Level 1 Breast/Lymphatic Surgery and Related Procedures in Iowa
What 29 hospitals in Iowa charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$23,068
Hospital list price billed
Average allowed
$3,338
Medicare's payment + patient's share
Medicare paid
$2,658
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $23,068 for level 1 breast/lymphatic surgery and related procedures, about 6.9 times the average medicare-allowed amount of $3,338. 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 $3,338Billed $23,068
About 14¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 1 breast/lymphatic surgery and related procedures
Every Iowa 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 Medical Center-Des MoinesDes Moines | 67 | $28,092 | $3,222 | $2,559 |
| University of Iowa Hospital & ClinicsIowa City | 58 | $31,350 | $3,402 | $2,710 |
| Genesis Medical Center-DavenportDavenport | 54 | $11,204 | $3,287 | $2,619 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 35 | $17,860 | $3,287 | $2,619 |
| Iowa Methodist Medical CenterDes Moines | 33 | $26,453 | $3,273 | $2,608 |
| Mercy Medical Center-DubuqueDubuque | 26 | $19,447 | $3,476 | $2,765 |
| Mercyone Waterloo Medical CenterWaterloo | 25 | $34,364 | $3,261 | $2,598 |
| Mercy Medical Center-North IowaMason City | 23 | $38,104 | $3,695 | $2,944 |
| Mary Greeley Medical CenterAmes | 20 | $14,959 | $3,273 | $2,608 |
| Jennie Edmundson HospitalCouncil Bluffs | 19 | $15,548 | $3,435 | $2,737 |
| The Finley HospitalDubuque | 19 | $14,520 | $3,261 | $2,598 |
| St Lukes HospitalCedar Rapids | 17 | $18,033 | $3,287 | $2,619 |
| Southeast Iowa Regional Medical CenterWest Burlington | 15 | $17,288 | $3,520 | $2,805 |
| Marshalltown Medical & Surgical CenterMarshalltown | – | – | – | – |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity MuscatineMuscatine | – | – | – | – |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Mercy HospitalIowa City | – | – | – | – |
| Mercy Medical Center-ClintonClinton | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| Broadlawns Medical CenterDes Moines | – | – | – | – |
| Trinity Medical CenterDavenport | – | – | – | – |
| Allen Memorial HospitalWaterloo | – | – | – | – |
| Spencer Municipal HospitalSpencer | – | – | – | – |
| Lakes Regional HealthcareSpirit Lake | – | – | – | – |
| St Lukes Regional Medical CenterSioux City | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
| Mercyone Siouxland Medical CenterSioux City | – | – | – | – |
Lowest and highest allowed amounts in Iowa
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
| Mercy Medical Center-Des MoinesDes Moines, IA | $3,222 |
|---|---|
| Mercyone Waterloo Medical CenterWaterloo, IA | $3,261 |
| The Finley HospitalDubuque, IA | $3,261 |
| Mary Greeley Medical CenterAmes, IA | $3,273 |
| Iowa Methodist Medical CenterDes Moines, IA | $3,273 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $3,695 |
|---|---|
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $3,520 |
| Mercy Medical Center-DubuqueDubuque, IA | $3,476 |
| Jennie Edmundson HospitalCouncil Bluffs, IA | $3,435 |
| University of Iowa Hospital & ClinicsIowa City, IA | $3,402 |
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 Iowa?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 29 hospitals in Iowa was billed at $23,068 on average, while the average medicare-allowed amount was $3,338, of which Medicare paid $2,658. 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 Iowa, average charges were 6.9 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.