facebook tracking Level 2 Breast/Lymphatic Surgery and Related Procedures cost in Louisiana: 49 hospitals compared (APC 5092)

Level 2 Breast/Lymphatic Surgery and Related Procedures in Louisiana

What 49 hospitals in Louisiana 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 $44,578 Hospital list price billed
Average allowed $5,439 Medicare's payment + patient's share
Medicare paid $4,321 Average per service
State rank #4 of 49 1 = lowest average payment

Hospitals in Louisiana billed an average of $44,578 for level 2 breast/lymphatic surgery and related procedures, about 8.2 times the average medicare-allowed amount of $5,439. That payment is 13% 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 $5,439Billed $44,578

About 12¢ was paid for every $1 hospitals in Louisiana billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Ochsner Foundation HospitalNew Orleans 78 $67,018 $5,311 $4,206
Park Place Surgical HospitalLafayette 56 $30,166 $5,422 $4,312
St Charles Surgical HospitalNew Orleans 56 $77,804 $5,416 $4,316
Willis Knighton Medical CenterShreveport 49 $38,059 $5,560 $4,411
Woman's HospitalBaton Rouge 47 $29,060 $5,420 $4,300
Lafayette General Medical CenterLafayette 42 $31,700 $5,422 $4,320
St Tammany Parish HospitalCovington 41 $26,014 $5,524 $4,401
CHRISTUS Schumpert Health SystemShreveport 32 $38,238 $5,511 $4,362
Lake Charles Memorial HospitalLake Charles 31 $49,922 $5,450 $4,313
Baton Rouge General Medical CenterBaton Rouge 26 $24,777 $5,477 $4,356
Touro InfirmaryNew Orleans 23 $40,619 $5,332 $4,210
St Francis Medical CenterMonroe 23 $23,910 $5,422 $4,320
Slidell Memorial HospitalSlidell 21 $45,644 $5,524 $4,401
Tulane Medical CenterNew Orleans 21 $107,743 $5,524 $4,401
Iberia General Hospital and Medical CenterNew Iberia 13 $21,135 $5,422 $4,320
Opelousas General Health SystemOpelousas 12 $21,019 $5,471 $4,359
Our Lady of Lourdes Regional Medical Center, INCLafayette 11 $35,834 $5,422 $4,320
Thibodaux Regional Medical CenterThibodaux – – – –
University Medical Center New OrleansNew Orleans – – – –
University Medical CenterLafayette – – – –
Natchitoches Regional Medical CenterNatchitoches – – – –
Terrebonne General Medical CenterHouma – – – –
Ochsner LSU Health MonroeMonroe – – – –
West Calcasieu Cameron HospitalSulphur – – – –
Ochsner St MaryMorgan City – – – –
North Oaks Medical CenterHammond – – – –
CHRISTUS St Frances Cabrini HospitalAlexandria – – – –
Rapides Regional Medical CenterAlexandria – – – –
CHRISTUS St Patrick HospitalLake Charles – – – –
Abbeville General HospitalAbbeville – – – –
West Jefferson Medical CenterMarrero – – – –
Acadia General HospitalCrowley – – – –
Jennings American Legion HospitalJennings – – – –
Our Lady of the Lake Regional Medical CenterBaton Rouge – – – –
Northern Louisiana Medical CenterRuston – – – –
LSU Medical Center-Univ HospShreveport – – – –
Avoyelles HospitalMarksville – – – –
Richardson Medical CenterRayville – – – –
Glenwood Regional Medical CenterWest Monroe – – – –
Byrd Regional HospitalLeesville – – – –
Leonard J Chabert Medical CenterHouma – – – –
CHRISTUS Ochsner Lake Area HospitalLake Charles – – – –
Ochsner Medical Center-Baton RougeBaton Rouge – – – –
Physicians Medical CenterHouma – – – –
Monroe Surgical HospitalMonroe – – – –
AvalaCovington – – – –
CHRISTUS Central Louisiana Surgical HospitalAlexandria – – – –
Omega Hospital, LLCMetairie – – – –
Ochsner LSU Health Shreveport-St Mary Medical CentShreveport – – – –
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Lowest and highest allowed amounts in Louisiana

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

Ochsner Foundation HospitalNew Orleans, LA$5,311
Touro InfirmaryNew Orleans, LA$5,332
St Charles Surgical HospitalNew Orleans, LA$5,416
Woman's HospitalBaton Rouge, LA$5,420
Lafayette General Medical CenterLafayette, LA$5,422

Highest

Willis Knighton Medical CenterShreveport, LA$5,560
Slidell Memorial HospitalSlidell, LA$5,524
St Tammany Parish HospitalCovington, LA$5,524
Tulane Medical CenterNew Orleans, LA$5,524
CHRISTUS Schumpert Health SystemShreveport, LA$5,511

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 Louisiana?

In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 49 hospitals in Louisiana was billed at $44,578 on average, while the average medicare-allowed amount was $5,439, of which Medicare paid $4,321. 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 Louisiana, average charges were 8.2 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.