 | $2,035 |
| Meriter HsptlMadison | 13 | $14,772 | $2,490 | $1,951 |
| Aspirus Rhinelander HospitalRhinelander | 12 | $20,823 | $2,542 | $1,989 |
| Monroe ClinicMonroe | 12 | $9,376 | $2,653 | $2,113 |
| Sauk Prairie Mem HsptlPrairie du Sac | 12 | $10,997 | $2,483 | $1,978 |
| Bay Area Med CtrMarinette | 12 | $12,887 | $2,736 | $2,180 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Divine Savior HlthcarePortage | – | – | – | – |
| St Clare Hsptl Hlth SvcsBaraboo | – | – | – | – |
| Oconomowoc Mem HsptlOconomowoc | – | – | – | – |
| Beaver Dam Com HsptlBeaver Dam | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| Howard Young Med CtrWoodruff | – | – | – | – |
| St Marys Hsptl Med CtrGreen Bay | – | – | – | – |
| Aurora Lakeland Med CtrElkhorn | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Mile Bluff Medical Center, INCMauston | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Orthopaedic Hsptl of WiGlendale | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
| Midwest Orthopedic Specialty Hospital, LLCFranklin | – | – | – | – |
| Marshfield Medical Center - MinocquaMinocqua | – | – | – | – |
| Marshfield Medical Center - River RegionStevens Point | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Aspirus Wausau HospitalWausau, WI | $2,350 |
|---|---|
| Marshfield Medical Center - Eau ClaireEau Claire, WI | $2,419 |
| Bellin Memorial HsptlGreen Bay, WI | $2,448 |
| Beloit Mem HsptlBeloit, WI | $2,464 |
| Sauk Prairie Mem HsptlPrairie du Sac, WI | $2,483 |
Highest
| Bay Area Med CtrMarinette, WI | $2,736 |
|---|---|
| Marshfield Medical Center - Rice LakeRice Lake, WI | $2,723 |
| Gundersen Luth Med CtrLa Crosse, WI | $2,677 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $2,674 |
| Wheaton Franciscan Healthcare- All SaintsRacine, WI | $2,674 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Wisconsin?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 63 hospitals in Wisconsin was billed at $15,314 on average, while the average medicare-allowed amount was $2,589, of which Medicare paid $2,058. 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 Wisconsin, average charges were 5.9 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.