Level 1 Breast/Lymphatic Surgery and Related Procedures in Oregon
What 28 hospitals in Oregon charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$19,686
Hospital list price billed
Average allowed
$4,027
Medicare's payment + patient's share
Medicare paid
$3,202
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $19,686 for level 1 breast/lymphatic surgery and related procedures, about 4.9 times the average medicare-allowed amount of $4,027. That payment is 9% 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 $4,027Billed $19,686
About 20¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 1 breast/lymphatic surgery and related procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Oregon
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
| Three Rivers Community HospitalGrants Pass, OR | $3,761 |
|---|---|
| Ashland Community HospitalAshland, OR | $3,761 |
| Providence Newberg HospitalNewberg, OR | $3,787 |
| Providence St Vincent Medical CenterPortland, OR | $3,861 |
| St Charles Medical Center - BendBend, OR | $3,917 |
Highest
| Rogue Valley Medical CenterMedford, OR | $4,628 |
|---|---|
| Providence Medford Medical CenterMedford, OR | $4,628 |
| Salem HospitalSalem, OR | $4,238 |
| Mercy Medical CenterRoseburg, OR | $4,165 |
| Bay Area HospitalCoos Bay, OR | $4,165 |
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 Oregon?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 28 hospitals in Oregon was billed at $19,686 on average, while the average medicare-allowed amount was $4,027, of which Medicare paid $3,202. 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 Oregon, average charges were 4.9 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.