facebook tracking Level 2 Breast/Lymphatic Surgery and Related Procedures cost in California: 203 hospitals compared (APC 5092)

Level 2 Breast/Lymphatic Surgery and Related Procedures in California

What 203 hospitals in California 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 $69,153 Hospital list price billed
Average allowed $8,292 Medicare's payment + patient's share
Medicare paid $6,662 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $69,153 for level 2 breast/lymphatic surgery and related procedures, about 8.3 times the average medicare-allowed amount of $8,292. That payment is 32% 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 $8,292Billed $69,153

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

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 180 $151,387 $9,136 $7,504
City of Hope Natl Medical CtrDuarte 175 $94,220 $7,971 $6,341
UCSF Medical CenterSan Francisco 141 $68,261 $9,178 $7,546
Cedars-Sinai Medical CenterLos Angeles 141 $120,304 $7,881 $6,252
Hoag Memorial Hospital PresbyterianNewport Beach 134 $51,907 $8,017 $6,386
University of California San Diego Medical CenterSan Diego 122 $60,744 $8,017 $6,387
Eisenhower Memorial HospitalRancho Mirage 103 $50,530 $8,017 $6,388
Saint John's Health CenterSanta Monica 101 $34,768 $8,017 $6,388
Scripps Memorial Hospital la JollaLa Jolla 93 $53,070 $8,017 $6,388
UCLA Medical CenterLos Angeles 84 $36,377 $7,959 $6,330
Sutter Roseville Medical CenterRoseville 84 $40,130 $8,247 $6,614
UCI Health-OrangeOrange 79 $44,435 $7,936 $6,307
Scripps Green HospitalLa Jolla 72 $77,611 $8,017 $6,388
California Pacific Medical Ctr-Davies Campus HospSan Francisco 69 $42,629 $9,097 $7,461
University of California Davis Medical CenterSacramento 69 $77,450 $8,128 $6,496
Sutter General HospitalSacramento 67 $30,520 $9,128 $7,496
Sharp Memorial HospitalSan Diego 66 $81,747 $8,017 $6,388
Alta Bates Summit Medical CenterOakland 63 $52,361 $9,051 $7,419
Saint Agnes Medical CenterFresno 61 $45,707 $7,913 $6,283
St Joseph HospitalEureka 59 $62,807 $8,017 $6,388
Peninsula Medical CenterBurlingame 58 $35,408 $9,316 $7,684
Torrance Memorial Medical CenterTorrance 54 $48,931 $7,925 $6,295
Clovis Community Medical CenterClovis 54 $52,525 $8,017 $6,386
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 49 $40,536 $8,017 $6,388
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 47 $35,790 $8,710 $7,078
Marinhealth Medical CenterGreenbrae 46 $95,540 $9,103 $7,466
Santa Rosa Memorial HospitalSanta Rosa 45 $102,426 $9,128 $7,496
Ukiah Valley Medical Center/Hospital DUkiah 44 $48,021 $8,584 $6,952
Mercy Medical Center ReddingRedding 41 $54,278 $7,855 $6,225
Stanford Health Care Tri-ValleyPleasanton 40 $102,900 $9,178 $7,546
El Camino HospitalMountain View 40 $98,921 $9,178 $7,546
Enloe Medical CenterChico 38 $101,654 $8,017 $6,388
Long Beach Memorial Medical CenterLong Beach 38 $65,377 $8,017 $6,388
Saddleback Memorial Medical CenterLaguna Hills 38 $49,508 $8,017 $6,388
Community Memorial Hospital - VenturaVentura 37 $34,771 $7,845 $6,215
Providence Tarzana Medical CenterTarzana 37 $64,348 $8,017 $6,388
Adventist Health BakersfieldBakersfield 36 $40,563 $8,017 $6,382
Los Robles Hospital & Medical CenterThousand Oaks 36 $104,873 $8,017 $6,388
Scripps Mercy HospitalSan Diego 34 $57,186 $8,017 $6,388
Sutter Medical Center of Santa RosaSanta Rosa 34 $51,860 $8,494 $6,862
Sonora Community HospitalSonora 34 $59,721 $8,390 $6,758
Shasta Regional Medical CenterRedding 34 $83,516 $8,017 $6,388
Salinas Valley Memorial HospitalSalinas 33 $84,762 $9,178 $7,546
St Jude Medical CenterFullerton 32 $37,873 $8,017 $6,388
Mercy General HospitalSacramento 31 $69,086 $8,327 $6,695
Providence Little Company of Mary Med Ctr TorranceTorrance 31 $45,044 $8,017 $6,388
Memorial Medical CenterModesto 31 $44,850 $8,017 $6,388
Kaweah Delta Medical CenterVisalia 30 $35,841 $8,017 $6,388
Santa Barbara Cottage HospitalSanta Barbara 30 $53,461 $8,584 $6,952
Huntington Memorial HospitalPasadena 30 $75,651 $7,850 $6,220
Doctors Medical CenterModesto 29 $99,940 $8,017 $6,388
Henry Mayo Newhall Memorial HospitalValencia 29 $66,893 $8,017 $6,388
Marian Medical CenterSanta Maria 27 $61,662 $8,017 $6,388
Sutter Surgical Hospital - North ValleyYuba City 27 $33,993 $8,066 $6,434
Glendale Adventist Medical CtrGlendale 26 $70,475 $8,017 $6,388
John Muir Medical Center - Walnut Creek CampusWalnut Creek 25 $104,298 $9,075 $7,443
Pomona Valley Hospital Medical CenterPomona 25 $66,722 $8,017 $6,388
Mercy San Juan Medical CenterCarmichael 25 $90,898 $8,327 $6,695
USC University HospitalLos Angeles 25 $75,275 $8,017 $6,388
PIH Health Hospital-WhittierWhittier 24 $55,926 $7,751 $6,122
Providence Saint Joseph Medical CtrBurbank 24 $54,521 $7,783 $6,146
Loma Linda University Medical CenterLoma Linda 24 $83,865 $8,017 $6,380
St Johns Regional Medical CenterOxnard 23 $47,620 $8,017 $6,388
Emanuel Medical Center INCTurlock 23 $121,002 $8,192 $6,560
Mission Hospital Regional Med CenterMission Viejo 23 $73,286 $8,017 $6,388
Orange Coast Memorial Medical CenterFountain Valley 23 $53,588 $8,017 $6,388
San Antonio Community HospitalUpland 22 $62,506 $8,017 $6,388
Community Hospital of the Monterey PeninsulaMonterey 22 $33,029 $8,761 $7,203
Mercy HospitalBakersfield 22 $64,713 $8,017 $6,385
Loma Linda University Medical Center-MurrietaMurrieta 22 $45,217 $8,017 $6,388
Lodi Memorial HospitalLodi 21 $70,167 $8,189 $6,557
Good Samaritan HospitalSan Jose 21 $169,896 $9,178 $7,535
Sharp Chula Vista Medical CenterChula Vista 20 $71,939 $8,017 $6,388
Eden Medical CenterCastro Valley 20 $54,787 $9,051 $7,419
Queen of the Valley Medical CenterNapa 19 $99,521 $9,128 $7,496
Grossmont HospitalLa Mesa 19 $62,818 $8,017 $6,388
Marshall Medical Center (1-Rh)Placerville 19 $68,628 $8,327 $6,695
Corona Regional Medical CenterCorona 17 $75,457 $7,658 $6,028
Sutter Auburn Faith HospitalAuburn 17 $29,582 $7,947 $6,301
Garfield Medical CenterMonterey Park 17 $74,984 $8,017 $6,388
Desert Regional Medical CenterPalm Springs 16 $166,331 $8,018 $6,377
Redlands Community HospitalRedlands 16 $50,209 $7,686 $6,057
St Mary's Medical CenterSan Francisco 16 $49,165 $9,316 $7,684
Scripps Memorial Hospital - EncinitasEncinitas 16 $108,519 $8,017 $6,388
Goleta Valley Cottage HospitalSanta Barbara 15 $45,415 $8,017 $6,388
Northbay Medical CenterFairfield 15 $247,337 $9,377 $7,745
Verdugo Hills HospitalGlendale 14 $58,222 $8,017 $6,388
Tri-City Medical CenterOceanside 14 $58,668 $8,017 $6,388
Dominican HospitalSanta Cruz 14 $65,811 $8,048 $6,416
Sutter Tracy Community HospitalTracy 14 $38,012 $7,720 $6,088
St Helena HospitalDeer Park 13 $133,985 $8,368 $6,736
St Josephs Med Center of StocktonStockton 13 $90,436 $8,943 $7,311
Sutter Solano Medical CenterVallejo 13 $43,093 $8,781 $7,149
Novato Community HospitalNovato 13 $37,443 $9,103 $7,471
Mercy Hospital of FolsomFolsom 13 $63,660 $8,327 $6,695
Valley Presbyterian HospitalVan Nuys 12 $19,371 $8,018 $6,356
Los Alamitos Medical CenterLos Alamitos 12 $123,198 $8,017 $6,388
Palomar Medical Center PowayPoway 12 $85,838 $5,888 $4,259
Marina del Rey HospitalMarina del Rey 12 $57,563 $8,017 $6,388
Sierra Nevada Memorial HospitalGrass Valley 11 $32,223 $8,327 $6,695
Simi Valley Hospital & Health Care ServicesSimi Valley 11 $45,864 $8,017 $6,388
Riverside Community HospitalRiverside – – – –
Mad River Community HospitalArcata – – – –
Oroville HospitalOroville – – – –
Bakersfield Memorial HospitalBakersfield – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
St Elizabeth Community HospitalRed Bluff – – – –
El Centro Regional Medical CenterEl Centro – – – –
California Pacific Medical Ctr - St. Luke's CampusSan Francisco – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Glendale Mem Hospital & Hlth CenterGlendale – – – –
Community Regional Medical CenterFresno – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
St Joseph HospitalOrange – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Providence Little Co of Mary Med Ctr San PedroLos Angeles – – – –
Sonoma Valley HospitalSonoma – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
White Memorial Medical CenterLos Angeles – – – –
Lompoc Healthcare DistrictLompoc – – – –
San Mateo Medical CenterSan Mateo – – – –
Palomar Medical CenterEscondido – – – –
Northridge Hospital Medical CenterNorthridge – – – –
Doctors Hospital of MantecaManteca – – – –
Hanford Community Medical CenterHanford – – – –
Dameron HospitalStockton – – – –
Regional Medical Center of San JoseSan Jose – – – –
Woodland Memorial HospitalWoodland – – – –
St Bernardine Medical CenterSan Bernardino – – – –
Rideout Memorial HospitalMarysville – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Petaluma Valley HospitalPetaluma – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
Saint Francis Memorial HospitalSan Francisco – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
St Mary Medical CenterLong Beach – – – –
Watsonville Community HospitalWatsonville – – – –
Washington HospitalFremont – – – –
Sequoia HospitalRedwood City – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
San Francisco General HospitalSan Francisco – – – –
French Hospital Medical CenterSan Luis Obispo – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
USC Arcadia HospitalArcadia – – – –
Arrowhead Regional Medical CenterColton – – – –
Sierra View District HospitalPorterville – – – –
Contra Costa Regional Medical CenterMartinez – – – –
Providence Holy Cross Medical CenterMission Hills – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
St Mary Medical CenterApple Valley – – – –
Alta Bates Summit Medical Center - Alta Bates CampBerkeley – – – –
Kern Medical CenterBakersfield – – – –
Highland HospitalOakland – – – –
Pioneers Memorial Healthcare DistrictBrawley – – – –
Barton Memorial HospitalSouth Lake Tahoe – – – –
Los Angeles General Medical CenterLos Angeles – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Emanate Health Inter-Community HospitalCovina – – – –
Hemet Valley Medical CenterHemet – – – –
Downey Regional Medical CenterDowney – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Sutter Coast HospitalCrescent City – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
Mercy Medical Ctr MercedMerced – – – –
Good Samaritan HospitalLos Angeles – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
John Muir Medical Center - Concord CampusConcord – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Kaiser Foundation Hospital Fremont/HaywardHayward – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Sutter Delta Medical CenterAntioch – – – –
John F Kennedy Memorial HospIndio – – – –
Sutter Davis HospitalDavis – – – –
Kaiser Foundation Hospital - Redwood CityRedwood City – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
La Palma Intercommunity HospBuena Park – – – –
UCI Health-Placentia LindaPlacentia – – – –
Methodist Hospital of SacramentoSacramento – – – –
Foothill Presbyterian HospitalGlendora – – – –
Twin Cities Community HospitalTempleton – – – –
USC Kenneth Norris Jr Cancer HospitalLos Angeles – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Stanislaus Surgical HospitalModesto – – – –
Whittier Hospital Medical CenterWhittier – – – –
Coastal Communities HospitalSanta Ana – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley – – – –
Temecula Valley HospitalTemecula – – – –
Adventist Health TulareTulare – – – –
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Lowest and highest allowed amounts in California

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

Northbay Medical CenterFairfield, CA$9,377
Peninsula Medical CenterBurlingame, CA$9,316
St Mary's Medical CenterSan Francisco, CA$9,316
Good Samaritan HospitalSan Jose, CA$9,178
Stanford Health Care Tri-ValleyPleasanton, CA$9,178

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 California?

In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 203 hospitals in California was billed at $69,153 on average, while the average medicare-allowed amount was $8,292, of which Medicare paid $6,662. 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 California, average charges were 8.3 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.