Level 1 Breast/Lymphatic Surgery and Related Procedures in Utah
What 26 hospitals in Utah charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$14,929
Hospital list price billed
Average allowed
$3,416
Medicare's payment + patient's share
Medicare paid
$2,712
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $14,929 for level 1 breast/lymphatic surgery and related procedures, about 4.4 times the average medicare-allowed amount of $3,416. That payment is 7% 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 $3,416Billed $14,929
About 23¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 1 breast/lymphatic surgery and related procedures
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Utah
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
| Timpanogos Regional HospitalOrem, UT | $3,167 |
|---|---|
| Cottonwood Hospital Med CntrMurray, UT | $3,263 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $3,364 |
| Lds HospitalSalt Lake City, UT | $3,369 |
| McKay-Dee Hospital CenterOgden, UT | $3,393 |
Highest
| Intermountain Health Cedar City HospitalCedar City, UT | $3,657 |
|---|---|
| St. George Regional HospitalSt George, UT | $3,657 |
| American Fork HospitalAmerican Fork, UT | $3,415 |
| McKay-Dee Hospital CenterOgden, UT | $3,393 |
| Lds HospitalSalt Lake City, UT | $3,369 |
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 Utah?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 26 hospitals in Utah was billed at $14,929 on average, while the average medicare-allowed amount was $3,416, of which Medicare paid $2,712. 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 Utah, average charges were 4.4 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.