Level 1 Breast/Lymphatic Surgery and Related Procedures in Arkansas
What 28 hospitals in Arkansas charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$15,597
Hospital list price billed
Average allowed
$3,247
Medicare's payment + patient's share
Medicare paid
$2,575
Average per service
State rank
#7 of 49
1 = lowest average payment
Hospitals in Arkansas billed an average of $15,597 for level 1 breast/lymphatic surgery and related procedures, about 4.8 times the average medicare-allowed amount of $3,247. That payment is 12% 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 $3,247Billed $15,597
About 21¢ was paid for every $1 hospitals in Arkansas billed for this service.
Arkansas hospitals: level 1 breast/lymphatic surgery and related procedures
Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Hospital Fort SmithFort Smith | 56 | $8,381 | $3,199 | $2,540 |
| Baxter Regional Medical CenterMountain Home | 47 | $11,702 | $3,398 | $2,696 |
| University of Arkansas Medical SciencesLittle Rock | 35 | $18,556 | $3,119 | $2,451 |
| Washington Regional Med CenterFayetteville | 31 | $25,457 | $3,215 | $2,562 |
| Arkansas Surgical HospitalNorth Little Rock | 31 | $4,900 | $3,267 | $2,603 |
| CHI St. Vincent Hospital Hot SpringsHot Springs | 30 | $21,031 | $3,501 | $2,790 |
| Mercy Hospital Northwest ArkansasRogers | 22 | $13,651 | $3,215 | $2,562 |
| Northwest Medical Center-SpringdaleSpringdale | 19 | $26,765 | $3,215 | $2,562 |
| Baptist Health - Fort SmithFort Smith | 17 | $25,207 | $3,090 | $2,431 |
| Nea Baptist Memorial HospitalJonesboro | 17 | $13,677 | $3,065 | $2,404 |
| Baptist Health Medical Center-Little RockLittle Rock | 16 | $25,908 | $3,105 | $2,440 |
| White River Medical CenterBatesville | 13 | $12,996 | $3,443 | $2,744 |
| St Bernards Medical CenterJonesboro | 12 | $8,539 | $3,215 | $2,553 |
| Johnson Regional Medical CenterClarksville | – | – | – | – |
| St Vincent Infirmary Medical CenterLittle Rock | – | – | – | – |
| John Ed Chambers Mem Hosp, INCDanville | – | – | – | – |
| White County Medical CenterSearcy | – | – | – | – |
| North Arkansas Reg Med CtrHarrison | – | – | – | – |
| Conway Regional Medical CenterConway | – | – | – | – |
| Baptist Health Medical Center North Little RockNorth Little Rock | – | – | – | – |
| Arkansas Methodist Medical CenterParagould | – | – | – | – |
| St Marys Regional Medical CenterRussellville | – | – | – | – |
| Drew Memorial HospitalMonticello | – | – | – | – |
| Magnolia Regional Medical CenterMagnolia | – | – | – | – |
| Jefferson Regional Medical CtrPine Bluff | – | – | – | – |
| National Park Medical CenterHot Springs | – | – | – | – |
| Saline Memorial HospitalBenton | – | – | – | – |
| Medical Center South ArkansasEl Dorado | – | – | – | – |
Lowest and highest allowed amounts in Arkansas
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
| Nea Baptist Memorial HospitalJonesboro, AR | $3,065 |
|---|---|
| Baptist Health - Fort SmithFort Smith, AR | $3,090 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $3,105 |
| University of Arkansas Medical SciencesLittle Rock, AR | $3,119 |
| Mercy Hospital Fort SmithFort Smith, AR | $3,199 |
Highest
| CHI St. Vincent Hospital Hot SpringsHot Springs, AR | $3,501 |
|---|---|
| White River Medical CenterBatesville, AR | $3,443 |
| Baxter Regional Medical CenterMountain Home, AR | $3,398 |
| Arkansas Surgical HospitalNorth Little Rock, AR | $3,267 |
| St Bernards Medical CenterJonesboro, AR | $3,215 |
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 Arkansas?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 28 hospitals in Arkansas was billed at $15,597 on average, while the average medicare-allowed amount was $3,247, of which Medicare paid $2,575. 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 Arkansas, average charges were 4.8 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.