Level 2 Breast/Lymphatic Surgery and Related Procedures in Georgia
What 69 hospitals in Georgia charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$46,435
Hospital list price billed
Average allowed
$5,760
Medicare's payment + patient's share
Medicare paid
$4,574
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $46,435 for level 2 breast/lymphatic surgery and related procedures, about 8.1 times the average medicare-allowed amount of $5,760. 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 $5,760Billed $46,435
About 12¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 2 breast/lymphatic surgery and related procedures
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northside HospitalAtlanta | 130 | $47,301 | $5,828 | $4,644 |
| Northeast Georgia Medical Center, INCGainesville | 90 | $55,315 | $5,840 | $4,632 |
| Piedmont Augusta HospitalAugusta | 65 | $43,134 | $5,383 | $4,262 |
| Piedmont HospitalAtlanta | 56 | $60,754 | $5,792 | $4,615 |
| Piedmont Mountainside Hospital INCJasper | 53 | $52,753 | $6,052 | $4,822 |
| Athens Regional Medical CenterAthens | 52 | $67,853 | $5,552 | $4,368 |
| Piedmont Fayette HospitalFayetteville | 48 | $66,348 | $5,951 | $4,721 |
| Southeast Georgia Reg Med CtrBrunswick | 44 | $20,024 | $5,985 | $4,769 |
| Atrium Health Navicent the Medical CenterMacon | 44 | $35,532 | $5,622 | $4,437 |
| Wellstar Kennestone HospitalMarietta | 43 | $45,755 | $5,940 | $4,710 |
| Candler HospitalSavannah | 41 | $43,093 | $5,405 | $4,284 |
| Sgmc HealthValdosta | 37 | $39,954 | $5,280 | $4,154 |
| St Francis Hospital, INCColumbus | 37 | $32,858 | $5,414 | $4,294 |
| St Mary's HospitalAthens | 35 | $43,796 | $5,810 | $4,602 |
| Memorial Health Univ Med Cen, INCSavannah | 35 | $54,188 | $5,512 | $4,392 |
| Coliseum Medical CenterMacon | 35 | $43,406 | $5,598 | $4,461 |
| Northside Hospital ForsythCumming | 34 | $44,105 | $6,052 | $4,819 |
| Northside Hospital CherokeeCanton | 31 | $39,709 | $6,052 | $4,822 |
| Emory University Hospital MidtownAtlanta | 29 | $36,275 | $6,052 | $4,817 |
| Houston Medical CenterWarner Robins | 27 | $38,327 | $5,569 | $4,437 |
| Henry Medical Center, INCStockbridge | 24 | $55,198 | $5,851 | $4,621 |
| Emory University HospitalAtlanta | 22 | $40,842 | $6,052 | $4,822 |
| Saint Joseph's Hosp of AtlantaAtlanta | 20 | $39,738 | $5,626 | $4,435 |
| Northside Hospital DuluthDuluth | 20 | $42,759 | $6,052 | $4,812 |
| Tanner Medical Center - CarrolltonCarrollton | 19 | $36,619 | $6,052 | $4,822 |
| John D Archbold Memorial HospitalThomasville | 19 | $28,638 | $5,590 | $4,454 |
| North Fulton Regional HospitalRoswell | 19 | $59,803 | $6,052 | $4,822 |
| Phoebe Putney Memorial HospitalAlbany | 18 | $53,452 | $5,867 | $4,619 |
| Wellstar Cobb HospitalAustell | 18 | $58,901 | $5,648 | $4,500 |
| Piedmont Columbus Regional NorthsideColumbus | 18 | $40,779 | $5,281 | $4,160 |
| Wellstar Paulding HospitalDallas | 16 | $54,045 | $5,751 | $4,518 |
| Union General HospitalBlairsville | 16 | $24,923 | $5,903 | $4,703 |
| Hamilton Medical CenterDalton | 15 | $37,321 | $5,945 | $4,737 |
| St Joseph's Hospital - SavannahSavannah | 15 | $34,410 | $5,512 | $4,392 |
| Medical College of Ga Hospitals and ClinicsAugusta | 13 | $35,221 | $5,517 | $4,396 |
| Floyd Medical CenterRome | 13 | $53,934 | $5,945 | $4,737 |
| West Georgia Medical CenterLagrange | 12 | $55,809 | $5,945 | $4,737 |
| Southeastern Regional Medical Center, INCNewnan | 12 | $45,735 | $6,052 | $4,822 |
| Upson Regional Medical CenterThomaston | – | – | – | – |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| Newton Medical CenterCovington | – | – | – | – |
| Gordon HospitalCalhoun | – | – | – | – |
| Cartersville Medical CenterCartersville | – | – | – | – |
| Spalding Regional Medical CenterGriffin | – | – | – | – |
| Habersham County Med CenterDemorest | – | – | – | – |
| Sumter Regional HospitalAmericus | – | – | – | – |
| Emory Decatur HospitalDecatur | – | – | – | – |
| Grady Memorial HospitalAtlanta | – | – | – | – |
| Gwinnett Medical CenterLawrenceville | – | – | – | – |
| Coffee Regional Medical CenterDouglas | – | – | – | – |
| Rockdale Medical CenterConyers | – | – | – | – |
| Tift Regional Medical CenterTifton | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| Colquitt Reg Medical CenterMoultrie | – | – | – | – |
| Emanuel Medical CenterSwainsboro | – | – | – | – |
| McDuffie Regional Medical CenterThomson | – | – | – | – |
| Wayne Memorial HospitalJesup | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Evans Memorial HospitalClaxton | – | – | – | – |
| Southeast Georgia Health System- Camden CampusSt Marys | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Redmond Regional Medical CenterRome | – | – | – | – |
| Doctors HospitalAugusta | – | – | – | – |
| Emory Eastside Medical CenterSnellville | – | – | – | – |
| Dekalb Medical Center at HillandaleLithonia | – | – | – | – |
| Piedmont Newnan Hospital, INCNewnan | – | – | – | – |
| Emory Johns Creek HospitalJohns Creek | – | – | – | – |
| Blue Ridge Medical CenterBlue Ridge | – | – | – | – |
Lowest and highest allowed amounts in Georgia
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
| Sgmc HealthValdosta, GA | $5,280 |
|---|---|
| Piedmont Columbus Regional NorthsideColumbus, GA | $5,281 |
| Piedmont Augusta HospitalAugusta, GA | $5,383 |
| Candler HospitalSavannah, GA | $5,405 |
| St Francis Hospital, INCColumbus, GA | $5,414 |
Highest
| Northside Hospital DuluthDuluth, GA | $6,052 |
|---|---|
| Emory University Hospital MidtownAtlanta, GA | $6,052 |
| Northside Hospital ForsythCumming, GA | $6,052 |
| Northside Hospital CherokeeCanton, GA | $6,052 |
| Emory University HospitalAtlanta, GA | $6,052 |
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 Georgia?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 69 hospitals in Georgia was billed at $46,435 on average, while the average medicare-allowed amount was $5,760, of which Medicare paid $4,574. 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 Georgia, average charges were 8.1 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.