Level 1 Breast/Lymphatic Surgery and Related Procedures in Washington
What 41 hospitals in Washington charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$26,581
Hospital list price billed
Average allowed
$3,892
Medicare's payment + patient's share
Medicare paid
$3,095
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $26,581 for level 1 breast/lymphatic surgery and related procedures, about 6.8 times the average medicare-allowed amount of $3,892. That payment is 6% 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 $3,892Billed $26,581
About 15¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 1 breast/lymphatic surgery and related procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Washington Medical CtrSeattle | 150 | $20,740 | $3,826 | $3,047 |
| Providence Sacred Heart Medical CenterSpokane | 80 | $20,774 | $3,798 | $3,020 |
| Tacoma General HospitalTacoma | 73 | $31,932 | $3,927 | $3,129 |
| Swedish Medical CenterSeattle | 54 | $31,744 | $4,084 | $3,254 |
| St Michael Medical CenterBremerton | 51 | $43,758 | $4,047 | $3,211 |
| Virginia Mason Medical CenterSeattle | 50 | $24,850 | $3,696 | $2,920 |
| Providence St Peter HospitalOlympia | 43 | $21,262 | $3,854 | $3,071 |
| Evergreenhealth Medical CenterKirkland | 42 | $13,608 | $3,893 | $3,102 |
| Providence Regional Medical Center EverettEverett | 41 | $19,764 | $3,893 | $3,102 |
| Overlake Hospital Medical CenterBellevue | 35 | $30,958 | $3,804 | $3,013 |
| S W Washington Medical CenterVancouver | 33 | $28,840 | $3,903 | $3,090 |
| St Joseph Medical CenterTacoma | 33 | $56,930 | $3,927 | $3,129 |
| Confluence Health HospitalWenatchee | 31 | $22,492 | $4,021 | $3,183 |
| Yakima Valley Memorial HospitalYakima | 26 | $14,971 | $4,097 | $3,264 |
| Kadlec Regional Medical CenterRichland | 26 | $20,360 | $3,826 | $3,048 |
| Legacy Salmon Creek Medical CenterVancouver | 26 | $18,160 | $3,877 | $3,064 |
| Providence Holy Family HospitalSpokane | 25 | $26,467 | $3,826 | $3,048 |
| Swedish IssaquahIssaquah | 25 | $23,861 | $3,893 | $3,102 |
| St Anthony HospitalGig Harbor | 23 | $48,537 | $3,927 | $3,127 |
| Deaconess Medical CenterSpokane | 22 | $21,032 | $3,826 | $3,048 |
| Valley Medical CenterRenton | 22 | $22,031 | $3,893 | $3,102 |
| Skagit Valley HospitalMt Vernon | 21 | $21,820 | $3,854 | $3,071 |
| Capital Medical CenterOlympia | 20 | $34,910 | $3,927 | $3,129 |
| Olympic Medical CenterPort Angeles | 16 | $11,598 | $4,097 | $3,264 |
| Providence St Mary Medical CenterWalla Walla | 15 | $33,312 | $4,097 | $3,264 |
| Peacehealth St Joseph Medical CenterBellingham | 15 | $30,593 | $3,880 | $3,047 |
| Island HospitalAnacortes | 14 | $18,681 | $3,854 | $3,071 |
| Valley Hospital & Medical CenterSpokane | 12 | $17,365 | $3,826 | $3,048 |
| St Francis Community HospitalFederal Way | 12 | $71,215 | $3,893 | $3,102 |
| Highline Medical CenterBurien | – | – | – | – |
| Auburn Regional Medical CenterAuburn | – | – | – | – |
| Providence Centralia HospitalCentralia | – | – | – | – |
| St Clare HospitalLakewood | – | – | – | – |
| Swedish Edmonds HospitalEdmonds | – | – | – | – |
| Grays Harbor Community HospitalAberdeen | – | – | – | – |
| Samaritan HospitalMoses Lake | – | – | – | – |
| Peachealth St John Medical CenterLongview | – | – | – | – |
| Trios HealthKennewick | – | – | – | – |
| Cascade Valley HospitalArlington | – | – | – | – |
| Harborview Medical CenterSeattle | – | – | – | – |
| Good Samaritan Hospital & Rehab CenterPuyallup | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Virginia Mason Medical CenterSeattle, WA | $3,696 |
|---|---|
| Providence Sacred Heart Medical CenterSpokane, WA | $3,798 |
| Overlake Hospital Medical CenterBellevue, WA | $3,804 |
| Deaconess Medical CenterSpokane, WA | $3,826 |
| Kadlec Regional Medical CenterRichland, WA | $3,826 |
Highest
| Providence St Mary Medical CenterWalla Walla, WA | $4,097 |
|---|---|
| Yakima Valley Memorial HospitalYakima, WA | $4,097 |
| Olympic Medical CenterPort Angeles, WA | $4,097 |
| Swedish Medical CenterSeattle, WA | $4,084 |
| St Michael Medical CenterBremerton, WA | $4,047 |
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 Washington?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 41 hospitals in Washington was billed at $26,581 on average, while the average medicare-allowed amount was $3,892, of which Medicare paid $3,095. 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 Washington, average charges were 6.8 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.