Level 1 Breast/Lymphatic Surgery and Related Procedures in Georgia
What 74 hospitals in Georgia charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$28,890
Hospital list price billed
Average allowed
$3,368
Medicare's payment + patient's share
Medicare paid
$2,670
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $28,890 for level 1 breast/lymphatic surgery and related procedures, about 8.6 times the average medicare-allowed amount of $3,368. That payment is 9% 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 $3,368Billed $28,890
About 12¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 1 breast/lymphatic surgery and related procedures
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northside HospitalAtlanta | 151 | $29,425 | $3,477 | $2,766 |
| Piedmont Augusta HospitalAugusta | 87 | $24,199 | $3,198 | $2,542 |
| Piedmont HospitalAtlanta | 75 | $39,666 | $3,472 | $2,758 |
| Northeast Georgia Medical Center, INCGainesville | 72 | $33,865 | $3,283 | $2,577 |
| Candler HospitalSavannah | 60 | $26,930 | $3,136 | $2,479 |
| Southeast Georgia Reg Med CtrBrunswick | 52 | $10,900 | $3,424 | $2,713 |
| Atrium Health Navicent the Medical CenterMacon | 51 | $19,245 | $3,305 | $2,609 |
| Northside Hospital CherokeeCanton | 46 | $27,942 | $3,537 | $2,818 |
| Wellstar Kennestone HospitalMarietta | 46 | $36,247 | $3,476 | $2,757 |
| Memorial Health Univ Med Cen, INCSavannah | 43 | $34,185 | $3,162 | $2,505 |
| St Mary's HospitalAthens | 41 | $27,748 | $3,340 | $2,634 |
| Piedmont Fayette HospitalFayetteville | 41 | $38,646 | $3,400 | $2,681 |
| Coliseum Medical CenterMacon | 39 | $31,431 | $3,272 | $2,607 |
| Wellstar Cobb HospitalAustell | 34 | $33,504 | $3,537 | $2,818 |
| Northside Hospital ForsythCumming | 32 | $26,164 | $3,538 | $2,814 |
| Floyd Medical CenterRome | 32 | $39,606 | $3,475 | $2,769 |
| St Francis Hospital, INCColumbus | 30 | $16,698 | $3,222 | $2,565 |
| Athens Regional Medical CenterAthens | 27 | $40,469 | $3,417 | $2,723 |
| Wellstar Paulding HospitalDallas | 26 | $29,084 | $3,537 | $2,818 |
| Henry Medical Center, INCStockbridge | 26 | $36,191 | $3,212 | $2,493 |
| Sgmc HealthValdosta | 25 | $25,505 | $3,222 | $2,567 |
| Tanner Medical Center - CarrolltonCarrollton | 21 | $23,323 | $3,403 | $2,684 |
| Emory Decatur HospitalDecatur | 19 | $15,720 | $3,389 | $2,670 |
| Saint Joseph's Hosp of AtlantaAtlanta | 19 | $20,386 | $3,281 | $2,585 |
| Emory University Hospital MidtownAtlanta | 17 | $24,237 | $3,537 | $2,818 |
| Phoebe Putney Memorial HospitalAlbany | 16 | $31,337 | $3,409 | $2,680 |
| Medical College of Ga Hospitals and ClinicsAugusta | 16 | $31,570 | $3,065 | $2,409 |
| Northside Hospital DuluthDuluth | 16 | $22,900 | $3,537 | $2,818 |
| John D Archbold Memorial HospitalThomasville | 15 | $14,651 | $3,094 | $2,430 |
| Piedmont Mountainside Hospital INCJasper | 14 | $31,624 | $3,537 | $2,818 |
| Southeastern Regional Medical Center, INCNewnan | 14 | $29,071 | $3,537 | $2,818 |
| Tift Regional Medical CenterTifton | 13 | $23,900 | $3,266 | $2,602 |
| North Fulton Regional HospitalRoswell | 13 | $34,879 | $3,401 | $2,710 |
| Newton Medical CenterCovington | 12 | $30,005 | $3,537 | $2,818 |
| Gwinnett Medical CenterLawrenceville | 12 | $24,896 | $3,537 | $2,818 |
| Piedmont Newnan Hospital, INCNewnan | 12 | $44,421 | $3,537 | $2,818 |
| St Joseph's Hospital - SavannahSavannah | 11 | $18,968 | $3,007 | $2,353 |
| Hamilton Medical CenterDalton | – | – | – | – |
| Upson Regional Medical CenterThomaston | – | – | – | – |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| Emory University HospitalAtlanta | – | – | – | – |
| West Georgia Medical CenterLagrange | – | – | – | – |
| Gordon HospitalCalhoun | – | – | – | – |
| Cartersville Medical CenterCartersville | – | – | – | – |
| Sumter Regional HospitalAmericus | – | – | – | – |
| Walton Regional Medical CenterMonroe | – | – | – | – |
| Union General HospitalBlairsville | – | – | – | – |
| Piedmont Columbus Regional MidtownColumbus | – | – | – | – |
| Houston Medical CenterWarner Robins | – | – | – | – |
| Dorminy Medical CenterFitzgerald | – | – | – | – |
| East Georgia Regional Medical CenterStatesboro | – | – | – | – |
| Grady Memorial HospitalAtlanta | – | – | – | – |
| Coffee Regional Medical CenterDouglas | – | – | – | – |
| Rockdale Medical CenterConyers | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| Colquitt Reg Medical CenterMoultrie | – | – | – | – |
| McDuffie Regional Medical CenterThomson | – | – | – | – |
| Wayne Memorial HospitalJesup | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Memorial Hospital and ManorBainbridge | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Evans Memorial HospitalClaxton | – | – | – | – |
| Southeast Georgia Health System- Camden CampusSt Marys | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Redmond Regional Medical CenterRome | – | – | – | – |
| Doctors HospitalAugusta | – | – | – | – |
| Wellstar Douglas HospitalDouglasville | – | – | – | – |
| Emory Eastside Medical CenterSnellville | – | – | – | – |
| Donalsonville HospitalDonalsonville | – | – | – | – |
| Piedmont Columbus Regional NorthsideColumbus | – | – | – | – |
| Dekalb Medical Center at HillandaleLithonia | – | – | – | – |
| Emory Johns Creek HospitalJohns Creek | – | – | – | – |
| Blue Ridge Medical CenterBlue Ridge | – | – | – | – |
Lowest and highest allowed amounts in Georgia
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
| St Joseph's Hospital - SavannahSavannah, GA | $3,007 |
|---|---|
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $3,065 |
| John D Archbold Memorial HospitalThomasville, GA | $3,094 |
| Candler HospitalSavannah, GA | $3,136 |
| Memorial Health Univ Med Cen, INCSavannah, GA | $3,162 |
Highest
| Northside Hospital ForsythCumming, GA | $3,538 |
|---|---|
| Northside Hospital CherokeeCanton, GA | $3,537 |
| Newton Medical CenterCovington, GA | $3,537 |
| Wellstar Paulding HospitalDallas, GA | $3,537 |
| Emory University Hospital MidtownAtlanta, GA | $3,537 |
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 Georgia?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 74 hospitals in Georgia was billed at $28,890 on average, while the average medicare-allowed amount was $3,368, of which Medicare paid $2,670. 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 Georgia, average charges were 8.6 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.