Level 1 Breast/Lymphatic Surgery and Related Procedures in Illinois
What 94 hospitals in Illinois charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$27,281
Hospital list price billed
Average allowed
$3,603
Medicare's payment + patient's share
Medicare paid
$2,866
Average per service
State rank
#30 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $27,281 for level 1 breast/lymphatic surgery and related procedures, about 7.6 times the average medicare-allowed amount of $3,603. That payment is 2% 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 $3,603Billed $27,281
About 13¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 1 breast/lymphatic surgery and related procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 186 | $16,763 | $3,548 | $2,823 |
| Northwestern Memorial HospitalChicago | 169 | $42,823 | $3,707 | $2,954 |
| Lake Forest HospitalLake Forest | 85 | $31,347 | $3,597 | $2,866 |
| Rush University Medical CenterChicago | 84 | $22,863 | $3,672 | $2,919 |
| Silver Cross HospitalJoliet | 79 | $14,164 | $3,582 | $2,846 |
| Edward HospitalNaperville | 78 | $24,397 | $3,619 | $2,882 |
| The University of Chicago Medical CenterChicago | 69 | $48,440 | $3,622 | $2,868 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 54 | $22,921 | $3,566 | $2,830 |
| Elmhurst Memorial HospitalElmhurst | 49 | $25,424 | $3,560 | $2,818 |
| Loyola University Medical CenterMaywood | 46 | $23,830 | $3,707 | $2,954 |
| Methodist Medical Center of IllinoisPeoria | 44 | $37,184 | $3,523 | $2,804 |
| Northwest Community HospitalArlington Heights | 44 | $16,749 | $3,619 | $2,883 |
| Central Dupage HospitalWinfield | 42 | $36,738 | $3,619 | $2,883 |
| Rush Oak Park HospitalOak Park | 41 | $16,167 | $3,619 | $2,883 |
| Decatur Memorial HospitalDecatur | 41 | $19,857 | $3,523 | $2,793 |
| Advocate Lutheran General HospitalPark Ridge | 41 | $19,266 | $3,619 | $2,883 |
| Advocate Good Shepherd HospitalBarrington | 41 | $16,958 | $3,597 | $2,864 |
| Northwestern Medicine McHenryMcHenry | 37 | $33,637 | $3,619 | $2,883 |
| Advocate Good Samaritan HospitalDowners Grove | 37 | $21,645 | $3,541 | $2,805 |
| Delnor Community HospitalGeneva | 36 | $31,455 | $3,724 | $2,967 |
| Memorial Medical CenterSpringfield | 34 | $23,594 | $3,523 | $2,803 |
| Memorial HospitalBelleville | 33 | $20,600 | $3,353 | $2,633 |
| Memorial Hospital of CarbondaleCarbondale | 32 | $53,221 | $3,523 | $2,807 |
| Hinsdale HospitalHinsdale | 31 | $23,213 | $3,619 | $2,882 |
| Sherman HospitalElgin | 28 | $27,389 | $3,618 | $2,861 |
| Saint Francis Medical CenterPeoria | 28 | $47,472 | $3,523 | $2,807 |
| Carle Foundation HospitalUrbana | 28 | $24,050 | $3,523 | $2,807 |
| Bromenn Healthcare SystemNormal | 27 | $11,613 | $3,523 | $2,807 |
| Alexian Brothers Medical CenterElk Grove Village | 24 | $22,670 | $3,707 | $2,954 |
| Swedish American HospitalRockford | 23 | $47,811 | $3,707 | $2,954 |
| Provena St Joseph Medical CenterJoliet | 22 | $22,560 | $3,619 | $2,883 |
| Riverside Medical CenterKankakee | 22 | $30,261 | $3,455 | $2,725 |
| Kishwaukee Community HospitalDekalb | 22 | $33,521 | $3,707 | $2,954 |
| Copley Memorial HospitalAurora | 20 | $21,845 | $3,724 | $2,967 |
| Palos Community HospitalPalos Heights | 20 | $43,225 | $3,619 | $2,883 |
| St Alexius Medical CenterSchaumburg | 20 | $25,649 | $3,707 | $2,954 |
| Cgh Medical CenterSterling | 18 | $23,499 | $3,523 | $2,804 |
| St Joseph Medical CenterBloomington | 18 | $23,179 | $3,523 | $2,807 |
| Advocate Illinois Masonic Medical CenterChicago | 18 | $26,188 | $3,619 | $2,874 |
| Blessing HospitalQuincy | 16 | $34,053 | $3,773 | $3,005 |
| St Elizabeth HospitalBelleville | 16 | $28,108 | $3,370 | $2,654 |
| St Anthonys Memorial HospitalEffingham | 14 | $36,075 | $3,773 | $3,006 |
| Swedish Covenant HospitalChicago | 14 | $22,040 | $3,619 | $2,883 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 14 | $24,914 | $3,619 | $2,883 |
| Trinity Rock IslandRock Island | 14 | $17,693 | $3,523 | $2,807 |
| Resurrection Medical CenterChicago | 13 | $33,629 | $3,619 | $2,883 |
| University of Illinois Hospital and ClinicsChicago | 13 | $25,259 | $3,707 | $2,954 |
| Illini HospitalSilvis | 13 | $9,055 | $3,523 | $2,807 |
| John H Stroger Jr HospitalChicago | 12 | $28,636 | $3,619 | $2,883 |
| Fhn Memorial HospitalFreeport | 12 | $21,365 | $3,398 | $2,707 |
| Advocate Trinity HospitalChicago | 11 | $21,486 | $3,619 | $2,883 |
| Advocate Condell Medical CenterLibertyville | 11 | $25,868 | $3,597 | $2,866 |
| Saint Anthony Medical CenterRockford | 11 | $29,953 | $3,707 | $2,954 |
| Graham Hospital AssociationCanton | – | – | – | – |
| Alton Memorial HospitalAlton | – | – | – | – |
| Loyola Gottlieb Memorial HospitalMelrose Park | – | – | – | – |
| Herrin HospitalHerrin | – | – | – | – |
| OSF Saint Katharine Medical CenterDixon | – | – | – | – |
| Proctor HospitalPeoria | – | – | – | – |
| Mt Sinai Hospital Medical CenterChicago | – | – | – | – |
| St Marys HospitalCentralia | – | – | – | – |
| West Suburban Hosp Med CenterOak Park | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| St Johns HospitalSpringfield | – | – | – | – |
| Macneal HospitalBerwyn | – | – | – | – |
| St Mary Medical CenterGalesburg | – | – | – | – |
| Adventist la Grange Memorial HospitalLa Grange | – | – | – | – |
| Roseland Community HospitalChicago | – | – | – | – |
| Rhc St Francis HospitalEvanston | – | – | – | – |
| Vista Medical Center EastWaukegan | – | – | – | – |
| Mc Donough District HospitalMacomb | – | – | – | – |
| Midwestern Region Med CenterZion | – | – | – | – |
| Morris Hospital & Healthcare CentersMorris | – | – | – | – |
| OSF Saint Elizabeth Mdl CtrOttawa | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Pekin Memorial HospitalPekin | – | – | – | – |
| Holy Cross HospitalChicago | – | – | – | – |
| St Josephs HospitalBreese | – | – | – | – |
| Carle Richland Memorial HospitalOlney | – | – | – | – |
| Provena St Marys HospitalKankakee | – | – | – | – |
| Insight Hospital and Medical Center ChicagoChicago | – | – | – | – |
| St Marys HospitalDecatur | – | – | – | – |
| Little Company of Mary HospitalEvergreen Park | – | – | – | – |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | – | – | – | – |
| Heartland Regional Medical CenterMarion | – | – | – | – |
| Sarah Bush Lincoln Health CenterMattoon | – | – | – | – |
| Ingalls Memorial HospitalHarvey | – | – | – | – |
| Humboldt Park HealthChicago | – | – | – | – |
| Provena - Saint Joseph HospitalElgin | – | – | – | – |
| Saint Joseph HospitalChicago | – | – | – | – |
| Javon Bea HospitalRockford | – | – | – | – |
| Anderson HospitalMaryville | – | – | – | – |
| Adventist Bolingbrook HospitalBolingbrook | – | – | – | – |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Memorial HospitalBelleville, IL | $3,353 |
|---|---|
| St Elizabeth HospitalBelleville, IL | $3,370 |
| Fhn Memorial HospitalFreeport, IL | $3,398 |
| Riverside Medical CenterKankakee, IL | $3,455 |
| Saint Francis Medical CenterPeoria, IL | $3,523 |
Highest
| Blessing HospitalQuincy, IL | $3,773 |
|---|---|
| St Anthonys Memorial HospitalEffingham, IL | $3,773 |
| Copley Memorial HospitalAurora, IL | $3,724 |
| Delnor Community HospitalGeneva, IL | $3,724 |
| University of Illinois Hospital and ClinicsChicago, IL | $3,707 |
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 Illinois?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 94 hospitals in Illinois was billed at $27,281 on average, while the average medicare-allowed amount was $3,603, of which Medicare paid $2,866. 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 Illinois, 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.