facebook tracking Level 2 Breast/Lymphatic Surgery and Related Procedures cost in Arkansas: 24 hospitals compared (APC 5092)

Level 2 Breast/Lymphatic Surgery and Related Procedures in Arkansas

What 24 hospitals in Arkansas 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 $28,685 Hospital list price billed
Average allowed $5,566 Medicare's payment + patient's share
Medicare paid $4,423 Average per service
State rank #9 of 49 1 = lowest average payment

Hospitals in Arkansas billed an average of $28,685 for level 2 breast/lymphatic surgery and related procedures, about 5.2 times the average medicare-allowed amount of $5,566. That payment is 11% 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 $5,566Billed $28,685

About 19¢ was paid for every $1 hospitals in Arkansas billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Washington Regional Med CenterFayetteville 59 $44,793 $5,449 $4,331
Arkansas Surgical HospitalNorth Little Rock 55 $8,387 $5,521 $4,385
University of Arkansas Medical SciencesLittle Rock 49 $25,572 $5,590 $4,453
Baptist Health Medical Center-Little RockLittle Rock 45 $29,825 $5,491 $4,355
Northwest Medical Center-SpringdaleSpringdale 44 $48,693 $5,301 $4,183
Mercy Hospital Northwest ArkansasRogers 34 $23,151 $5,372 $4,254
Mercy Hospital Fort SmithFort Smith 34 $15,951 $5,546 $4,419
CHI St. Vincent Hospital Hot SpringsHot Springs 32 $22,649 $5,879 $4,662
St Bernards Medical CenterJonesboro 27 $21,191 $5,500 $4,382
Baxter Regional Medical CenterMountain Home 27 $19,074 $5,891 $4,694
St Vincent Infirmary Medical CenterLittle Rock 24 $34,336 $5,990 $4,771
Nea Baptist Memorial HospitalJonesboro 22 $24,157 $5,500 $4,382
Baptist Health - Fort SmithFort Smith 20 $39,877 $5,546 $4,419
National Park Medical CenterHot Springs 12 $62,265 $5,990 $4,772
Johnson Regional Medical CenterClarksville – – – –
White County Medical CenterSearcy – – – –
North Arkansas Reg Med CtrHarrison – – – –
Forrest City Medical CenterForrest City – – – –
Conway Regional Medical CenterConway – – – –
Baptist Health Medical Center North Little RockNorth Little Rock – – – –
Arkansas Methodist Medical CenterParagould – – – –
Jefferson Regional Medical CtrPine Bluff – – – –
White River Medical CenterBatesville – – – –
Baptist Health Medical Center- ConwayConway – – – –
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Lowest and highest allowed amounts in Arkansas

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

Highest

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 Arkansas?

In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 24 hospitals in Arkansas was billed at $28,685 on average, while the average medicare-allowed amount was $5,566, of which Medicare paid $4,423. 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 Arkansas, average charges were 5.2 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.