Level 1 Breast/Lymphatic Surgery and Related Procedures in Kansas
What 30 hospitals in Kansas charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$20,625
Hospital list price billed
Average allowed
$3,311
Medicare's payment + patient's share
Medicare paid
$2,634
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Kansas billed an average of $20,625 for level 1 breast/lymphatic surgery and related procedures, about 6.2 times the average medicare-allowed amount of $3,311. That payment is 10% 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 $3,311Billed $20,625
About 16¢ was paid for every $1 hospitals in Kansas billed for this service.
Kansas hospitals: level 1 breast/lymphatic surgery and related procedures
Every Kansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Kansas HospitalKansas City | 103 | $25,383 | $3,315 | $2,636 |
| Kansas Surgery & Recovery CenterWichita | 102 | $11,721 | $3,218 | $2,558 |
| Stormont-Vail HealthcareTopeka | 40 | $17,367 | $3,329 | $2,648 |
| St Francis Health CenterTopeka | 25 | $20,772 | $3,329 | $2,645 |
| Shawnee Mission Medical CenterOverland Park | 25 | $45,767 | $3,329 | $2,652 |
| Saint Luke's South HospitalOverland Park | 22 | $23,424 | $3,329 | $2,652 |
| Hays Medical CenterHays | 21 | $12,428 | $3,502 | $2,791 |
| Ascension Via Christi Hospital ManhattanManhattan | 15 | $19,026 | $3,254 | $2,593 |
| Menorah Medical CenterShawnee Mission | 15 | $40,520 | $3,329 | $2,648 |
| NMC HealthNewton | 14 | $6,386 | $3,254 | $2,593 |
| Promise Regional Medical Center Hutchinson INCHutchinson | 12 | $24,898 | $3,485 | $2,765 |
| Olathe Medical CenterOlathe | 12 | $15,522 | $3,329 | $2,652 |
| Salina Regional Health CenterSalina | 11 | $17,132 | $3,485 | $2,777 |
| Mercy Hospital PittsburgPittsburg | – | – | – | – |
| Susan B Allen Memorial HospitalEl Dorado | – | – | – | – |
| St Catherine HospitalGarden City | – | – | – | – |
| Pratt Regional Medical CenterPratt | – | – | – | – |
| Southwest Medical CenterLiberal | – | – | – | – |
| Stormont Vail Health Flint HillsJunction City | – | – | – | – |
| McPherson HospitalMcPherson | – | – | – | – |
| Labette County Medical CenterParsons | – | – | – | – |
| Via Christi Hospitals Wichita INCWichita | – | – | – | – |
| Wesley Medical CenterWichita | – | – | – | – |
| Lawrence Memorial HospitalLawrence | – | – | – | – |
| Providence Medical CenterKansas City | – | – | – | – |
| Overland Park Regional CenterShawnee Mission | – | – | – | – |
| Salina Surgical HospitalSalina | – | – | – | – |
| Manhattan Surgical Hospital LLCManhattan | – | – | – | – |
| Kansas Medical Center LLCAndover | – | – | – | – |
| Rock Regional Hospital, LLCDerby | – | – | – | – |
Lowest and highest allowed amounts in Kansas
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
| Kansas Surgery & Recovery CenterWichita, KS | $3,218 |
|---|---|
| NMC HealthNewton, KS | $3,254 |
| Ascension Via Christi Hospital ManhattanManhattan, KS | $3,254 |
| University of Kansas HospitalKansas City, KS | $3,315 |
| Olathe Medical CenterOlathe, KS | $3,329 |
Highest
| Hays Medical CenterHays, KS | $3,502 |
|---|---|
| Promise Regional Medical Center Hutchinson INCHutchinson, KS | $3,485 |
| Salina Regional Health CenterSalina, KS | $3,485 |
| St Francis Health CenterTopeka, KS | $3,329 |
| Stormont-Vail HealthcareTopeka, KS | $3,329 |
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 Kansas?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 30 hospitals in Kansas was billed at $20,625 on average, while the average medicare-allowed amount was $3,311, of which Medicare paid $2,634. 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 Kansas, average charges were 6.2 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.