Average charge
$42,573
Hospital list price billed
Average allowed
$4,851
Medicare's payment + patient's share
Medicare paid
$3,859
Average per service
State rank
#49 of 49
1 = lowest average payment
Hospitals in California billed an average of $42,573 for level 1 breast/lymphatic surgery and related procedures, about 8.8 times the average medicare-allowed amount of $4,851 . That payment is 32% 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 $4,851 Billed $42,573
About 11¢ was paid for every $1 hospitals in California billed for this service.
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Wisconsin (54)
Wyoming (9)
California hospitals: level 1 breast/lymphatic surgery and related procedures
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
Stanford Hospital Palo Alto 217
$94,623
$5,328 $4,237
Eisenhower Memorial Hospital Rancho Mirage 200
$26,941
$4,651 $3,698
Cedars-Sinai Medical Center Los Angeles 200
$81,751
$4,630 $3,678
Hoag Memorial Hospital Presbyterian Newport Beach 139
$29,092
$4,686 $3,734
City of Hope Natl Medical Ctr Duarte 125
$53,963
$4,656 $3,704
UCSF Medical Center San Francisco 119
$46,601
$5,368 $4,275
Scripps Green Hospital La Jolla 108
$41,706
$4,686 $3,734
Saint John's Health Center Santa Monica 107
$21,705
$4,686 $3,734
California Pacific Medical Ctr-Davies Campus Hosp San Francisco 98
$33,762
$5,404 $4,297
University of California San Diego Medical Center San Diego 93
$39,589
$4,651 $3,698
University of California Davis Medical Center Sacramento 88
$49,456
$4,751 $3,786
Clovis Community Medical Center Clovis 80
$23,468
$4,640 $3,687
UCLA Medical Center Los Angeles 74
$27,463
$4,686 $3,734
Marinhealth Medical Center Greenbrae 74
$65,138
$5,323 $4,241
Alta Bates Summit Medical Center Oakland 73
$26,949
$5,235 $4,159
Sutter General Hospital Sacramento 65
$23,382
$5,208 $4,122
UCI Health-Orange Orange 63
$33,542
$4,686 $3,734
Enloe Medical Center Chico 62
$56,355
$4,686 $3,734
Peninsula Medical Center Burlingame 60
$22,161
$5,449 $4,341
Scripps Memorial Hospital la Jolla La Jolla 57
$27,267
$4,621 $3,667
Sharp Memorial Hospital San Diego 56
$33,162
$4,686 $3,734
Memorial Medical Center Modesto 56
$24,420
$4,686 $3,733
Henry Mayo Newhall Memorial Hospital Valencia 56
$41,190
$4,569 $3,613
Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Santa Monica 54
$20,082
$4,686 $3,734
Sutter Roseville Medical Center Roseville 51
$21,425
$4,868 $3,879
Ukiah Valley Medical Center/Hospital D Ukiah 46
$28,947
$5,019 $3,999
Long Beach Memorial Medical Center Long Beach 45
$48,031
$4,686 $3,733
Providence Tarzana Medical Center Tarzana 45
$30,421
$4,613 $3,657
Mercy Medical Center Redding Redding 43
$27,441
$4,599 $3,646
El Camino Hospital Mountain View 43
$56,827
$5,368 $4,276
Loma Linda University Medical Center Loma Linda 43
$64,650
$4,686 $3,734
Saint Agnes Medical Center Fresno 42
$23,001
$4,686 $3,733
Santa Rosa Memorial Hospital Santa Rosa 42
$54,269
$5,338 $4,253
Shasta Regional Medical Center Redding 42
$48,557
$4,686 $3,734
St Johns Regional Medical Center Oxnard 39
$22,557
$4,686 $3,734
St Jude Medical Center Fullerton 39
$20,386
$4,686 $3,734
Providence Little Company of Mary Med Ctr Torrance Torrance 39
$28,103
$4,602 $3,649
Torrance Memorial Medical Center Torrance 36
$30,781
$4,686 $3,732
Stanford Health Care Tri-Valley Pleasanton 35
$56,520
$5,368 $4,277
Sutter Surgical Hospital - North Valley Yuba City 35
$19,458
$4,715 $3,757
Providence Saint Joseph Medical Ctr Burbank 34
$31,071
$4,686 $3,734
Sutter Medical Center of Santa Rosa Santa Rosa 34
$31,710
$5,088 $4,054
Community Memorial Hospital - Ventura Ventura 33
$20,363
$4,686 $3,734
Verdugo Hills Hospital Glendale 32
$23,419
$4,686 $3,734
USC University Hospital Los Angeles 32
$36,902
$4,686 $3,734
Sutter Maternity & Surgery Center of Santa Cruz Santa Cruz 30
$28,561
$5,093 $4,058
John Muir Medical Center - Walnut Creek Campus Walnut Creek 29
$72,848
$5,307 $4,229
Salinas Valley Memorial Hospital Salinas 28
$61,494
$5,062 $3,971
Doctors Medical Center Modesto 28
$66,287
$4,686 $3,734
Los Robles Hospital & Medical Center Thousand Oaks 28
$66,274
$4,686 $3,734
Santa Barbara Cottage Hospital Santa Barbara 27
$28,649
$5,019 $3,999
Sonora Community Hospital Sonora 26
$21,027
$5,019 $3,999
Good Samaritan Hospital San Jose 25
$84,195
$5,368 $4,272
Mercy General Hospital Sacramento 24
$33,181
$4,868 $3,875
Mission Hospital Regional Med Center Mission Viejo 24
$45,470
$4,686 $3,734
Adventist Health Bakersfield Bakersfield 22
$25,570
$4,686 $3,734
Mercy San Juan Medical Center Carmichael 22
$39,862
$4,692 $3,702
St Joseph Hospital Eureka 21
$41,020
$4,686 $3,725
Oroville Hospital Oroville 21
$17,637
$4,686 $3,734
Community Hospital of the Monterey Peninsula Monterey 20
$27,355
$5,368 $4,277
PIH Health Hospital-Whittier Whittier 20
$32,335
$4,313 $3,351
Glendale Adventist Medical Ctr Glendale 20
$45,959
$4,686 $3,734
Loma Linda University Medical Center-Murrieta Murrieta 20
$34,851
$4,686 $3,734
San Antonio Community Hospital Upland 19
$47,142
$4,686 $3,734
Marshall Medical Center (1-Rh) Placerville 19
$28,712
$4,868 $3,879
Sierra Nevada Memorial Hospital Grass Valley 18
$17,788
$4,868 $3,879
Queen of the Valley Medical Center Napa 17
$56,093
$5,338 $4,249
Saddleback Memorial Medical Center Laguna Hills 17
$38,621
$4,686 $3,734
St Helena Hospital Deer Park 16
$67,698
$4,892 $3,898
Kaweah Delta Medical Center Visalia 16
$25,306
$4,687 $3,722
Marian Medical Center Santa Maria 16
$31,193
$4,686 $3,734
Orange Coast Memorial Medical Center Fountain Valley 16
$40,956
$4,687 $3,722
Scripps Memorial Hospital - Encinitas Encinitas 15
$52,977
$4,686 $3,733
Grossmont Hospital La Mesa 14
$41,095
$4,686 $3,734
Pomona Valley Hospital Medical Center Pomona 14
$37,062
$4,468 $3,509
San Francisco General Hospital San Francisco 13
$47,219
$5,239 $4,174
Simi Valley Hospital & Health Care Services Simi Valley 13
$23,912
$4,686 $3,734
Desert Regional Medical Center Palm Springs 13
$126,246
$4,686 $3,734
Huntington Memorial Hospital Pasadena 13
$36,483
$4,686 $3,734
Scripps Mercy Hospital San Diego 12
$42,900
$4,686 $3,734
Corona Regional Medical Center Corona 12
$47,119
$4,686 $3,729
Los Alamitos Medical Center Los Alamitos 12
$76,549
$4,686 $3,734
Sharp Chula Vista Medical Center Chula Vista 11
$36,246
$4,687 $3,717
Mercy Hospital Bakersfield 11
$28,327
$4,347 $3,394
Riverside Community Hospital Riverside –
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Mad River Community Hospital Arcata –
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Bakersfield Memorial Hospital Bakersfield –
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Santa Clara Valley Medical Center San Jose –
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Lac/Olive View-UCLA Medical Center Sylmar –
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St Elizabeth Community Hospital Red Bluff –
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El Centro Regional Medical Center El Centro –
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California Pacific Medical Ctr-Pacific Campus Hosp San Francisco –
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San Gorgonio Memorial Hospital Banning –
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California Pacific Medical Ctr - St. Luke's Campus San Francisco –
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Antelope Valley Hospital Med Center Lancaster –
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Glendale Mem Hospital & Hlth Center Glendale –
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Community Regional Medical Center Fresno –
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Hollywood Presbyterian Medical Center Los Angeles –
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St Joseph Hospital Orange –
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Kaiser Foundation Hospital Santa Clara –
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John Muir/Mt Diablo Hlth Syst Walnut Creek –
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Kaiser Foundation Hospital and Rehab Center Vallejo –
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Kaiser Foundation Hospital Oakland/Richmond Oakland –
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Kaiser Foundation Hospital - San Francisco San Francisco –
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Providence Little Co of Mary Med Ctr San Pedro Los Angeles –
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St Josephs Med Center of Stockton Stockton –
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Community Hospital of San Bernardino San Bernardino –
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Sonoma Valley Hospital Sonoma –
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Community and Mission Hospital of Huntington Park Huntington Park –
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Sutter Solano Medical Center Vallejo –
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Parkview Community Hospital Medical Center Riverside –
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Lompoc Healthcare District Lompoc –
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Palomar Medical Center Escondido –
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Northridge Hospital Medical Center Northridge –
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Doctors Hospital of Manteca Manteca –
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Hanford Community Medical Center Hanford –
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Dameron Hospital Stockton –
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Valley Presbyterian Hospital Van Nuys –
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Woodland Memorial Hospital Woodland –
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Tri-City Medical Center Oceanside –
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St Bernardine Medical Center San Bernardino –
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Novato Community Hospital Novato –
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Rideout Memorial Hospital Marysville –
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Petaluma Valley Hospital Petaluma –
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Kaiser Foundation Hospital - Panorama City Panorama City –
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Kaiser Foundation Hospital Fontana Fontana –
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Saint Francis Memorial Hospital San Francisco –
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Ventura County Medical Center Ventura –
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Emanuel Medical Center INC Turlock –
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Watsonville Community Hospital Watsonville –
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Washington Hospital Fremont –
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Sequoia Hospital Redwood City –
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Palmdale Regional Medical Center Lancaster –
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French Hospital Medical Center San Luis Obispo –
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USC Arcadia Hospital Arcadia –
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Dominican Hospital Santa Cruz –
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Arrowhead Regional Medical Center Colton –
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Natividad Medical Center Salinas –
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Redlands Community Hospital Redlands –
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Contra Costa Regional Medical Center Martinez –
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Providence Holy Cross Medical Center Mission Hills –
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Hi-Desert Medical Center Joshua Tree –
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Alhambra Hospital Medical Center Alhambra –
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Seton Medical Center Daly City –
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Riverside County Regional Medical Center Moreno Valley –
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Barstow Community Hospital Barstow –
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St Mary Medical Center Apple Valley –
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Alta Bates Summit Medical Center - Alta Bates Camp Berkeley –
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Sutter Tracy Community Hospital Tracy –
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Kern Medical Center Bakersfield –
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Highland Hospital Oakland –
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Lodi Memorial Hospital Lodi –
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Barton Memorial Hospital South Lake Tahoe –
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Goleta Valley Cottage Hospital Santa Barbara –
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Northbay Medical Center Fairfield –
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Los Angeles General Medical Center Los Angeles –
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Lac/Harbor-UCLA Med Center Torrance –
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Chinese Hospital San Francisco –
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Mercy Hospital of Folsom Folsom –
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Sutter Coast Hospital Crescent City –
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Kaiser Foundation Hospital - Sacramento/Roseville Sacramento –
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Mercy Medical Ctr Merced Merced –
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St Mary's Medical Center San Francisco –
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Good Samaritan Hospital Los Angeles –
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West Hills Hospital & Medical Center West Hills –
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Eden Medical Center Castro Valley –
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John Muir Medical Center - Concord Campus Concord –
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Sutter Auburn Faith Hospital Auburn –
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Sierra Vista Regional Medical Center San Luis Obispo –
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Kaiser Foundation Hospital Fremont/Hayward Hayward –
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Kaiser Foundation Hospital - San Diego San Diego –
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Sutter Delta Medical Center Antioch –
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John F Kennedy Memorial Hosp Indio –
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Sutter Davis Hospital Davis –
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Kaiser Foundation Hospital - West la Los Angeles –
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Fountain Valley Regional Hospital & Medical Center Fountain Valley –
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Lakewood Regional Medical Center Lakewood –
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UCI Health-Placentia LindaPlacentia
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Methodist Hospital of Sacramento Sacramento –
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Foothill Presbyterian Hospital Glendora –
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Delano Regional Medical Center Delano –
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Kaiser Foundation Hospital Anaheim Anaheim –
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Twin Cities Community Hospital Templeton –
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Palomar Medical Center Poway Poway –
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USC Kenneth Norris Jr Cancer Hospital Los Angeles –
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Kaiser Foundation Hosp So Sacramento Sacramento –
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Kaiser Foundation Hospital, Riverside Riverside –
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San Ramon Regional Medical Ctr San Ramon –
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Southwest Healthcare System Murrieta –
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Kaiser Foundation Hospital - Fresno Fresno –
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Stanislaus Surgical Hospital Modesto –
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Garfield Medical Center Monterey Park –
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Centinela Hospital Medical Center Inglewood –
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Marina del Rey Hospital Marina del Rey –
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Coastal Communities Hospital Santa Ana –
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Sherman Oaks Hospital Sherman Oaks –
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Coast Plaza Hospital Norwalk –
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Kaiser Foundation Hospital - Roseville Roseville –
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Temecula Valley Hospital Temecula –
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Kaiser Foundation Hospital - San Marcos San Marcos –
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Lowest and highest allowed amounts in California
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
PIH Health Hospital-Whittier Whittier, CA $4,313 Mercy Hospital Bakersfield, CA $4,347 Pomona Valley Hospital Medical Center Pomona, CA $4,468 Henry Mayo Newhall Memorial Hospital Valencia, CA $4,569 Mercy Medical Center Redding Redding, CA $4,599
Highest
Peninsula Medical Center Burlingame, CA $5,449 California Pacific Medical Ctr-Davies Campus Hosp San Francisco, CA $5,404 Good Samaritan Hospital San Jose, CA $5,368 UCSF Medical Center San Francisco, CA $5,368 El Camino Hospital Mountain View, CA $5,368
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 California? In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 200 hospitals in California was billed at $42,573 on average, while the average medicare-allowed amount was $4,851, of which Medicare paid $3,859. 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 California, average charges were 8.8 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 .
