Level 2 Breast/Lymphatic Surgery and Related Procedures
What 2,248 hospitals in the U.S. charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$46,583
Hospital list price billed
Average allowed
$6,262
Medicare's payment + patient's share
Medicare paid
$4,982
Average per service
Volume
45,070
Medicare services
Hospitals in the U.S. billed an average of $46,583 for level 2 breast/lymphatic surgery and related procedures, about 7.4 times the average medicare-allowed amount of $6,262.
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 $6,262Billed $46,583
About 13¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Metrohealth SystemCleveland, OH | $3,752 |
|---|---|
| Lee Memorial HospitalFort Myers, FL | $3,974 |
| UPMC MemorialYork, PA | $4,038 |
| Marietta Memorial HospitalMarietta, OH | $4,243 |
| Fletcher Allen Hospital of VermontBurlington, VT | $4,310 |
| Memorial Hospital at GulfportGulfport, MS | $4,811 |
| Lewistown HospitalLewistown, PA | $4,870 |
| Good Samaritan Medical CenterWest Palm Beach, FL | $4,968 |
| Brookwood Medical CenterBirmingham, AL | $5,071 |
| Community HospitalOklahoma City, OK | $5,136 |
Highest
| Peninsula Medical CenterBurlingame, CA | $9,316 |
|---|---|
| Good Samaritan HospitalSan Jose, CA | $9,178 |
| Stanford Health Care Tri-ValleyPleasanton, CA | $9,178 |
| El Camino HospitalMountain View, CA | $9,178 |
| Salinas Valley Memorial HospitalSalinas, CA | $9,178 |
| UCSF Medical CenterSan Francisco, CA | $9,178 |
| Stanford HospitalPalo Alto, CA | $9,136 |
| Sutter General HospitalSacramento, CA | $9,128 |
| Santa Rosa Memorial HospitalSanta Rosa, CA | $9,128 |
| Marinhealth Medical CenterGreenbrae, CA | $9,103 |
Level 2 Breast/Lymphatic Surgery and Related Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 43 | $47,325 | $5,412 | $5,071 – $5,890 |
| Alaska | 6 | $44,864 | $6,751 | $6,220 – $7,209 |
| Arizona | 39 | $54,529 | $6,367 | $6,192 – $7,059 |
| Arkansas | 24 | $28,685 | $5,566 | $5,301 – $5,990 |
| California | 203 | $69,153 | $8,292 | $5,888 – $9,377 |
| Colorado | 43 | $56,827 | $6,225 | $5,875 – $6,649 |
| Connecticut | 23 | $36,081 | $7,225 | $6,811 – $7,345 |
| Delaware | 6 | $29,673 | $6,506 | $6,474 – $6,560 |
| Florida | 137 | $66,186 | $5,779 | $3,974 – $6,326 |
| Georgia | 69 | $46,435 | $5,760 | $5,280 – $6,052 |
| Hawaii | 12 | $36,627 | $7,505 | $7,127 – $8,033 |
| Idaho | 15 | $37,467 | $6,081 | $5,868 – $6,312 |
| Illinois | 90 | $47,468 | $6,165 | $5,861 – $6,454 |
| Indiana | 60 | $49,534 | $5,891 | $5,596 – $6,133 |
| Iowa | 26 | $33,514 | $5,650 | $5,435 – $6,321 |
| Kansas | 28 | $34,847 | $5,682 | $5,513 – $6,099 |
| Kentucky | 40 | $43,825 | $5,638 | $5,241 – $6,033 |
| Louisiana | 49 | $44,578 | $5,439 | $5,311 – $5,560 |
| Maine | 14 | $30,455 | $6,012 | $5,681 – $6,403 |
| Massachusetts | 47 | $29,947 | $6,961 | $6,276 – $7,355 |
| Michigan | 71 | $32,198 | $5,842 | $4,947 – $6,149 |
| Minnesota | 43 | $28,853 | $6,347 | $5,796 – $6,718 |
| Mississippi | 30 | $39,251 | $5,371 | $4,811 – $5,774 |
| Missouri | 55 | $32,364 | $5,612 | $4,122 – $6,134 |
| Montana | 10 | $29,983 | $6,212 | $5,877 – $6,548 |
| Nebraska | 20 | $34,978 | $5,886 | $5,619 – $6,330 |
| Nevada | 16 | $66,981 | $6,951 | $6,721 – $7,002 |
| New Hampshire | 12 | $45,630 | $6,407 | $6,030 – $6,662 |
| New Jersey | 50 | $43,758 | $6,924 | $6,235 – $7,420 |
| New Mexico | 14 | $45,082 | $5,917 | $5,569 – $6,604 |
| New York | 99 | $42,026 | $7,195 | $6,492 – $7,420 |
| North Carolina | 71 | $35,310 | $5,780 | $5,349 – $6,086 |
| North Dakota | 6 | $24,768 | $6,231 | $6,114 – $6,548 |
| Ohio | 97 | $46,145 | $5,560 | $3,752 – $6,113 |
| Oklahoma | 37 | $40,798 | $5,547 | $5,136 – $6,017 |
| Oregon | 29 | $35,294 | $6,943 | $6,291 – $8,478 |
| Pennsylvania | 103 | $53,728 | $6,054 | $4,038 – $6,873 |
| Rhode Island | 9 | $24,666 | $6,557 | $6,489 – $6,618 |
| South Carolina | 42 | $46,929 | $5,596 | $3,817 – $6,078 |
| South Dakota | 14 | $34,787 | $6,105 | $5,995 – $6,548 |
| Tennessee | 62 | $33,365 | $5,486 | $5,110 – $5,982 |
| Texas | 169 | $50,777 | $5,831 | $5,393 – $6,060 |
| Utah | 20 | $26,724 | $5,863 | $5,126 – $6,256 |
| Vermont | 6 | $26,315 | $4,160 | $3,798 – $4,310 |
| Virginia | 56 | $46,863 | $5,784 | $5,217 – $6,413 |
| Washington | 43 | $46,168 | $6,649 | $6,005 – $7,061 |
| West Virginia | 19 | $42,516 | $5,495 | $5,314 – $6,229 |
| Wisconsin | 57 | $37,846 | $6,018 | $5,645 – $6,368 |
| Wyoming | 9 | $30,239 | $6,463 | $5,995 – $6,548 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Univ of Tx M D Anderson CtrHouston, TX | 469 | $32,703 | $6,016 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 361 | $41,914 | $7,388 |
| H Lee Moffitt Cancer CenterTampa, FL | 343 | $31,271 | $5,866 |
| NYU Hospitals CenterNew York, NY | 293 | $74,839 | $7,303 |
| University of Kansas HospitalKansas City, KS | 251 | $45,171 | $5,698 |
| Massachusetts General HospitalBoston, MA | 209 | $44,959 | $6,977 |
| New York-Presbyterian HospitalNew York, NY | 207 | $33,451 | $7,374 |
| Arthur G James Cancer HospitalColumbus, OH | 206 | $63,666 | $5,786 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 187 | $37,108 | $6,718 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 184 | $41,414 | $6,035 |
| Sarasota Memorial HospitalSarasota, FL | 183 | $48,151 | $5,852 |
| Stanford HospitalPalo Alto, CA | 180 | $151,387 | $9,136 |
| Adventhealth OrlandoOrlando, FL | 179 | $54,471 | $5,907 |
| City of Hope Natl Medical CtrDuarte, CA | 175 | $94,220 | $7,971 |
| Univ of Michigan HospitalsAnn Arbor, MI | 171 | $34,478 | $6,032 |
Questions
How much does level 2 breast/lymphatic surgery and related procedures cost in the U.S.?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 2,248 hospitals in the U.S. was billed at $46,583 on average, while the average medicare-allowed amount was $6,262, of which Medicare paid $4,982. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 2 breast/lymphatic surgery and related procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($8,292), Hawaii ($7,505), Connecticut ($7,225) and lowest in Vermont ($4,160), Mississippi ($5,371), Alabama ($5,412).
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 the U.S., average charges were 7.4 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.