Level 2 Breast/Lymphatic Surgery and Related Procedures in Illinois
What 90 hospitals in Illinois charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$47,468
Hospital list price billed
Average allowed
$6,165
Medicare's payment + patient's share
Medicare paid
$4,903
Average per service
State rank
#30 of 49
1 = lowest average payment
Hospitals in Illinois billed an average of $47,468 for level 2 breast/lymphatic surgery and related procedures, about 7.7 times the average medicare-allowed amount of $6,165. That payment is 2% 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 $6,165Billed $47,468
About 13¢ was paid for every $1 hospitals in Illinois billed for this service.
Illinois hospitals: level 2 breast/lymphatic surgery and related procedures
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Northwestern Memorial HospitalChicago | 141 | $65,728 | $6,307 | $5,017 |
| Evanston HospitalEvanston | 114 | $32,129 | $6,053 | $4,814 |
| The University of Chicago Medical CenterChicago | 72 | $70,906 | $6,202 | $4,913 |
| Advocate Lutheran General HospitalPark Ridge | 69 | $29,786 | $6,120 | $4,861 |
| Rush University Medical CenterChicago | 66 | $30,576 | $6,342 | $5,050 |
| Edward HospitalNaperville | 65 | $41,007 | $6,064 | $4,804 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 58 | $47,409 | $6,191 | $4,933 |
| Central Dupage HospitalWinfield | 55 | $61,156 | $6,191 | $4,933 |
| Hinsdale HospitalHinsdale | 54 | $43,697 | $6,191 | $4,928 |
| Lake Forest HospitalLake Forest | 46 | $56,709 | $6,154 | $4,903 |
| Carle Foundation HospitalUrbana | 44 | $47,407 | $6,027 | $4,802 |
| Decatur Memorial HospitalDecatur | 44 | $37,947 | $6,027 | $4,798 |
| Silver Cross HospitalJoliet | 44 | $29,030 | $6,079 | $4,821 |
| Northwest Community HospitalArlington Heights | 44 | $30,071 | $6,191 | $4,933 |
| Advocate Good Shepherd HospitalBarrington | 44 | $27,226 | $6,154 | $4,903 |
| Memorial Hospital of CarbondaleCarbondale | 43 | $98,702 | $6,027 | $4,802 |
| Loyola University Medical CenterMaywood | 43 | $40,233 | $6,342 | $5,053 |
| Saint Francis Medical CenterPeoria | 42 | $69,182 | $6,027 | $4,802 |
| Midwestern Region Med CenterZion | 35 | $39,256 | $6,154 | $4,903 |
| Elmhurst Memorial HospitalElmhurst | 35 | $46,792 | $6,191 | $4,933 |
| Northwestern Medicine McHenryMcHenry | 34 | $55,930 | $6,191 | $4,933 |
| Delnor Community HospitalGeneva | 34 | $60,412 | $6,370 | $5,075 |
| Rush Oak Park HospitalOak Park | 32 | $25,222 | $6,191 | $4,933 |
| Methodist Medical Center of IllinoisPeoria | 31 | $64,328 | $6,027 | $4,802 |
| Sherman HospitalElgin | 30 | $46,990 | $6,370 | $5,075 |
| Blessing HospitalQuincy | 29 | $60,737 | $6,454 | $5,143 |
| Memorial HospitalBelleville | 29 | $36,140 | $5,861 | $4,636 |
| Swedish American HospitalRockford | 29 | $82,671 | $5,994 | $4,705 |
| Alexian Brothers Medical CenterElk Grove Village | 27 | $44,656 | $6,342 | $5,053 |
| Advocate Good Samaritan HospitalDowners Grove | 27 | $35,362 | $6,009 | $4,750 |
| Copley Memorial HospitalAurora | 25 | $44,882 | $6,161 | $4,867 |
| Memorial Medical CenterSpringfield | 25 | $37,601 | $6,027 | $4,798 |
| Bromenn Healthcare SystemNormal | 24 | $20,521 | $6,027 | $4,802 |
| Palos Community HospitalPalos Heights | 23 | $58,252 | $6,191 | $4,933 |
| Riverside Medical CenterKankakee | 23 | $51,188 | $6,133 | $4,886 |
| St Anthonys Memorial HospitalEffingham | 22 | $48,621 | $5,988 | $4,675 |
| Trinity Rock IslandRock Island | 20 | $24,474 | $6,027 | $4,802 |
| Advocate Illinois Masonic Medical CenterChicago | 19 | $44,264 | $6,191 | $4,933 |
| University of Illinois Hospital and ClinicsChicago | 16 | $34,618 | $6,342 | $5,053 |
| Advocate Trinity HospitalChicago | 15 | $35,409 | $6,175 | $4,911 |
| Resurrection Medical CenterChicago | 15 | $76,302 | $6,191 | $4,933 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 15 | $37,898 | $6,191 | $4,933 |
| St Elizabeth HospitalBelleville | 15 | $42,202 | $6,027 | $4,802 |
| Advocate Condell Medical CenterLibertyville | 15 | $47,419 | $6,154 | $4,903 |
| Macneal HospitalBerwyn | 13 | $56,117 | $6,342 | $5,053 |
| St Johns HospitalSpringfield | 12 | $37,707 | $6,027 | $4,802 |
| Sarah Bush Lincoln Health CenterMattoon | 12 | $39,847 | $6,454 | $5,143 |
| Saint Anthony Medical CenterRockford | 12 | $45,723 | $6,343 | $5,043 |
| Cgh Medical CenterSterling | 11 | $47,267 | $6,027 | $4,802 |
| Little Company of Mary HospitalEvergreen Park | 11 | $44,832 | $6,342 | $5,053 |
| St Alexius Medical CenterSchaumburg | 11 | $39,607 | $6,343 | $5,036 |
| Graham Hospital AssociationCanton | – | – | – | – |
| Alton Memorial HospitalAlton | – | – | – | – |
| Provena St Joseph Medical CenterJoliet | – | – | – | – |
| Loyola Gottlieb Memorial HospitalMelrose Park | – | – | – | – |
| Herrin HospitalHerrin | – | – | – | – |
| OSF Saint Katharine Medical CenterDixon | – | – | – | – |
| Mt Sinai Hospital Medical CenterChicago | – | – | – | – |
| St Marys HospitalCentralia | – | – | – | – |
| Good Samaritan Regional Hlth CenterMt Vernon | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| Jersey Community HospitalJerseyville | – | – | – | – |
| St Mary Medical CenterGalesburg | – | – | – | – |
| Touchette Regional HospitalEast St Louis | – | – | – | – |
| Rhc St Francis HospitalEvanston | – | – | – | – |
| Vista Medical Center EastWaukegan | – | – | – | – |
| Mc Donough District HospitalMacomb | – | – | – | – |
| Morris Hospital & Healthcare CentersMorris | – | – | – | – |
| OSF Saint Elizabeth Mdl CtrOttawa | – | – | – | – |
| OSF Heart of Mary Medical CenterUrbana | – | – | – | – |
| Swedish Covenant HospitalChicago | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| John H Stroger Jr HospitalChicago | – | – | – | – |
| St Josephs HospitalBreese | – | – | – | – |
| Provena St Marys HospitalKankakee | – | – | – | – |
| Insight Hospital and Medical Center ChicagoChicago | – | – | – | – |
| Fhn Memorial HospitalFreeport | – | – | – | – |
| St Joseph Medical CenterBloomington | – | – | – | – |
| St Marys HospitalDecatur | – | – | – | – |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | – | – | – | – |
| Heartland Regional Medical CenterMarion | – | – | – | – |
| Ingalls Memorial HospitalHarvey | – | – | – | – |
| Provena - Saint Joseph HospitalElgin | – | – | – | – |
| Saint Joseph HospitalChicago | – | – | – | – |
| Javon Bea HospitalRockford | – | – | – | – |
| Illini HospitalSilvis | – | – | – | – |
| Kishwaukee Community HospitalDekalb | – | – | – | – |
| Anderson HospitalMaryville | – | – | – | – |
| Crossroads Community HospitalMt Vernon | – | – | – | – |
| Adventist Bolingbrook HospitalBolingbrook | – | – | – | – |
Lowest and highest allowed amounts in Illinois
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
| Memorial HospitalBelleville, IL | $5,861 |
|---|---|
| St Anthonys Memorial HospitalEffingham, IL | $5,988 |
| Swedish American HospitalRockford, IL | $5,994 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $6,009 |
| Cgh Medical CenterSterling, IL | $6,027 |
Highest
| Blessing HospitalQuincy, IL | $6,454 |
|---|---|
| Sarah Bush Lincoln Health CenterMattoon, IL | $6,454 |
| Sherman HospitalElgin, IL | $6,370 |
| Delnor Community HospitalGeneva, IL | $6,370 |
| St Alexius Medical CenterSchaumburg, IL | $6,343 |
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 Illinois?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 90 hospitals in Illinois was billed at $47,468 on average, while the average medicare-allowed amount was $6,165, of which Medicare paid $4,903. 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 Illinois, average charges were 7.7 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.