Level 1 Breast/Lymphatic Surgery and Related Procedures in Missouri
What 56 hospitals in Missouri charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$19,804
Hospital list price billed
Average allowed
$3,289
Medicare's payment + patient's share
Medicare paid
$2,613
Average per service
State rank
#12 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $19,804 for level 1 breast/lymphatic surgery and related procedures, about 6.0 times the average medicare-allowed amount of $3,289. That payment is 11% 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 $3,289Billed $19,804
About 17¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 1 breast/lymphatic surgery and related procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 88 | $24,408 | $3,285 | $2,605 |
| St John's Mercy Medical CenterSt Louis | 82 | $14,447 | $3,335 | $2,637 |
| Lester E Cox Medical CentersSpringfield | 71 | $22,581 | $3,205 | $2,552 |
| Mercy Hospital SpringfieldSpringfield | 70 | $16,738 | $3,205 | $2,551 |
| University Hospitals & ClinicsColumbia | 60 | $21,307 | $3,207 | $2,548 |
| Missouri Baptist Medical CenterTown and Country | 50 | $18,307 | $3,332 | $2,655 |
| St Lukes HospitalChesterfield | 44 | $12,346 | $3,392 | $2,703 |
| Barnes-Jewish West County HospitalSt Louis | 40 | $20,465 | $3,392 | $2,703 |
| Boone Hospital CenterColumbia | 39 | $18,685 | $3,177 | $2,518 |
| Mercy Hospital SouthSt Louis | 39 | $12,288 | $3,392 | $2,702 |
| Freeman Health System - Freeman WestJoplin | 31 | $24,041 | $3,205 | $2,548 |
| Mosaic Life Care at St JosephSt Joseph | 30 | $14,413 | $3,586 | $2,857 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 30 | $38,194 | $3,329 | $2,652 |
| St Johns Mercy HospitalWashington | 29 | $12,012 | $3,392 | $2,703 |
| St Francis Medical CenterCape Girardeau | 29 | $21,224 | $3,487 | $2,778 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 25 | $14,637 | $3,131 | $2,454 |
| Nkc HealthNorth Kansas City | 25 | $19,848 | $3,156 | $2,493 |
| St Louis University HospitalSt Louis | 25 | $28,504 | $3,332 | $2,655 |
| Barnes-Jewish St Peters HospitalSt Peters | 22 | $15,894 | $3,392 | $2,703 |
| Mercy Hospital JoplinJoplin | 20 | $11,727 | $3,103 | $2,452 |
| Christian Hospital NortheastSt Louis | 20 | $23,950 | $3,332 | $2,655 |
| SSM St Joseph Health CenterSt Charles | 19 | $13,586 | $2,507 | $1,980 |
| SSM St Mary's Health CenterSt Louis | 19 | $17,117 | $3,332 | $2,655 |
| SSM St Joseph Hospital WestLake St Louis | 19 | $14,960 | $3,392 | $2,703 |
| St Lukes Hospital of Kansas CityKansas City | 17 | $30,344 | $3,329 | $2,652 |
| SSM Depaul Health CenterBridgeton | 15 | $16,781 | $3,332 | $2,655 |
| Saint Luke's Northland HospSmithville | 14 | $31,541 | $3,329 | $2,652 |
| Liberty HospitalLiberty | 14 | $27,302 | $3,253 | $2,576 |
| Southeast Missouri HospitalCape Girardeau | 13 | $23,952 | $3,274 | $2,565 |
| Phelps County Regional Medical CenterRolla | 12 | $37,932 | $3,633 | $2,895 |
| Bothwell Regional Health CenterSedalia | – | – | – | – |
| St Marys Health CenterJefferson City | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Research Medical CenterKansas City | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Mosaic Medical Center - MaryvilleMaryville | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Ozarks Medical CenterWest Plains | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| Cox Medical Center BransonBranson | – | – | – | – |
| Centerpoint Medical CenterIndependence | – | – | – | – |
| Western Missouri Medical CenterWarrensburg | – | – | – | – |
| Poplar Bluff Regional Medical CenterPoplar Bluff | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| Parkland Health CenterFarmington | – | – | – | – |
| Golden Valley Memorial HospitalClinton | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| Lee's Summit HospitalLee's Summit | – | – | – | – |
| Citizens Memorial HospitalBolivar | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| SSM St Joseph Health CenterSt Charles, MO | $2,507 |
|---|---|
| Mercy Hospital JoplinJoplin, MO | $3,103 |
| SSM St Joseph Hosp of KirkwoodSt Louis, MO | $3,131 |
| Nkc HealthNorth Kansas City, MO | $3,156 |
| Boone Hospital CenterColumbia, MO | $3,177 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $3,633 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $3,586 |
| St Francis Medical CenterCape Girardeau, MO | $3,487 |
| Mercy Hospital SouthSt Louis, MO | $3,392 |
| St Johns Mercy HospitalWashington, MO | $3,392 |
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 Missouri?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 56 hospitals in Missouri was billed at $19,804 on average, while the average medicare-allowed amount was $3,289, of which Medicare paid $2,613. 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 Missouri, average charges were 6.0 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.