facebook tracking Level 1 Breast/Lymphatic Surgery and Related Procedures cost in Alabama: 53 hospitals compared (APC 5091)

Level 1 Breast/Lymphatic Surgery and Related Procedures in Alabama

What 53 hospitals in Alabama charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.

APC 5091 Outpatient 2024 Medicare data
Average charge $29,454 Hospital list price billed
Average allowed $3,114 Medicare's payment + patient's share
Medicare paid $2,461 Average per service
State rank #2 of 49 1 = lowest average payment

Hospitals in Alabama billed an average of $29,454 for level 1 breast/lymphatic surgery and related procedures, about 9.5 times the average medicare-allowed amount of $3,114. That payment is 16% below the U.S. average of $3,688.

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 $3,114Billed $29,454

About 11¢ was paid for every $1 hospitals in Alabama billed for this service.

Alabama hospitals: level 1 breast/lymphatic surgery and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
UAB Callahan Eye Hospital AuthorityBirmingham 69 $11,999 $3,035 $2,388
Huntsville HospitalHuntsville 69 $18,970 $3,145 $2,488
University of Alabama HospitalBirmingham 36 $39,954 $3,041 $2,394
Crestwood Medical CenterHuntsville 35 $69,673 $3,141 $2,488
D C H Regional Medical CenterTuscaloosa 33 $13,209 $3,387 $2,682
Brookwood Medical CenterBirmingham 32 $53,061 $2,798 $2,151
Mobile InfirmaryMobile 29 $7,153 $3,074 $2,431
Grandview Medical CenterBirmingham 28 $119,156 $2,876 $2,231
Flowers HospitalDothan 27 $46,785 $3,182 $2,511
Southeast Alabama Medical CenterDothan 25 $26,990 $3,265 $2,601
Baptist Medical Center SouthMontgomery 25 $14,416 $3,116 $2,482
Providence HospitalMobile 25 $6,594 $3,160 $2,518
North Alabama Medical CenterFlorence 23 $29,751 $3,054 $2,433
East Alabama Medical Center and SnfOpelika 22 $10,090 $3,372 $2,687
Thomas HospitalFairhope 16 $8,568 $3,162 $2,514
Univ of S Al Children's & Women's HosMobile 15 $12,882 $3,241 $2,582
Marshall Medical Center SouthBoaz 14 $7,628 $2,985 $2,343
St Vincent's BirminghamBirmingham 14 $32,963 $3,001 $2,354
Russell HospitalAlexander City 14 $10,745 $3,152 $2,504
Andalusia Regional HospitalAndalusia 11 $15,926 $3,262 $2,599
South Baldwin Regional Medical CenterFoley 11 $68,839 $3,164 $2,521
Medical West, an Affiliate of UAB Health SystemBessemer 11 $14,422 $3,182 $2,535
Mizell Memorial HospitalOpp – – – –
St Vincent's EastBirmingham – – – –
Dekalb Regional Medical CenterFort Payne – – – –
Shelby Baptist Medical CenterAlabaster – – – –
Helen Keller Memorial HospitalSheffield – – – –
Jackson Hospital & Clinic INCMontgomery – – – –
Community Hospital INCTallassee – – – –
Cullman Regional Medical CenterCullman – – – –
Gadsden Regional Medical CenterGadsden – – – –
Fayette Medical CenterFayette – – – –
Medical Center EnterpriseEnterprise – – – –
Highlands Medical CenterScottsboro – – – –
Wiregrass Medical CenterGeneva – – – –
Clay County HospitalAshland – – – –
Northeast Alabama Regional Med CenterAnniston – – – –
Athens-Limestone HospitalAthens – – – –
Decatur General HospitalDecatur – – – –
North Mississippi Health Services - South MarionWinfield – – – –
USA Health University HospitalMobile – – – –
Walker Baptist Medical CenterJasper – – – –
Grove Hill Memorial HospitalGrove Hill – – – –
D W McMillan Memorial HospitalBrewton – – – –
Princeton Baptist Medical CenterBirmingham – – – –
Vaughan Reg Med Center Parkway CampusSelma – – – –
North Baldwin InfirmaryBay Minette – – – –
St Vincent's St ClairPell City – – – –
Springhill Medical CenterMobile – – – –
Baptist Medical Center EastMontgomery – – – –
Shoals HospitalMuscle Shoals – – – –
Russellville HospitalRussellville – – – –
Coosa Valley Medical CenterSylacauga – – – –
Level 1 Breast/Lymphatic Surgery and Related Procedures: all states All Alabama hospitals Alabama hospital finances
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Lowest and highest allowed amounts in Alabama

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

Brookwood Medical CenterBirmingham, AL$2,798
Grandview Medical CenterBirmingham, AL$2,876
Marshall Medical Center SouthBoaz, AL$2,985
St Vincent's BirminghamBirmingham, AL$3,001
UAB Callahan Eye Hospital AuthorityBirmingham, AL$3,035

Level 1 Breast/Lymphatic Surgery and Related Procedures in other states

Arkansas · $3,247 Louisiana · $3,169 Mississippi · $3,173 Ohio · $3,250 Oklahoma · $3,261 South Carolina · $3,257 Tennessee · $3,183 West Virginia · $3,207

Questions

How much does level 1 breast/lymphatic surgery and related procedures cost in Alabama?

In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 53 hospitals in Alabama was billed at $29,454 on average, while the average medicare-allowed amount was $3,114, of which Medicare paid $2,461. 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 Alabama, average charges were 9.5 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.