Level 2 Breast/Lymphatic Surgery and Related Procedures in Iowa
What 26 hospitals in Iowa charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$33,514
Hospital list price billed
Average allowed
$5,650
Medicare's payment + patient's share
Medicare paid
$4,493
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $33,514 for level 2 breast/lymphatic surgery and related procedures, about 5.9 times the average medicare-allowed amount of $5,650. That payment is 10% 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 $5,650Billed $33,514
About 17¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 2 breast/lymphatic surgery and related procedures
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mercy Medical Center-Des MoinesDes Moines | 88 | $44,009 | $5,528 | $4,393 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 62 | $26,991 | $5,479 | $4,336 |
| Mercy Medical Center-DubuqueDubuque | 58 | $35,530 | $5,946 | $4,733 |
| Genesis Medical Center-DavenportDavenport | 51 | $19,502 | $5,491 | $4,375 |
| University of Iowa Hospital & ClinicsIowa City | 48 | $45,761 | $5,723 | $4,540 |
| Allen Memorial HospitalWaterloo | 48 | $20,617 | $5,578 | $4,444 |
| St Lukes HospitalCedar Rapids | 47 | $27,007 | $5,623 | $4,479 |
| Mary Greeley Medical CenterAmes | 41 | $27,274 | $5,600 | $4,462 |
| Iowa Methodist Medical CenterDes Moines | 27 | $32,357 | $5,435 | $4,296 |
| Mercy Medical Center-North IowaMason City | 23 | $53,180 | $6,321 | $5,036 |
| Mercyone Waterloo Medical CenterWaterloo | 21 | $55,802 | $5,578 | $4,444 |
| Mercyone Siouxland Medical CenterSioux City | 17 | $25,465 | $5,876 | $4,682 |
| The Finley HospitalDubuque | 14 | $19,888 | $5,578 | $4,444 |
| Mercy HospitalIowa City | 11 | $41,906 | $5,820 | $4,637 |
| Jennie Edmundson HospitalCouncil Bluffs | 11 | $35,124 | $5,876 | $4,682 |
| Marshalltown Medical & Surgical CenterMarshalltown | – | – | – | – |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Southeast Iowa Regional Medical CenterWest Burlington | – | – | – | – |
| Mercy Medical Center-ClintonClinton | – | – | – | – |
| Broadlawns Medical CenterDes Moines | – | – | – | – |
| Trinity Medical CenterDavenport | – | – | – | – |
| Spencer Municipal HospitalSpencer | – | – | – | – |
| Lakes Regional HealthcareSpirit Lake | – | – | – | – |
| St Lukes Regional Medical CenterSioux City | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
Lowest and highest allowed amounts in Iowa
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
| Iowa Methodist Medical CenterDes Moines, IA | $5,435 |
|---|---|
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $5,479 |
| Genesis Medical Center-DavenportDavenport, IA | $5,491 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $5,528 |
| Mercyone Waterloo Medical CenterWaterloo, IA | $5,578 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $6,321 |
|---|---|
| Mercy Medical Center-DubuqueDubuque, IA | $5,946 |
| Jennie Edmundson HospitalCouncil Bluffs, IA | $5,876 |
| Mercyone Siouxland Medical CenterSioux City, IA | $5,876 |
| Mercy HospitalIowa City, IA | $5,820 |
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 Iowa?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 26 hospitals in Iowa was billed at $33,514 on average, while the average medicare-allowed amount was $5,650, of which Medicare paid $4,493. 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 Iowa, average charges were 5.9 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.