Level 1 Breast/Lymphatic Surgery and Related Procedures in Florida
What 147 hospitals in Florida charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$39,262
Hospital list price billed
Average allowed
$3,379
Medicare's payment + patient's share
Medicare paid
$2,687
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in Florida billed an average of $39,262 for level 1 breast/lymphatic surgery and related procedures, about 11.6 times the average medicare-allowed amount of $3,379. That payment is 8% 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 $3,379Billed $39,262
About 9¢ was paid for every $1 hospitals in Florida billed for this service.
Florida hospitals: level 1 breast/lymphatic surgery and related procedures
Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| H Lee Moffitt Cancer CenterTampa | 289 | $21,920 | $3,443 | $2,741 |
| Lee Memorial HospitalFort Myers | 207 | $40,934 | $2,532 | $2,017 |
| Sarasota Memorial HospitalSarasota | 190 | $28,677 | $3,453 | $2,751 |
| Adventhealth OrlandoOrlando | 179 | $35,777 | $3,441 | $2,738 |
| Mayo ClinicJacksonville | 172 | $23,079 | $3,437 | $2,735 |
| Boca Raton Regional HospitalBoca Raton | 153 | $37,814 | $3,453 | $2,751 |
| Jupiter Medical CenterJupiter | 153 | $17,712 | $3,453 | $2,748 |
| Baptist Medical CenterJacksonville | 137 | $37,610 | $3,453 | $2,751 |
| Martin Memorial Health SystemsStuart | 107 | $32,835 | $3,453 | $2,751 |
| Univ of Miami Hosp & ClinicsMiami | 79 | $53,452 | $3,418 | $2,716 |
| Naples Community HospitalNaples | 76 | $39,152 | $3,453 | $2,748 |
| Indian River Medical CenterVero Beach | 73 | $23,249 | $3,453 | $2,751 |
| Good Samaritan Medical CenterWest Palm Beach | 68 | $73,741 | $3,089 | $2,387 |
| Morton Plant HospitalClearwater | 67 | $24,275 | $3,424 | $2,722 |
| Physicians Regional Medical Center - Pine RidgeNaples | 67 | $67,792 | $3,412 | $2,704 |
| Orlando Regional HealthcareOrlando | 54 | $60,260 | $3,402 | $2,695 |
| Shands Hospital at the University of FloridaGainesville | 47 | $36,221 | $3,453 | $2,751 |
| St Joseph's HospitalTampa | 46 | $24,003 | $3,336 | $2,631 |
| Cleveland Clinic HospitalWeston | 44 | $23,269 | $3,390 | $2,688 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 44 | $35,267 | $3,453 | $2,751 |
| Holmes Regional Medical CenterMelbourne | 43 | $39,283 | $3,453 | $2,751 |
| Memorial Regional HospitalHollywood | 41 | $36,091 | $3,388 | $2,684 |
| Holy Cross Hospital INCFort Lauderdale | 41 | $36,350 | $3,453 | $2,751 |
| North Florida Regional Medical CenterGainesville | 41 | $97,397 | $3,453 | $2,749 |
| Adventhealth OcalaOcala | 39 | $71,471 | $3,453 | $2,751 |
| St Anthony's HospitalSt Petersburg | 37 | $21,631 | $3,453 | $2,751 |
| Tampa General HospitalTampa | 37 | $84,998 | $3,406 | $2,709 |
| Adventhealth Daytona BeachDaytona Beach | 34 | $31,843 | $3,375 | $2,670 |
| Gulf Coast Medical Center Lee HealthFort Myers | 34 | $40,662 | $3,453 | $2,751 |
| Lakeland Regional Medical CenterLakeland | 32 | $35,445 | $3,453 | $2,751 |
| Leesburg Regional Medical CenterLeesburg | 31 | $22,962 | $3,453 | $2,751 |
| Blake Medical CenterBradenton | 31 | $54,820 | $3,453 | $2,751 |
| Flagler HospitalSt Augustine | 30 | $19,634 | $3,698 | $2,939 |
| Baptist HospitalPensacola | 30 | $59,284 | $3,361 | $2,659 |
| Gulf Breeze HospitalGulf Breeze | 28 | $56,697 | $3,453 | $2,751 |
| Villages Regional Hospital theLady Lake | 28 | $19,836 | $3,453 | $2,751 |
| Tallahassee Memorial HealthcareTallahassee | 27 | $30,178 | $3,453 | $2,724 |
| Halifax Health Medical CenterDaytona Beach | 26 | $29,377 | $3,453 | $2,751 |
| Florida Hospital WatermanEustis | 26 | $33,482 | $3,453 | $2,751 |
| Wellington Regional Medical CenterWellington | 25 | $53,033 | $3,357 | $2,651 |
| Baptist Hospital of Miami INCMiami | 24 | $45,096 | $3,453 | $2,751 |
| Ocala Regional Medical CenterOcala | 24 | $78,981 | $3,453 | $2,751 |
| Sacred Heart HospitalPensacola | 23 | $28,725 | $3,453 | $2,751 |
| Jfk Medical CenterAtlantis | 23 | $80,296 | $3,453 | $2,751 |
| Adventhealth Palm CoastPalm Coast | 23 | $32,251 | $3,453 | $2,751 |
| West Florida HospitalPensacola | 23 | $89,824 | $3,453 | $2,750 |
| Baptist Medical Center BeachesJacksonville Beach | 22 | $26,097 | $3,453 | $2,751 |
| Adventhealth TampaTampa | 22 | $45,877 | $3,453 | $2,751 |
| Ascension St Vincent's Clay CountyMiddleburg | 21 | $40,097 | $3,453 | $2,742 |
| Adventhealth New Smyrna BeachNew Smyrna Beach | 20 | $19,073 | $3,453 | $2,751 |
| Citrus Memorial HospitalInverness | 20 | $75,308 | $3,315 | $2,613 |
| Health CentralOcoee | 18 | $50,341 | $3,453 | $2,751 |
| Adventhealth Wesley ChapelWesley Chapel | 18 | $48,132 | $3,453 | $2,751 |
| Shands Jacksonville Medical CenterJacksonville | 17 | $36,892 | $3,453 | $2,751 |
| Mount Sinai Medical CenterMiami Beach | 17 | $28,166 | $3,329 | $2,620 |
| St Vincent's Medical CenterJacksonville | 17 | $44,201 | $3,453 | $2,751 |
| HCA Florida Trinity HospitalNew Port Richey | 17 | $101,981 | $3,453 | $2,751 |
| Oak Hill HospitalBrooksville | 17 | $105,203 | $3,453 | $2,751 |
| Cape Canaveral HospitalCocoa Beach | 16 | $38,456 | $3,453 | $2,739 |
| Bay Medical CenterPanama City | 15 | $43,563 | $3,453 | $2,751 |
| Heart of Florida Reg Med CtrDavenport | 15 | $70,512 | $3,453 | $2,751 |
| South Miami HospitalMiami | 15 | $40,525 | $3,453 | $2,751 |
| Florida Hospital DelandDeland | 14 | $32,467 | $3,453 | $2,751 |
| Memorial Hospital WestHollywood | 14 | $41,325 | $3,453 | $2,751 |
| Manatee Memorial HospitalBradenton | 13 | $58,709 | $3,453 | $2,736 |
| St Petersburg General HospitalSt Petersburg | 13 | $110,321 | $3,453 | $2,751 |
| Gulf Coast Medical CenterPanama City | 13 | $45,668 | $3,453 | $2,751 |
| Oviedo Medical CenterOviedo | 13 | $82,307 | $3,453 | $2,751 |
| HCA Florida University HospitalDavie | 12 | $55,090 | $3,453 | $2,751 |
| Westside Regional Medical CenterPlantation | 11 | $67,519 | $3,220 | $2,501 |
| Bethesda Memorial HospitalBoynton Beach | – | – | – | – |
| Jackson Health SystemMiami | – | – | – | – |
| Parrish Medical CenterTitusville | – | – | – | – |
| Bayfront Medical Center INCSt Petersburg | – | – | – | – |
| Broward General Medical CenterFort Lauderdale | – | – | – | – |
| Mease Hospital DunedinDunedin | – | – | – | – |
| Florida Hospital ZephyrhillsZephyrhills | – | – | – | – |
| South Lake HospitalClermont | – | – | – | – |
| Winter Haven HospitalWinter Haven | – | – | – | – |
| Hialeah HospitalHialeah | – | – | – | – |
| Twin Cities HospitalNiceville | – | – | – | – |
| Adventhealth North PinellasTarpon Springs | – | – | – | – |
| Morton Plant North Bay HospitalNew Port Richey | – | – | – | – |
| University Community Hospital at CarrollwoodTampa | – | – | – | – |
| Brooksville Regional HospitalBrooksville | – | – | – | – |
| Florida Hospital Fish MemorialOrange City | – | – | – | – |
| Adventhealth Port CharlottePort Charlotte | – | – | – | – |
| North Broward Medical CenterPompano Beach | – | – | – | – |
| Orlando Health Rockledge HospitalRockledge | – | – | – | – |
| Adventhealth SebringSebring | – | – | – | – |
| Osceola Regional Medical CenterKissimmee | – | – | – | – |
| Bartow Regional Medical CenterBartow | – | – | – | – |
| North Okaloosa Medical CenterCrestview | – | – | – | – |
| Santa Rosa Medical CenterMilton | – | – | – | – |
| Homestead HospitalHomestead | – | – | – | – |
| Palms of Pasadena HospitalSt Petersburg | – | – | – | – |
| South Florida Baptist HospitalPlant City | – | – | – | – |
| Baptist Medical Center - NassauFernandina Beach | – | – | – | – |
| Jackson HospitalMarianna | – | – | – | – |
| Lower Keys Medical CenterKey West | – | – | – | – |
| Central Florida Regional HospitalSanford | – | – | – | – |
| Doctors Hospital of SarasotaSarasota | – | – | – | – |
| Plantation General HospitalPlantation | – | – | – | – |
| Desoto Memorial HospitalArcadia | – | – | – | – |
| Palm Beach Gardens Medical CenterPalm Beach Gardens | – | – | – | – |
| HCA Florida Memorial HospitalJacksonville | – | – | – | – |
| Coral Gables HospitalCoral Gables | – | – | – | – |
| Palmetto General HospitalHialeah | – | – | – | – |
| Northwest Medical CenterPompano Beach | – | – | – | – |
| Imperial Point Medical CenterFort Lauderdale | – | – | – | – |
| Memorial Hospital of TampaTampa | – | – | – | – |
| Kendall Regional Medical CenterMiami | – | – | – | – |
| Adventhealth Dade CityDade City | – | – | – | – |
| Sebastian River Medical CenterSebastian | – | – | – | – |
| Fort Walton Beach Medical CenterFort Walton Beach | – | – | – | – |
| University Hospital & Medical CenterTamarac | – | – | – | – |
| Orange Park Medical CenterOrange Park | – | – | – | – |
| Putnam Community Medical CtrPalatka | – | – | – | – |
| Fawcett Memorial HospitalPort Charlotte | – | – | – | – |
| Northside HospitalSt Petersburg | – | – | – | – |
| Brandon Regional HospitalBrandon | – | – | – | – |
| Cape Coral HospitalCape Coral | – | – | – | – |
| HCA Florida Lawnwood HospitalFort Pierce | – | – | – | – |
| Tampa General Hospital Crystal RiverCrystal River | – | – | – | – |
| Raulerson HospitalOkeechobee | – | – | – | – |
| Capital Regional Medical CenterTallahassee | – | – | – | – |
| Delray Medical CenterDelray Beach | – | – | – | – |
| South Bay HospitalGreater Sun Center | – | – | – | – |
| St Lucie Medical CenterPort St Lucie | – | – | – | – |
| Mease Countryside HospitalSafety Harbor | – | – | – | – |
| Englewood Community HospitalEnglewood | – | – | – | – |
| West Boca Medical CenterBoca Raton | – | – | – | – |
| Palms West HospitalLoxahatchee | – | – | – | – |
| Coral Springs Medical CenterPompano Beach | – | – | – | – |
| Memorial Hospital MiramarMiramar | – | – | – | – |
| Wuesthoff Medical Center - MelbourneMelbourne | – | – | – | – |
| Sacred Heart Hospital on the Emerald CoastMiramar Beach | – | – | – | – |
| Lakewood Ranch Medical CenterBradenton | – | – | – | – |
| St Cloud Regional Medical CenterSt Cloud | – | – | – | – |
| St Luke's HospitalJacksonville | – | – | – | – |
| West Kendall Baptist HospitalMiami | – | – | – | – |
| Viera HospitalMelbourne | – | – | – | – |
| Palm Bay HospitalPalm Bay | – | – | – | – |
| Halifax Health /UF Health Medical Center of DeltonDeltona | – | – | – | – |
| Ascension St Vincent's St Johns CountySt. Johns | – | – | – | – |
| Baycare Hospital Wesley ChapelWesley Chapel | – | – | – | – |
| Adventhealth Palm Coast ParkwayPalm Coast | – | – | – | – |
Lowest and highest allowed amounts in Florida
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
| Lee Memorial HospitalFort Myers, FL | $2,532 |
|---|---|
| Good Samaritan Medical CenterWest Palm Beach, FL | $3,089 |
| Westside Regional Medical CenterPlantation, FL | $3,220 |
| Citrus Memorial HospitalInverness, FL | $3,315 |
| Mount Sinai Medical CenterMiami Beach, FL | $3,329 |
Highest
| Flagler HospitalSt Augustine, FL | $3,698 |
|---|---|
| Tallahassee Memorial HealthcareTallahassee, FL | $3,453 |
| Manatee Memorial HospitalBradenton, FL | $3,453 |
| Cape Canaveral HospitalCocoa Beach, FL | $3,453 |
| Ascension St Vincent's Clay CountyMiddleburg, FL | $3,453 |
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 Florida?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 147 hospitals in Florida was billed at $39,262 on average, while the average medicare-allowed amount was $3,379, of which Medicare paid $2,687. 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 Florida, average charges were 11.6 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.