Level 2 Breast/Lymphatic Surgery and Related Procedures in Kentucky
What 40 hospitals in Kentucky charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$43,825
Hospital list price billed
Average allowed
$5,638
Medicare's payment + patient's share
Medicare paid
$4,480
Average per service
State rank
#12 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $43,825 for level 2 breast/lymphatic surgery and related procedures, about 7.8 times the average medicare-allowed amount of $5,638. 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 $5,638Billed $43,825
About 13¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 2 breast/lymphatic surgery and related procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 93 | $36,609 | $5,599 | $4,461 |
| Baptist Hospital EastLouisville | 66 | $67,595 | $5,618 | $4,474 |
| University of Kentucky HospLexington | 57 | $39,439 | $5,568 | $4,420 |
| Hardin Memorial HospitalElizabethtown | 43 | $52,509 | $5,618 | $4,476 |
| University of Louisville HospitalLouisville | 42 | $39,718 | $5,405 | $4,259 |
| Western Baptist HospitalPaducah | 40 | $50,017 | $5,874 | $4,660 |
| Central Baptist HospitalLexington | 34 | $49,539 | $5,540 | $4,389 |
| Owensboro Medical Health SystemOwensboro | 32 | $35,387 | $5,883 | $4,657 |
| St Elizabeth Med Center-SouthEdgewood | 28 | $27,751 | $5,609 | $4,468 |
| The Medical Center at Bowling GreenBowling Green | 26 | $32,021 | $5,461 | $4,312 |
| Lourdes HospitalPaducah | 21 | $50,172 | $5,966 | $4,748 |
| Baptist Regional Medical CtrCorbin | 19 | $47,276 | $5,241 | $4,129 |
| King's Daughters' Medical CenterAshland | 18 | $46,414 | $5,555 | $4,426 |
| Pikeville Medical CenterPikeville | 13 | $31,678 | $5,923 | $4,719 |
| Greenview Regional HospitalBowling Green | 13 | $45,184 | $5,634 | $4,489 |
| Saint Joseph EastLexington | 13 | $23,147 | $5,647 | $4,499 |
| Murray-Calloway County HospitalMurray | 12 | $29,684 | $5,471 | $4,359 |
| Baptist Health RichmondRichmond | 12 | $34,218 | $5,612 | $4,472 |
| T J Samson Community HospitalGlasgow | 11 | $33,302 | $5,982 | $4,766 |
| Ephraim McDowell Regional Medical CenterDanville | 11 | $32,988 | $5,612 | $4,472 |
| Baptist Health Deaconess MadisonvilleMadisonville | 11 | $56,318 | $6,033 | $4,807 |
| Lake Cumberland Regional HospitalSomerset | 11 | $69,496 | $6,011 | $4,789 |
| Whitesburg Arh HospitalWhitesburg | – | – | – | – |
| Saint Joseph HospitalLexington | – | – | – | – |
| Jewish Hospital - ShelbyvilleShelbyville | – | – | – | – |
| St Claire Regional Medical CenterMorehead | – | – | – | – |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | – | – | – | – |
| Flaget Memorial HospitalBardstown | – | – | – | – |
| Jewish HospitalLouisville | – | – | – | – |
| Jennie Stuart Medical CenterHopkinsville | – | – | – | – |
| Deaconess Henderson HospitalHenderson | – | – | – | – |
| The Medical Center at RussellvilleRussellville | – | – | – | – |
| Twin Lakes Regional Medical CenterLeitchfield | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Taylor Regional HospitalCampbellsville | – | – | – | – |
| Clark Regional Medical CenterWinchester | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Jackson Purchase Medical CenterMayfield | – | – | – | – |
| Frankfort Regional Medical CenterFrankfort | – | – | – | – |
| Baptist Hospital NortheastLa Grange | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Baptist Regional Medical CtrCorbin, KY | $5,241 |
|---|---|
| University of Louisville HospitalLouisville, KY | $5,405 |
| The Medical Center at Bowling GreenBowling Green, KY | $5,461 |
| Murray-Calloway County HospitalMurray, KY | $5,471 |
| Central Baptist HospitalLexington, KY | $5,540 |
Highest
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $6,033 |
|---|---|
| Lake Cumberland Regional HospitalSomerset, KY | $6,011 |
| T J Samson Community HospitalGlasgow, KY | $5,982 |
| Lourdes HospitalPaducah, KY | $5,966 |
| Pikeville Medical CenterPikeville, KY | $5,923 |
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 Kentucky?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 40 hospitals in Kentucky was billed at $43,825 on average, while the average medicare-allowed amount was $5,638, of which Medicare paid $4,480. 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 Kentucky, average charges were 7.8 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.