facebook tracking Level 1 Breast/Lymphatic Surgery and Related Procedures cost in Alaska: 5 hospitals compared (APC 5091)

Level 1 Breast/Lymphatic Surgery and Related Procedures in Alaska

What 5 hospitals in Alaska 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 $32,223 Hospital list price billed
Average allowed $3,957 Medicare's payment + patient's share
Medicare paid $3,148 Average per service
State rank #41 of 49 1 = lowest average payment

Hospitals in Alaska billed an average of $32,223 for level 1 breast/lymphatic surgery and related procedures, about 8.1 times the average medicare-allowed amount of $3,957. That payment is 7% above 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 $3,957Billed $32,223

About 12¢ was paid for every $1 hospitals in Alaska billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Providence Alaska Medical CtrAnchorage 50 $25,662 $3,934 $3,135
Mat-Su Regional Medical CenterPalmer 18 $33,333 $4,214 $3,357
Alaska Regional HospitalAnchorage 14 $54,230 $3,710 $2,925
Fairbanks Memorial HospitalFairbanks – – – –
Central Peninsula General HospitalSoldotna – – – –
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Lowest and highest allowed amounts in Alaska

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

Alaska Regional HospitalAnchorage, AK$3,710
Providence Alaska Medical CtrAnchorage, AK$3,934
Mat-Su Regional Medical CenterPalmer, AK$4,214

Highest

Mat-Su Regional Medical CenterPalmer, AK$4,214
Providence Alaska Medical CtrAnchorage, AK$3,934
Alaska Regional HospitalAnchorage, AK$3,710

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

Questions

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

In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 5 hospitals in Alaska was billed at $32,223 on average, while the average medicare-allowed amount was $3,957, of which Medicare paid $3,148. 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 Alaska, average charges were 8.1 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.