facebook tracking Level 1 Breast/Lymphatic Surgery and Related Procedures cost in Mississippi: 36 hospitals compared (APC 5091)

Level 1 Breast/Lymphatic Surgery and Related Procedures in Mississippi

What 36 hospitals in Mississippi charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.

APC 5091 Outpatient 2024 Medicare data
Average charge $25,277 Hospital list price billed
Average allowed $3,173 Medicare's payment + patient's share
Medicare paid $2,521 Average per service
State rank #4 of 49 1 = lowest average payment

Hospitals in Mississippi billed an average of $25,277 for level 1 breast/lymphatic surgery and related procedures, about 8.0 times the average medicare-allowed amount of $3,173. That payment is 14% 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 $3,173Billed $25,277

About 13¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 1 breast/lymphatic surgery and related procedures

Every Mississippi hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Merit Health Women's HospitalFlowood 68 $53,342 $3,168 $2,520
North Mississippi Medical CenterTupelo 62 $20,144 $3,418 $2,720
St Dominic-Jackson Memorial HospitalJackson 42 $17,531 $3,054 $2,418
Mississippi Baptist Medical CenterJackson 35 $22,997 $3,191 $2,541
Memorial Hospital at GulfportGulfport 30 $23,795 $2,817 $2,244
Natchez Regional Medical CtrNatchez 28 $40,965 $3,328 $2,631
Forrest General HospitalHattiesburg 21 $13,764 $3,113 $2,480
University of Mississippi Med CenterJackson 20 $24,349 $3,191 $2,542
Rush Foundation HospitalMeridian 20 $11,238 $3,154 $2,513
Magnolia Regional Health CenterCorinth 18 $20,616 $3,130 $2,494
Baptist Memorial Hospital North MsOxford 17 $17,417 $3,192 $2,543
Anderson Regional Medical CenterMeridian 17 $12,261 $3,154 $2,513
Baptist Memorial Hospital DesotoSouthaven 17 $16,812 $3,220 $2,566
Delta Regional Medical CenterGreenville 16 $9,677 $3,045 $2,351
Gilmore Memorial HospitalAmory 12 $19,380 $3,113 $2,480
Baptist Mem Hosp/Golden Triangle INCColumbus 12 $13,967 $3,154 $2,513
Baptist Memorial Hospital Union CountyNew Albany – – – –
Biloxi Regional Medical CenterBiloxi – – – –
George County HospitalLucedale – – – –
Madison County Medical CtrCanton – – – –
Singing River HospitalPascagoula – – – –
Neshoba County General HospitalPhiladelphia – – – –
Baptist Memorial Hospital BoonevilleBooneville – – – –
Baptist Memorial Hospital-Oktibbeha CountyStarkville – – – –
King's Daughters Medical Center-BrookhavenBrookhaven – – – –
South Central Regional Med CtrLaurel – – – –
Clay County Medical CenterWest Point – – – –
Wayne General HospitalWaynesboro – – – –
Bolivar Medical CenterCleveland – – – –
Wesley Medical CenterHattiesburg – – – –
Southwest Mississippi Med CntrMcComb – – – –
Highland Community HospitalPicayune – – – –
Singing River GulfportGulfport – – – –
Magee General HospitalMagee – – – –
Hancock Medical CenterBay St Louis – – – –
University of Mississippi Medical Center- GrenadaGrenada – – – –
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Lowest and highest allowed amounts in Mississippi

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

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 Mississippi?

In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 36 hospitals in Mississippi was billed at $25,277 on average, while the average medicare-allowed amount was $3,173, of which Medicare paid $2,521. 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 Mississippi, average charges were 8.0 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.