Level 1 Breast/Lymphatic Surgery and Related Procedures in Arizona
What 40 hospitals in Arizona charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$28,375
Hospital list price billed
Average allowed
$3,717
Medicare's payment + patient's share
Medicare paid
$2,954
Average per service
State rank
#34 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $28,375 for level 1 breast/lymphatic surgery and related procedures, about 7.6 times the average medicare-allowed amount of $3,717. That payment is about the same as 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 $3,717Billed $28,375
About 13¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 1 breast/lymphatic surgery and related procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Arizona
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
| Mercy Gilbert Medical CenterGilbert, AZ | $3,558 |
|---|---|
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | $3,582 |
| Tucson Medical CenterTucson, AZ | $3,595 |
| Banner Baywood Medical CenterMesa, AZ | $3,615 |
| Banner Gateway Medical CenterGilbert, AZ | $3,677 |
Highest
| Yuma Regional Medical CenterYuma, AZ | $3,981 |
|---|---|
| Flagstaff Medical CenterFlagstaff, AZ | $3,981 |
| Yavapai Regional Medical CenterPrescott, AZ | $3,953 |
| Banner - University Medical Center PhoenixPhoenix, AZ | $3,717 |
| Carondelet St Josephs HospitalTucson, AZ | $3,717 |
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 Arizona?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 40 hospitals in Arizona was billed at $28,375 on average, while the average medicare-allowed amount was $3,717, of which Medicare paid $2,954. 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 Arizona, average charges were 7.6 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.