facebook tracking Level 2 Breast/Lymphatic Surgery and Related Procedures cost in Florida: 137 hospitals compared (APC 5092)

Level 2 Breast/Lymphatic Surgery and Related Procedures in Florida

What 137 hospitals in Florida 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 $66,186 Hospital list price billed
Average allowed $5,779 Medicare's payment + patient's share
Medicare paid $4,595 Average per service
State rank #16 of 49 1 = lowest average payment

Hospitals in Florida billed an average of $66,186 for level 2 breast/lymphatic surgery and related procedures, about 11.5 times the average medicare-allowed amount of $5,779. That payment is 8% 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 $5,779Billed $66,186

About 9¢ was paid for every $1 hospitals in Florida billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
H Lee Moffitt Cancer CenterTampa 343 $31,271 $5,866 $4,665
Sarasota Memorial HospitalSarasota 183 $48,151 $5,852 $4,655
Adventhealth OrlandoOrlando 179 $54,471 $5,907 $4,706
Mayo ClinicJacksonville 145 $31,986 $5,747 $4,563
Lee Memorial HospitalFort Myers 143 $74,149 $3,974 $3,166
Baptist Medical CenterJacksonville 134 $63,829 $5,837 $4,636
Boca Raton Regional HospitalBoca Raton 129 $50,725 $5,907 $4,706
Martin Memorial Health SystemsStuart 100 $49,684 $5,907 $4,705
Jupiter Medical CenterJupiter 83 $42,948 $5,836 $4,650
Good Samaritan Medical CenterWest Palm Beach 80 $121,165 $4,968 $3,761
Holmes Regional Medical CenterMelbourne 78 $59,007 $5,907 $4,702
St Joseph's HospitalTampa 76 $56,837 $5,845 $4,644
Adventhealth OcalaOcala 73 $92,498 $5,907 $4,706
Morton Plant HospitalClearwater 73 $51,686 $5,907 $4,706
Univ of Miami Hosp & ClinicsMiami 68 $102,845 $5,907 $4,706
Indian River Medical CenterVero Beach 64 $37,356 $5,907 $4,706
Orlando Regional HealthcareOrlando 61 $111,865 $5,830 $4,629
Physicians Regional Medical Center - Pine RidgeNaples 59 $133,361 $5,907 $4,706
Shands Hospital at the University of FloridaGainesville 55 $56,645 $5,907 $4,706
North Florida Regional Medical CenterGainesville 53 $126,281 $5,818 $4,618
Lakeland Regional Medical CenterLakeland 49 $64,398 $5,811 $4,610
Tallahassee Memorial HealthcareTallahassee 47 $39,046 $5,907 $4,706
Naples Community HospitalNaples 45 $51,827 $5,907 $4,706
Florida Hospital WatermanEustis 43 $57,970 $5,907 $4,706
Blake Medical CenterBradenton 40 $109,154 $5,818 $4,636
Sacred Heart HospitalPensacola 37 $43,325 $5,907 $4,706
Villages Regional Hospital theLady Lake 36 $45,513 $5,907 $4,706
Gulf Breeze HospitalGulf Breeze 34 $88,847 $5,907 $4,706
St Vincent's Medical CenterJacksonville 33 $61,689 $5,907 $4,706
Flagler HospitalSt Augustine 33 $44,257 $6,326 $5,035
South Miami HospitalMiami 33 $69,182 $5,907 $4,706
Memorial Regional HospitalHollywood 32 $51,241 $5,907 $4,705
Leesburg Regional Medical CenterLeesburg 32 $39,022 $5,907 $4,706
Wellington Regional Medical CenterWellington 32 $82,926 $5,907 $4,706
Cleveland Clinic HospitalWeston 29 $48,067 $5,907 $4,704
Sarasota Memorial Hospital - VeniceNorth Venice 28 $53,694 $5,907 $4,706
Adventhealth New Smyrna BeachNew Smyrna Beach 26 $33,428 $5,907 $4,706
Adventhealth TampaTampa 26 $77,188 $5,907 $4,706
Gulf Coast Medical Center Lee HealthFort Myers 26 $77,451 $5,907 $4,706
Adventhealth Daytona BeachDaytona Beach 24 $46,942 $5,907 $4,706
Baptist HospitalPensacola 23 $85,785 $5,907 $4,706
Ocala Regional Medical CenterOcala 23 $113,550 $5,907 $4,706
Shands Jacksonville Medical CenterJacksonville 21 $65,077 $5,544 $4,343
Halifax Health Medical CenterDaytona Beach 21 $44,100 $5,907 $4,706
St Anthony's HospitalSt Petersburg 21 $42,285 $5,907 $4,706
HCA Florida Trinity HospitalNew Port Richey 21 $164,299 $5,907 $4,706
Fort Walton Beach Medical CenterFort Walton Beach 21 $175,625 $5,907 $4,706
St Petersburg General HospitalSt Petersburg 20 $183,223 $5,907 $4,706
Fawcett Memorial HospitalPort Charlotte 20 $272,432 $5,907 $4,706
Viera HospitalMelbourne 20 $100,422 $5,907 $4,706
Ascension St Vincent's Clay CountyMiddleburg 20 $61,119 $5,907 $4,706
Tampa General HospitalTampa 19 $135,229 $5,907 $4,706
Baptist Hospital of Miami INCMiami 18 $70,393 $5,907 $4,706
Health CentralOcoee 18 $76,962 $5,645 $4,445
Mount Sinai Medical CenterMiami Beach 18 $47,483 $5,907 $4,706
Manatee Memorial HospitalBradenton 18 $111,011 $5,907 $4,706
Cape Canaveral HospitalCocoa Beach 18 $66,043 $5,907 $4,706
West Florida HospitalPensacola 17 $131,670 $5,907 $4,706
Holy Cross Hospital INCFort Lauderdale 16 $54,176 $5,900 $4,701
Adventhealth Palm CoastPalm Coast 16 $56,224 $5,907 $4,706
Heart of Florida Reg Med CtrDavenport 16 $144,660 $5,907 $4,706
Tampa General Hospital Crystal RiverCrystal River 16 $102,359 $5,907 $4,706
Lakewood Ranch Medical CenterBradenton 15 $105,693 $5,907 $4,706
Baptist Medical Center BeachesJacksonville Beach 14 $45,653 $5,907 $4,706
Imperial Point Medical CenterFort Lauderdale 14 $32,643 $5,907 $4,706
Memorial Hospital MiramarMiramar 14 $58,073 $5,907 $4,706
Bay Medical CenterPanama City 13 $63,583 $5,907 $4,706
Baptist Medical Center - NassauFernandina Beach 12 $50,141 $5,907 $4,706
Citrus Memorial HospitalInverness 11 $134,452 $5,907 $4,706
Wuesthoff Medical Center - MelbourneMelbourne 11 $109,489 $5,907 $4,706
Adventhealth Wesley ChapelWesley Chapel 11 $99,624 $5,907 $4,706
Bethesda Memorial HospitalBoynton Beach – – – –
Jackson Health SystemMiami – – – –
Parrish Medical CenterTitusville – – – –
Bayfront Medical Center INCSt Petersburg – – – –
Broward General Medical CenterFort Lauderdale – – – –
Florida Hospital DelandDeland – – – –
Florida Hospital ZephyrhillsZephyrhills – – – –
South Lake HospitalClermont – – – –
Winter Haven HospitalWinter Haven – – – –
Hialeah HospitalHialeah – – – –
Twin Cities HospitalNiceville – – – –
Morton Plant North Bay HospitalNew Port Richey – – – –
University Community Hospital at CarrollwoodTampa – – – –
Brooksville Regional HospitalBrooksville – – – –
Florida Hospital Fish MemorialOrange City – – – –
Adventhealth Port CharlottePort Charlotte – – – –
Jfk Medical CenterAtlantis – – – –
Orlando Health Rockledge HospitalRockledge – – – –
Lake Wales Medical CenterLake Wales – – – –
Lehigh Regional Medical CenterLehigh Acres – – – –
Osceola Regional Medical CenterKissimmee – – – –
North Okaloosa Medical CenterCrestview – – – –
Santa Rosa Medical CenterMilton – – – –
Aventura Hospital & Med CenterMiami – – – –
South Florida Baptist HospitalPlant City – – – –
Jackson HospitalMarianna – – – –
Lower Keys Medical CenterKey West – – – –
Lake City Medical CenterLake City – – – –
Doctors Hospital of SarasotaSarasota – – – –
Plantation General HospitalPlantation – – – –
Palm Beach Gardens Medical CenterPalm Beach Gardens – – – –
HCA Florida Memorial HospitalJacksonville – – – –
Coral Gables HospitalCoral Gables – – – –
Palmetto General HospitalHialeah – – – –
Memorial Hospital of TampaTampa – – – –
Kendall Regional Medical CenterMiami – – – –
Adventhealth Dade CityDade City – – – –
Sebastian River Medical CenterSebastian – – – –
Orange Park Medical CenterOrange Park – – – –
Westside Regional Medical CenterPlantation – – – –
Memorial Hospital PembrokeHollywood – – – –
Putnam Community Medical CtrPalatka – – – –
Gulf Coast Medical CenterPanama City – – – –
Brandon Regional HospitalBrandon – – – –
Cape Coral HospitalCape Coral – – – –
HCA Florida Lawnwood HospitalFort Pierce – – – –
Largo Medical CenterLargo – – – –
Raulerson HospitalOkeechobee – – – –
South Bay HospitalGreater Sun Center – – – –
St Lucie Medical CenterPort St Lucie – – – –
Oak Hill HospitalBrooksville – – – –
Mease Countryside HospitalSafety Harbor – – – –
Englewood Community HospitalEnglewood – – – –
West Boca Medical CenterBoca Raton – – – –
Palms West HospitalLoxahatchee – – – –
Coral Springs Medical CenterPompano Beach – – – –
Memorial Hospital WestHollywood – – – –
Keralty HospitalMiami – – – –
Sacred Heart Hospital on the Emerald CoastMiramar Beach – – – –
Doctors Hospital INCCoral Gables – – – –
St Cloud Regional Medical CenterSt Cloud – – – –
St Luke's HospitalJacksonville – – – –
West Kendall Baptist HospitalMiami – – – –
Oviedo Medical CenterOviedo – – – –
HCA Florida University HospitalDavie – – – –
Baycare Hospital Wesley ChapelWesley Chapel – – – –
Advertisement

Lowest and highest allowed amounts in Florida

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

Lee Memorial HospitalFort Myers, FL$3,974
Good Samaritan Medical CenterWest Palm Beach, FL$4,968
Shands Jacksonville Medical CenterJacksonville, FL$5,544
Health CentralOcoee, FL$5,645
Mayo ClinicJacksonville, FL$5,747

Highest

Flagler HospitalSt Augustine, FL$6,326
Holmes Regional Medical CenterMelbourne, FL$5,907
Cleveland Clinic HospitalWeston, FL$5,907
Memorial Regional HospitalHollywood, FL$5,907
Martin Memorial Health SystemsStuart, FL$5,907

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 Florida?

In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 137 hospitals in Florida was billed at $66,186 on average, while the average medicare-allowed amount was $5,779, of which Medicare paid $4,595. 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 Florida, average charges were 11.5 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.