Average charge
$31,340
Hospital list price billed
Average allowed
$3,405
Medicare's payment + patient's share
Medicare paid
$2,705
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Texas billed an average of $31,340 for level 1 breast/lymphatic surgery and related procedures, about 9.2 times the average medicare-allowed amount of $3,405 . That payment is 8% 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 $3,405 Billed $31,340
About 11¢ was paid for every $1 hospitals in Texas billed for this service.
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Wyoming (9)
Texas hospitals: level 1 breast/lymphatic surgery and related procedures
Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
Univ of Tx M D Anderson Ctr Houston 293
$21,306
$3,515 $2,797
UT Southwestern University Hospital Dallas 85
$18,891
$3,410 $2,717
Texas Health Presbyterian Hospital Dallas Dallas 75
$19,648
$3,430 $2,732
Baptist Medical Center San Antonio 74
$80,059
$3,283 $2,609
Methodist Hospital,The Houston 66
$38,859
$3,450 $2,726
Mem Hermann Southwest Hosp Houston 63
$30,252
$3,490 $2,771
Trinity Mother Frances Syst Tyler 57
$33,672
$3,307 $2,632
Scott & White Memorial Hospital Temple 55
$17,852
$3,428 $2,721
Baylor All Saints Medical Center at Fw Fort Worth 54
$27,216
$3,390 $2,689
St Davids Hospital Austin 50
$45,273
$3,355 $2,673
Methodist Hospital San Antonio 45
$43,111
$3,307 $2,633
CHRISTUS Spohn Hospital Corpus Christi Corpus Christi 43
$16,705
$3,362 $2,653
Texas Health Harris Methodist Fort Worth Fort Worth 43
$20,101
$3,367 $2,669
Baylor University Medical Center Dallas 42
$26,192
$3,370 $2,685
Bsa Hospital Amarillo 41
$26,049
$3,270 $2,598
Hendrick Health System Abilene 39
$42,465
$3,447 $2,732
Longview Regional Medical Center Longview 39
$52,481
$3,391 $2,700
Methodist Sugar Land Hospital Sugar Land 36
$45,043
$3,534 $2,816
Weatherford Regional Medical Center Weatherford 35
$50,421
$3,363 $2,663
Baylor Regional Medical Center at Plano Plano 35
$21,975
$3,196 $2,499
Seton Medical Center Austin Austin 34
$27,392
$3,279 $2,597
University Medical Center Lubbock 34
$24,650
$3,307 $2,635
Scott & White Hospital-Round Rock Round Rock 32
$16,963
$3,355 $2,673
Mary Shiels Hospital Dallas 31
$17,112
$3,430 $2,733
Shannon Medical Center San Angelo 29
$16,721
$3,348 $2,628
Providence Health Center Waco 28
$25,257
$3,432 $2,734
North Central Surgical Center LLP Dallas 28
$19,100
$3,430 $2,733
St Joseph Regional Health Center Bryan 27
$52,147
$3,320 $2,638
Texas Health Harris Methodist Hospital Southwest F Fort Worth 27
$18,320
$3,441 $2,742
Texas Health Harris Methodist Hurst-Euless-Bedford Bedford 23
$16,167
$3,441 $2,742
St David's South Austin Medical Center Austin 23
$45,622
$3,355 $2,673
St Lukes Episcopal Hospital Houston 22
$31,979
$3,326 $2,624
University Health System San Antonio 22
$21,972
$3,307 $2,635
Medical City Dallas Hospital Dallas 22
$75,278
$3,430 $2,731
Houston Methodist Clear Lake Hospital Houston 22
$54,933
$3,406 $2,688
CHRISTUS Santa Rosa Hospital San Antonio 21
$33,540
$3,308 $2,626
Methodist Richardson Medical Center Richardson 21
$19,867
$3,364 $2,680
Baylor Regional Medical Center at Grapevine Grapevine 21
$20,798
$3,311 $2,611
Houston Methodist West Hospital Houston 21
$37,717
$3,534 $2,816
Clear Lake Regional Medical Center Webster 20
$76,870
$3,534 $2,816
Methodist Willowbrook Hospital Houston 20
$52,421
$3,534 $2,816
Houston Methodist the Woodlands Hospital The Woodlands 20
$45,704
$3,534 $2,816
United Regional Hlth Care Syst Wichita Falls 19
$12,120
$3,558 $2,835
University of Texas Medical Branch Gal Galveston 19
$31,107
$3,423 $2,727
East Texas Medical Center Tyler 19
$35,080
$3,307 $2,635
Medical Center of Plano Plano 19
$65,199
$3,430 $2,732
Denton Community Hospital Denton 19
$21,933
$3,441 $2,742
Mem Hermann Mem City Hosp Houston 18
$36,810
$3,534 $2,816
Medical Center of Lewisville Lewisville 18
$68,280
$3,441 $2,742
Baylor Medical Center at Irving Irving 17
$23,334
$3,430 $2,733
Lake Pointe Medical Center Rowlett 17
$23,622
$3,269 $2,572
Texas Health Harris Methodist Hospital Southlake Southlake 17
$14,832
$3,441 $2,742
CHRISTUS St Michael Health System Texarkana 16
$20,565
$3,307 $2,630
CHRISTUS Hospital Beaumont 15
$21,203
$3,347 $2,628
Texas Health Arlington Memorial Hospital Arlington 15
$18,795
$3,441 $2,738
Baylor Medical Center at Frisco Frisco 15
$20,889
$3,430 $2,733
Texas Health Presbyterian Hospital Rockwall Rockwall 15
$19,465
$3,430 $2,733
Sid Peterson Memorial Hospital Kerrville 14
$14,839
$3,308 $2,625
Good Shepherd Medical Center Marshall Marshall 14
$33,157
$3,391 $2,693
Baylor Medical Center at Waxahachie Waxahachie 14
$22,886
$3,245 $2,546
Texas Health Hospital Frisco Frisco 14
$16,106
$3,430 $2,733
North Austin Medical Center Austin 13
$49,628
$3,355 $2,673
Memorial Hermann Sugar Land Hospital Sugar Land 13
$35,582
$3,534 $2,816
Doctors Hospital at Renaissance Edinburg 13
$42,012
$3,307 $2,635
Covenant Medical Center Lubbock 12
$62,508
$3,307 $2,635
Denton Regional Medical Center Denton 12
$54,452
$3,441 $2,742
Methodist Southlake Medical Center Southlake 12
$20,004
$3,441 $2,742
Guadalupe Regional Medical Center Seguin 11
$15,355
$3,307 $2,635
Huguley Health System Fort Worth 11
$27,685
$3,442 $2,722
Methodist Mansfield Medical Center Mansfield 11
$16,052
$3,441 $2,742
Texas Health Presbyterian Hospital Flower Mound Flower Mound 11
$19,834
$3,441 $2,742
Baylor Scott & White Medical Center Pflugerville Pflugerville 11
$17,552
$3,355 $2,673
Providence Memorial Hospital El Paso –
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Parkland Health and Hospital System Dallas –
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Citizens Medical Center Victoria –
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University Medical Center of El Paso El Paso –
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Valley Baptist Medical Center - Brownsville Brownsville –
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Laredo Medical Center Laredo –
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Valley Baptist Medical Center Harlingen –
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CHRISTUS St Joseph Hospital Houston –
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Jps Health Network Fort Worth –
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Methodist Dallas Medical Center Dallas –
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Memorial Hermann Texas Medical Center Houston –
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Brazosport Regional Health System Lake Jackson –
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Titus Regional Medical Center Mt Pleasant –
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North Hills Hospital North Richland Hills –
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North Texas Medical Center Gainesville –
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Fort Duncan Medical Center Eagle Pass –
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Hillcrest Baptist Med Center Waco –
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Las Palmas Medical Center El Paso –
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South Texas Health System Edinburg –
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University Medical Center at Brackenridge Austin –
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Knapp Medical Center Weslaco –
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Medical Center Hospital Odessa –
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Midland Memorial Hospital Midland –
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Ascension Seton SmithvilleSmithville
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Permian Regional Medical Center Andrews County Ho Andrews –
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Detar Hospital Navarro Victoria –
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Texas Health Harris Methodist Hospital Cleburne Cleburne –
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Adventhealth Central Texas Killeen –
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Mission Regional Medical Center Mission –
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East Texas Medical Center Jacksonville Jacksonville –
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Paris Regional Medical Center Paris –
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Wadley Regional Medical Center Texarkana –
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CHI St Lukes Health Memorial Lufkin Lufkin –
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Conroe Regional Medical Center Conroe –
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Memorial Hospital Gonzales –
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CHRISTUS Mother Frances Hospital Sulphur Springs Sulphur Springs –
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Faith Community Hospital Jacksboro –
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Medical City DecaturDecatur
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CHRISTUS Santa Rosa Hospital-San Marcos San Marcos –
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Harris County Hospital District Houston –
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Texoma Healthcare System Denison –
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Oakbend Medical Center Richmond –
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Mem Hermann Baptist Hospital Beaumont –
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Huntsville Memorial Hospital Huntsville –
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Hunt Regional Medical Center Greenville –
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Childress Regional Medical Center Childress –
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Columbus Community Hospital Columbus –
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East Texas Medical Center Athens Athens –
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Medical Center of McKinney McKinney –
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Texas Health Harris Methodist Hospital Azle Azle –
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Houston Methodist Baytown Hospital Baytown –
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Navarro Regional Hospital Corsicana –
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Glen Rose Medical Center Glen Rose –
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Woodland Heights Medical Center Lufkin –
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Nacogdoches Memorial Hospital Nacogdoches –
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Covenant Hospital Plainview Plainview –
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Palo Pinto General Hospital Mineral Wells –
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Wilbarger General Hospital Vernon –
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Brownwood Regional Medical Center Brownwood –
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Lake Granbury Medical Center Granbury –
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Hill Country Memorial Hospital Fredericksburg –
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Doctors Hospital of Laredo Laredo –
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West Houston Medical Center Houston –
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Nacogdoches Medical Center Nacogdoches –
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HCA Houston Healthcare Medical Center Houston –
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Odessa Regional Hospital Odessa –
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Valley Regional Medical Center Brownsville –
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Sierra Medical Center El Paso –
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Tomball Regional Hospital Tomball –
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Plaza Medical Center of Fort Worth Fort Worth –
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Womans Hospital of Texas,The Houston –
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Medical Center of Arlington Arlington –
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Memorial Hermann Northeast Humble –
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Rio Grande Regional Hospital McAllen –
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Round Rock Medical Center Round Rock –
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Methodist Charlton Medical Center Dallas –
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Palestine Regional Medical Center Palestine –
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Texas Health Presbyterian Hospital Plano Plano –
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Tops Surgical Specialty Hospital Houston –
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Kingwood Medical Center Kingwood –
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Corpus Christi Medical Center,The Corpus Christi –
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Healthsouth Surgical Hospital Austin –
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Las Colinas Medical Center Irving –
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Kell West Regional HospitalWichita Falls
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CHRISTUS Spohn Hospital Alice Alice –
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Ennis Regional Medical Center Ennis –
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Texas Health Presbyterian Hospital Allen Allen –
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Memorial Hermann Katy Hospital Katy –
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Baylor Heart and Vascular Hospital Dallas –
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St Luke's the Woodlands Hospital Conroe –
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Seton Northwest Hospital Austin –
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Baylor Surgical Hospital at las Colinas Irving –
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Quail Creek Surgical Hospital Amarillo –
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Lubbock Heart Hospital Lp Lubbock –
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Baylor Surgical Hospital at Fort Worth Fort Worth –
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Texas Institute for Surgery at Presbyterian Hospit Dallas –
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Texas Health Center for Diagnostics & Surgery Plan Plano –
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Covenant Children's Hospital Lubbock –
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Seton Medical Center Williamson Round Rock –
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Cedar Park Regional Medical Center Cedar Park –
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Sierra Providence East Medical Center El Paso –
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Methodist Stone Oak Hospital San Antonio –
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Seton Medical Center Hays Kyle –
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Texas Regional Medical Center at Sunnyvale Sunnyvale –
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St Luke's Hospital at the Vintage Houston –
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Baylor Scott and White Surgical Hospital at Sherma Sherman –
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Seton Medical Center Harker Heights Harker Heights –
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Baylor Scott and White Medical Center McKinney Mc Kinney –
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Texas Health Harris Methodist Hospital Alliance Fort Worth –
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Baylor Scott & White Medical Center- College Stati College Station –
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Resolute Health Hospital New Braunfels –
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Medical City Alliance Fort Worth –
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Baylor Scott & White Medical Center - Marble Falls Marble Falls –
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The Hospitals of Providence Transmountain Campus El Paso –
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Baylor Scott & White Medical Center - Buda Buda –
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Baylor Scott & White Medical Center- Austin Austin –
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Methodist Midlothian Medical Center Midlothian –
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Texas Health Hospital Mansfield Mansfield –
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Lowest and highest allowed amounts in Texas
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
Baylor Regional Medical Center at Plano Plano, TX $3,196 Baylor Medical Center at Waxahachie Waxahachie, TX $3,245 Lake Pointe Medical Center Rowlett, TX $3,269 Bsa Hospital Amarillo, TX $3,270 Seton Medical Center Austin Austin, TX $3,279
Highest
United Regional Hlth Care Syst Wichita Falls, TX $3,558 Mem Hermann Mem City Hosp Houston, TX $3,534 Clear Lake Regional Medical Center Webster, TX $3,534 Methodist Sugar Land Hospital Sugar Land, TX $3,534 Methodist Willowbrook Hospital Houston, TX $3,534
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 Texas? In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 190 hospitals in Texas was billed at $31,340 on average, while the average medicare-allowed amount was $3,405, of which Medicare paid $2,705. 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 Texas, average charges were 9.2 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 .
