facebook tracking Level 2 Breast/Lymphatic Surgery and Related Procedures cost in Arizona: 39 hospitals compared (APC 5092)

Level 2 Breast/Lymphatic Surgery and Related Procedures in Arizona

What 39 hospitals in Arizona charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.

APC 5092 Outpatient 2024 Medicare data
Average charge $54,529 Hospital list price billed
Average allowed $6,367 Medicare's payment + patient's share
Medicare paid $5,065 Average per service
State rank #35 of 49 1 = lowest average payment

Hospitals in Arizona billed an average of $54,529 for level 2 breast/lymphatic surgery and related procedures, about 8.6 times the average medicare-allowed amount of $6,367. That payment is 2% above 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 $6,367Billed $54,529

About 12¢ was paid for every $1 hospitals in Arizona billed for this service.

Arizona hospitals: level 2 breast/lymphatic surgery and related procedures

Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Scottsdale Healthcare-Shea Medical CenterScottsdale 170 $87,742 $6,300 $5,008
Banner Gateway Medical CenterGilbert 146 $48,112 $6,255 $4,961
Mayo Clinic HospitalPhoenix 116 $32,315 $6,359 $5,066
Tucson Medical CenterTucson 81 $26,288 $6,240 $4,947
Chandler Regional Medical CenterChandler 74 $72,047 $6,290 $4,998
Banner del E Webb Medical CenterSun City West 65 $44,307 $6,359 $5,066
Northwest Medical CenterTucson 57 $65,287 $6,359 $5,066
University Medical CenterTucson 53 $32,857 $6,359 $5,066
City of Hope Cancer Center PhoenixGoodyear 47 $41,039 $6,359 $5,066
Banner Desert Medical CenterMesa 44 $41,739 $6,244 $4,951
Banner Thunderbird Medical CenterGlendale 44 $43,720 $6,359 $5,066
Scottsdale Healthcare-Osborn Medical CenterScottsdale 37 $93,196 $6,359 $5,066
Flagstaff Medical CenterFlagstaff 35 $24,089 $6,810 $5,426
John C Lincoln Deer Valley HospitalPhoenix 35 $75,573 $6,302 $5,009
Banner Estrella Medical CenterPhoenix 34 $41,719 $6,359 $5,066
Yuma Regional Medical CenterYuma 32 $49,293 $6,810 $5,426
Mercy Gilbert Medical CenterGilbert 32 $81,047 $6,359 $5,066
Yavapai Regional Medical CenterPrescott 30 $30,340 $6,810 $5,426
Banner Baywood Medical CenterMesa 28 $50,862 $6,359 $5,066
Kingman Regional Medical CenterKingman 25 $67,874 $6,359 $5,066
Abrazo Central CampusPhoenix 23 $82,838 $6,359 $5,066
Banner - University Medical Center PhoenixPhoenix 19 $50,072 $6,192 $4,923
St Joseph's Hospital and Medical CenterPhoenix 18 $56,803 $6,359 $5,056
Havasu Regional Medical CenterLake Havasu City 16 $43,763 $7,059 $5,624
Carondelet St Josephs HospitalTucson 11 $109,544 $6,359 $5,066
Casa Grande Regional Medical CenterCasa Grande 11 $39,755 $6,810 $5,426
Verde Valley Medical CenterCottonwood – – – –
John C Lincoln North Mountain HospitalPhoenix – – – –
Valleywise Health Medical CenterPhoenix – – – –
Sierra Vista Regional Health Center INCSierra Vista – – – –
Banner Boswell Medical CenterSun City – – – –
Summit Healthcare Regional Medical CenterShow Low – – – –
Arrowhead HospitalGlendale – – – –
Western Arizona Regional Medical CtrBullhead City – – – –
West Valley HospitalGoodyear – – – –
Banner-University Medical Center South CampusTucson – – – –
Oro Valley HospitalOro Valley – – – –
Honorhealth Four Peaks Medical CenterMesa – – – –
Northwest Medical Center SahuaritaSahuarita – – – –
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Lowest and highest allowed amounts in Arizona

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

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 Arizona?

In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 39 hospitals in Arizona was billed at $54,529 on average, while the average medicare-allowed amount was $6,367, of which Medicare paid $5,065. 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 Arizona, average charges were 8.6 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.