Outpatient / APC 5073
APC 5073 · 1,817 hospitals · 132,541 services
Level 3 Excision/ Biopsy/ Incision and Drainage
Hospital outpatient departments billed Medicare for 132,541 services in APC 5073 in 2024. They charged an average of $21,075; Medicare allowed $2,695 — a ratio of 7.8 to 1 — and paid $2,140 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $3,825 to $94,742 across hospitals.
- 1Average charge $21,075
- 2Medicare allowed $2,695
- 3Reporting hospitals 1,817
- 4Services 132,541
By state
The average charge for this service was highest in Nevada ($35,003) and lowest in North Dakota ($10,251). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 572 | $35,003 | $2,996 |
| Colorado | 2,017 | $30,525 | $2,695 |
| Florida | 9,386 | $28,145 | $2,534 |
| California | 11,191 | $28,125 | $3,582 |
| Pennsylvania | 6,187 | $26,414 | $2,579 |
| Texas | 10,497 | $24,865 | $2,546 |
| Georgia | 3,719 | $24,766 | $2,500 |
| District of Columbia | 394 | $23,023 | $2,851 |
| Virginia | 4,042 | $22,901 | $2,525 |
| Alabama | 1,336 | $22,854 | $2,321 |
| New Jersey | 2,506 | $22,756 | $3,013 |
| New York | 8,241 | $22,362 | $3,128 |
| Kansas | 2,244 | $22,283 | $2,467 |
| South Carolina | 2,821 | $22,250 | $2,406 |
| Illinois | 4,971 | $22,245 | $2,555 |
| Arizona | 3,157 | $20,704 | $2,754 |
| Alaska | 203 | $20,373 | $3,030 |
| South Dakota | 1,132 | $18,703 | $2,678 |
| Kentucky | 1,883 | $18,530 | $2,416 |
| Washington | 2,893 | $18,375 | $2,906 |
| Indiana | 2,958 | $18,367 | $2,540 |
| Louisiana | 1,789 | $18,345 | $2,365 |
| Missouri | 2,758 | $18,007 | $2,447 |
| Oklahoma | 1,916 | $17,936 | $2,318 |
| New Mexico | 576 | $17,829 | $2,531 |
| Connecticut | 1,510 | $17,817 | $3,086 |
| North Carolina | 3,943 | $17,735 | $2,479 |
| Oregon | 1,376 | $17,381 | $3,046 |
| Ohio | 5,392 | $17,292 | $2,385 |
| Hawaii | 303 | $16,981 | $3,255 |
| Tennessee | 2,688 | $16,856 | $2,310 |
| New Hampshire | 765 | $16,666 | $2,742 |
| Delaware | 399 | $16,528 | $2,797 |
| Iowa | 1,391 | $15,511 | $2,448 |
| West Virginia | 906 | $15,330 | $2,313 |
| Wisconsin | 2,938 | $15,286 | $2,587 |
| Mississippi | 1,336 | $15,207 | $2,267 |
| Utah | 1,197 | $14,755 | $2,531 |
| Arkansas | 2,553 | $14,706 | $2,408 |
| Massachusetts | 4,892 | $14,429 | $3,020 |
| Maine | 494 | $14,306 | $2,373 |
| Idaho | 856 | $14,294 | $2,600 |
| Nebraska | 1,009 | $13,746 | $2,463 |
| Michigan | 3,355 | $13,653 | $2,477 |
| Wyoming | 144 | $13,296 | $2,802 |
| Minnesota | 3,637 | $12,453 | $2,764 |
| Rhode Island | 279 | $12,357 | $2,713 |
| Vermont | 389 | $12,140 | $1,458 |
| Montana | 674 | $10,410 | $2,710 |
| North Dakota | 719 | $10,251 | $2,693 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| HCA Healthone Presbyterian St Lukes Denver, CO | $94,742 | $2,705 |
| Palm Beach Gardens Medical Center Palm Beach Gardens, FL | $94,557 | $2,574 |
| HCA Florida Pasadena Hospital Saint Petersburg, FL | $93,886 | $2,574 |
| Northbay Medical Center Fairfield, CA | $91,956 | $4,088 |
| Capital Health Medical Center - Hopewell Pennington, NJ | $87,209 | $2,975 |
| HCA Florida Englewood Hospital Englewood, FL | $86,482 | $2,481 |
| South Texas Health System Behavioral Edinburg, TX | $78,082 | $2,302 |
| Cedars-Sinai Medical Center Los Angeles, CA | $76,280 | $3,469 |
| Grandview Medical Center Birmingham, AL | $75,256 | $2,329 |
| HCA Florida North Florida Hospital Gainesville, FL | $73,412 | $2,574 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| D W Mcmillan Memorial Hospital Brewton, AL | $3,825 | $2,328 |
| Winona Health Services Winona, MN | $3,904 | $2,428 |
| Flushing Hospital Medical Center Flushing, NY | $3,908 | $3,233 |
| Hays Medical Center Hays, KS | $4,004 | $2,611 |
| Black Hills Surgical Hospital LLC Rapid City, SD | $4,655 | $2,600 |
| Nmc Health Newton, KS | $4,778 | $2,426 |
| Aurelia Osborn Fox Memorial Hospital Oneonta, NY | $4,928 | $2,781 |
| Labette Health Parsons, KS | $5,223 | $2,598 |
| Greenwood Leflore Hospital Greenwood, MS | $5,377 | $2,367 |
| Billings Clinic Hospital Billings, MT | $5,399 | $2,600 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.