Level 1 Breast/Lymphatic Surgery and Related Procedures in New York
What 107 hospitals in New York charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$27,126
Hospital list price billed
Average allowed
$4,207
Medicare's payment + patient's share
Medicare paid
$3,340
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in New York billed an average of $27,126 for level 1 breast/lymphatic surgery and related procedures, about 6.4 times the average medicare-allowed amount of $4,207. That payment is 14% above 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 $4,207Billed $27,126
About 16¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 1 breast/lymphatic surgery and related procedures
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mem Sloan-Kettering Cancer CtrNew York | 748 | $27,868 | $4,303 | $3,421 |
| NYU Hospitals CenterNew York | 433 | $43,928 | $4,264 | $3,392 |
| New York-Presbyterian HospitalNew York | 341 | $24,937 | $4,317 | $3,435 |
| Long Island Jewish Medical CenterNew Hyde Park | 172 | $25,995 | $4,202 | $3,329 |
| Mount Sinai HospitalNew York | 122 | $20,207 | $4,282 | $3,399 |
| St Peter's HospitalAlbany | 109 | $11,863 | $4,041 | $3,220 |
| Huntington HospitalHuntington | 86 | $21,815 | $4,092 | $3,226 |
| University HospitalStony Brook | 86 | $29,832 | $4,257 | $3,392 |
| Staten Island University HospitalStaten Island | 72 | $24,502 | $4,193 | $3,312 |
| St Francis Hospital, RoslynRoslyn | 72 | $26,571 | $4,247 | $3,374 |
| White Plains Hospital CtrWhite Plains | 72 | $48,336 | $4,335 | $3,453 |
| South Nassau Communities HospitalOceanside | 62 | $34,562 | $4,295 | $3,422 |
| Northern Westchester HospitalMt Kisco | 60 | $34,912 | $4,072 | $3,191 |
| Glen Cove HospitalGlen Cove | 60 | $22,922 | $4,147 | $3,274 |
| Mount Sinai WestNew York | 59 | $21,316 | $4,236 | $3,363 |
| Roswell Park Cancer InstituteBuffalo | 59 | $14,990 | $4,041 | $3,218 |
| St Joseph's Hospital Health CenterSyracuse | 54 | $10,465 | $3,922 | $3,101 |
| Lenox Hill HospitalNew York | 52 | $28,328 | $4,228 | $3,355 |
| New York Hospital Medical Center of QueensNew York | 51 | $22,021 | $4,337 | $3,456 |
| Crouse HospitalSyracuse | 51 | $11,624 | $4,041 | $3,220 |
| United Health Services HospsBinghamton | 49 | $15,530 | $4,041 | $3,220 |
| Albany Medical Center HospitalAlbany | 47 | $16,831 | $3,973 | $3,151 |
| Maimonides Medical CenterBrooklyn | 47 | $28,274 | $4,337 | $3,455 |
| Vassar Brothers Medical CenterPoughkeepsie | 46 | $22,610 | $4,126 | $3,254 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 42 | $22,986 | $3,773 | $2,907 |
| Good Samaritan Hospital Medical CenterWest Islip | 42 | $25,930 | $4,257 | $3,392 |
| Garnet Health Medical CenterGoshen | 41 | $24,359 | $4,056 | $3,184 |
| Saratoga HospitalSaratoga Springs | 39 | $19,390 | $3,959 | $3,136 |
| St Catherine of Siena HospitalSmithtown | 39 | $16,859 | $4,170 | $3,305 |
| Rochester General HospitalRochester | 38 | $13,301 | $4,041 | $3,220 |
| Highland HospitalRochester | 38 | $18,325 | $4,041 | $3,220 |
| Beth Israel Medical CenterNew York | 34 | $20,744 | $4,294 | $3,421 |
| Montefiore Medical CenterBronx | 33 | $35,392 | $4,294 | $3,421 |
| Good Samaritan Hospital of SuffernSuffern | 32 | $79,303 | $4,338 | $3,450 |
| Buffalo General HospitalBuffalo | 30 | $20,065 | $4,041 | $3,220 |
| University Hospital S U N Y Health Science CenterSyracuse | 29 | $27,755 | $3,930 | $3,109 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 27 | $22,974 | $3,922 | $3,101 |
| Putnam Hospital CenterCarmel | 26 | $28,401 | $3,965 | $3,084 |
| Nyack HospitalNyack | 23 | $28,879 | $4,319 | $3,438 |
| Mary Imogene Bassett HospitalCooperstown | 23 | $13,481 | $4,328 | $3,448 |
| Long Island Community HospitalPatchogue | 20 | $45,239 | $4,088 | $3,222 |
| Wynn HospitalUtica | 18 | $19,645 | $4,041 | $3,220 |
| Columbia Memorial HospitalHudson | 18 | $12,157 | $4,041 | $3,220 |
| Ellis HospitalSchenectady | 18 | $13,961 | $4,041 | $3,220 |
| Glens Falls HospitalGlens Falls | 18 | $10,312 | $4,041 | $3,220 |
| Sisters of Charity HospitalBuffalo | 17 | $13,848 | $4,041 | $3,220 |
| Strong Memorial HospitalRochester | 17 | $25,071 | $4,041 | $3,220 |
| Unity Hospital of RochesterRochester | 15 | $13,507 | $4,041 | $3,220 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 15 | $14,892 | $4,328 | $3,449 |
| Hudson Valley Hospital CenterCortlandt Manor | 15 | $20,810 | $4,337 | $3,456 |
| Cayuga Medical Center at IthacaIthaca | 15 | $17,292 | $4,328 | $3,449 |
| Peconic Bay Medical CenterRiverhead | 14 | $27,986 | $3,378 | $2,544 |
| Oneida Healthcare CenterOneida | 14 | $12,737 | $4,041 | $3,220 |
| Mercy Medical CenterRockville Centre | 14 | $24,427 | $4,295 | $3,422 |
| Westchester Medical CenterValhalla | 13 | $52,021 | $4,330 | $3,450 |
| Phelps Memorial Hospital AssnSleepy Hollow | 13 | $56,465 | $4,337 | $3,456 |
| Northern Dutchess HospitalRhinebeck | 12 | $19,241 | $4,119 | $3,247 |
| St John's Riverside HospitalYonkers | 12 | $13,016 | $4,337 | $3,456 |
| Bronxcare Hospital CenterBronx | – | – | – | – |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| New York Community Hospital of Brooklyn, INC.Brooklyn | – | – | – | – |
| Nassau University Medical CenterEast Meadow | – | – | – | – |
| Richmond University Medical CenterStaten Island | – | – | – | – |
| Southside HospitalBay Shore | – | – | – | – |
| St Mary's Hospital at AmsterdamAmsterdam | – | – | – | – |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | – | – | – | – |
| Geneva General HospitalGeneva | – | – | – | – |
| F F Thompson HospitalCanandaigua | – | – | – | – |
| Adirondack Medical CenterSaranac Lake | – | – | – | – |
| Lincoln Medical & Mental Health CenterBronx | – | – | – | – |
| Aurelia Osborn Fox Memorial HospitalOneonta | – | – | – | – |
| Arnot Ogden Medical CenterElmira | – | – | – | – |
| Olean General HospitalOlean | – | – | – | – |
| North Shore University HospitalManhasset | – | – | – | – |
| Jacobi Medical CenterBronx | – | – | – | – |
| Bon Secours Community HospitalPort Jervis | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Cortland Regional Medical Center, INCCortland | – | – | – | – |
| Samaritan HospitalTroy | – | – | – | – |
| Montefiore New Rochelle HospitalNew Rochelle | – | – | – | – |
| Flushing Hospital Medical CenterNew York | – | – | – | – |
| South Brooklyn HealthBrooklyn | – | – | – | – |
| Canton-Potsdam HospitalPotsdam | – | – | – | – |
| Metropolitan Hospital CenterNew York | – | – | – | – |
| Kings County Hospital CenterBrooklyn | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| Claxton-Hepburn Medical CenterOgdensburg | – | – | – | – |
| Rome Memorial Hospital, INCRome | – | – | – | – |
| Oswego HospitalOswego | – | – | – | – |
| Erie County Medical CenterBuffalo | – | – | – | – |
| Healthalliance Hospital Marys Avenue CampusKingston | – | – | – | – |
| Brooks Memorial HospitalDunkirk | – | – | – | – |
| Queens Hospital CenterJamaica | – | – | – | – |
| Brookdale Hospital Medical CenterBrooklyn | – | – | – | – |
| Auburn Memorial HospitalAuburn | – | – | – | – |
| UPMC Chautauqua at WcaJamestown | – | – | – | – |
| Harlem Hospital CenterNew York | – | – | – | – |
| St Charles HospitalPort Jefferson | – | – | – | – |
| Cornwall HospitalCornwall | – | – | – | – |
| Clifton Springs Hospital and ClinicClifton Springs | – | – | – | – |
| Nathan Littauer HospitalGloversville | – | – | – | – |
| Corning HospitalCorning | – | – | – | – |
| Mercy HospitalBuffalo | – | – | – | – |
| Plainview HospitalPlainview | – | – | – | – |
| St Joseph HospitalBethpage | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| Woodhull Medical and Mental Health CenterBrooklyn | – | – | – | – |
Lowest and highest allowed amounts in New York
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
| Peconic Bay Medical CenterRiverhead, NY | $3,378 |
|---|---|
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY | $3,773 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton, NY | $3,922 |
| St Joseph's Hospital Health CenterSyracuse, NY | $3,922 |
| University Hospital S U N Y Health Science CenterSyracuse, NY | $3,930 |
Highest
| Good Samaritan Hospital of SuffernSuffern, NY | $4,338 |
|---|---|
| Maimonides Medical CenterBrooklyn, NY | $4,337 |
| New York Hospital Medical Center of QueensNew York, NY | $4,337 |
| St John's Riverside HospitalYonkers, NY | $4,337 |
| Phelps Memorial Hospital AssnSleepy Hollow, NY | $4,337 |
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 New York?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 107 hospitals in New York was billed at $27,126 on average, while the average medicare-allowed amount was $4,207, of which Medicare paid $3,340. 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 New York, average charges were 6.4 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.