Level 2 Breast/Lymphatic Surgery and Related Procedures in Alabama
What 43 hospitals in Alabama charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$47,325
Hospital list price billed
Average allowed
$5,412
Medicare's payment + patient's share
Medicare paid
$4,291
Average per service
State rank
#3 of 49
1 = lowest average payment
Hospitals in Alabama billed an average of $47,325 for level 2 breast/lymphatic surgery and related procedures, about 8.7 times the average medicare-allowed amount of $5,412. That payment is 14% below the U.S. average 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 $5,412Billed $47,325
About 11¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 2 breast/lymphatic surgery and related procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 69 | $31,241 | $5,445 | $4,322 |
| University of Alabama HospitalBirmingham | 46 | $58,688 | $5,349 | $4,243 |
| UAB Callahan Eye Hospital AuthorityBirmingham | 43 | $14,711 | $5,343 | $4,235 |
| Baptist Medical Center SouthMontgomery | 36 | $24,045 | $5,212 | $4,129 |
| Southeast Alabama Medical CenterDothan | 34 | $42,899 | $5,586 | $4,450 |
| Brookwood Medical CenterBirmingham | 32 | $105,607 | $5,071 | $3,959 |
| USA Health University HospitalMobile | 31 | $14,067 | $5,407 | $4,308 |
| Crestwood Medical CenterHuntsville | 30 | $102,075 | $5,358 | $4,229 |
| D C H Regional Medical CenterTuscaloosa | 27 | $27,973 | $5,763 | $4,556 |
| Flowers HospitalDothan | 25 | $77,841 | $5,251 | $4,108 |
| Mobile InfirmaryMobile | 25 | $13,910 | $5,407 | $4,308 |
| St Vincent's BirminghamBirmingham | 23 | $50,402 | $5,444 | $4,337 |
| Decatur General HospitalDecatur | 22 | $29,766 | $5,508 | $4,389 |
| East Alabama Medical Center and SnfOpelika | 19 | $15,616 | $5,770 | $4,597 |
| Grandview Medical CenterBirmingham | 18 | $182,105 | $5,438 | $4,333 |
| Providence HospitalMobile | 17 | $12,738 | $5,407 | $4,308 |
| South Baldwin Regional Medical CenterFoley | 14 | $132,222 | $5,413 | $4,313 |
| Cullman Regional Medical CenterCullman | 11 | $17,593 | $5,890 | $4,693 |
| Thomas HospitalFairhope | 11 | $13,453 | $5,409 | $4,309 |
| Univ of S Al Children's & Women's HosMobile | 11 | $18,927 | $5,143 | $4,016 |
| Marshall Medical Center SouthBoaz | – | – | – | – |
| North Alabama Medical CenterFlorence | – | – | – | – |
| St Vincent's EastBirmingham | – | – | – | – |
| Dekalb Regional Medical CenterFort Payne | – | – | – | – |
| Shelby Baptist Medical CenterAlabaster | – | – | – | – |
| Helen Keller Memorial HospitalSheffield | – | – | – | – |
| Jackson Hospital & Clinic INCMontgomery | – | – | – | – |
| Andalusia Regional HospitalAndalusia | – | – | – | – |
| Gadsden Regional Medical CenterGadsden | – | – | – | – |
| Fayette Medical CenterFayette | – | – | – | – |
| Highlands Medical CenterScottsboro | – | – | – | – |
| Russell HospitalAlexander City | – | – | – | – |
| Northeast Alabama Regional Med CenterAnniston | – | – | – | – |
| Athens-Limestone HospitalAthens | – | – | – | – |
| North Mississippi Health Services - South MarionWinfield | – | – | – | – |
| Walker Baptist Medical CenterJasper | – | – | – | – |
| D W McMillan Memorial HospitalBrewton | – | – | – | – |
| Princeton Baptist Medical CenterBirmingham | – | – | – | – |
| Medical West, an Affiliate of UAB Health SystemBessemer | – | – | – | – |
| St Vincent's St ClairPell City | – | – | – | – |
| Springhill Medical CenterMobile | – | – | – | – |
| Baptist Medical Center EastMontgomery | – | – | – | – |
| Shoals HospitalMuscle Shoals | – | – | – | – |
Lowest and highest allowed amounts in Alabama
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
| Brookwood Medical CenterBirmingham, AL | $5,071 |
|---|---|
| Univ of S Al Children's & Women's HosMobile, AL | $5,143 |
| Baptist Medical Center SouthMontgomery, AL | $5,212 |
| Flowers HospitalDothan, AL | $5,251 |
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | $5,343 |
Highest
| Cullman Regional Medical CenterCullman, AL | $5,890 |
|---|---|
| East Alabama Medical Center and SnfOpelika, AL | $5,770 |
| D C H Regional Medical CenterTuscaloosa, AL | $5,763 |
| Southeast Alabama Medical CenterDothan, AL | $5,586 |
| Decatur General HospitalDecatur, AL | $5,508 |
Level 2 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 2 breast/lymphatic surgery and related procedures cost in Alabama?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 43 hospitals in Alabama was billed at $47,325 on average, while the average medicare-allowed amount was $5,412, of which Medicare paid $4,291. 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 Alabama, average charges were 8.7 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.