Level 2 Breast/Lymphatic Surgery and Related Procedures in Massachusetts
What 47 hospitals in Massachusetts charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$29,947
Hospital list price billed
Average allowed
$6,961
Medicare's payment + patient's share
Medicare paid
$5,537
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $29,947 for level 2 breast/lymphatic surgery and related procedures, about 4.3 times the average medicare-allowed amount of $6,961. That payment is 11% above 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 $6,961Billed $29,947
About 23¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 2 breast/lymphatic surgery and related procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 209 | $44,959 | $6,977 | $5,552 |
| Faulkner HospitalBoston | 156 | $29,723 | $7,003 | $5,580 |
| Umass Memorial Medical Center INCWorcester | 90 | $29,693 | $6,926 | $5,516 |
| Brigham and Women's HosptialBoston | 89 | $54,349 | $7,003 | $5,580 |
| Beth Israel Deaconess Medical CenterBoston | 71 | $19,156 | $7,003 | $5,580 |
| Southcoast Hospital Group, INCFall River | 65 | $28,679 | $6,918 | $5,494 |
| Cape Cod HospitalHyannis | 59 | $30,039 | $6,909 | $5,484 |
| Lahey Clinic HospitalBurlington | 59 | $15,925 | $7,003 | $5,580 |
| South Shore HospitalSouth Weymouth | 53 | $14,715 | $7,003 | $5,576 |
| Baystate Medical CenterSpringfield | 45 | $24,263 | $7,003 | $5,580 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 43 | $35,538 | $6,874 | $5,450 |
| Newton-Wellesley HospitalNewton Lower Falls | 40 | $22,565 | $7,003 | $5,580 |
| Beverly Hospital CorporationBeverly | 34 | $15,515 | $7,003 | $5,580 |
| Emerson HospitalConcord | 31 | $28,717 | $7,003 | $5,580 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 30 | $16,033 | $7,003 | $5,580 |
| Berkshire Medical Center INCPittsfield | 28 | $39,415 | $7,355 | $5,859 |
| Mount Auburn HospitalCambridge | 26 | $15,414 | $7,003 | $5,580 |
| Noble HospitalWestfield | 25 | $15,726 | $6,780 | $5,357 |
| Lowell General HospitalLowell | 24 | $28,571 | $7,003 | $5,580 |
| Tufts Medical CenterBoston | 23 | $32,743 | $6,276 | $4,852 |
| Mercy Medical CenterSpringfield | 22 | $15,278 | $7,003 | $5,579 |
| Melrosewakefield HealthcareMelrose | 22 | $32,604 | $7,003 | $5,580 |
| Boston Medical Center CorporationBoston | 21 | $27,495 | $7,003 | $5,580 |
| Winchester HospitalWinchester | 20 | $17,876 | $6,724 | $5,301 |
| St Vincent HospitalWorcester | 20 | $71,832 | $6,900 | $5,476 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 18 | $18,259 | $6,694 | $5,259 |
| Brockton HospitalBrockton | 18 | $20,911 | $7,003 | $5,580 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 18 | $21,863 | $7,003 | $5,580 |
| Anna Jaques HospitalNewburyport | 17 | $15,344 | $6,591 | $5,252 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 17 | $22,004 | $7,004 | $5,573 |
| Massachusetts Eye and Ear InfirmaryBoston | 16 | $19,318 | $7,003 | $5,580 |
| Falmouth HospitalFalmouth | 16 | $37,428 | $7,003 | $5,580 |
| Sturdy Memorial HospitalAttleboro | 15 | $20,614 | $7,003 | $5,580 |
| Lawrence General HospitalLawrence | 11 | $16,813 | $7,003 | $5,580 |
| Milford Regional Medical CenterMilford | 11 | $18,728 | $7,003 | $5,580 |
| Healthalliance Hospitals, INCLeominster | – | – | – | – |
| Cambridge Health AllianceCambridge | – | – | – | – |
| Baystate Franklin Medical CenterGreenfield | – | – | – | – |
| Harrington Memorial HospitalSouthbridge | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Union HospitalLynn | – | – | – | – |
| Marlborough HospitalMarlborough | – | – | – | – |
| Morton Hospital & Medical CenterTaunton | – | – | – | – |
| New England Baptist HospitalBoston | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Tufts Medical CenterBoston, MA | $6,276 |
|---|---|
| Anna Jaques HospitalNewburyport, MA | $6,591 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $6,694 |
| Winchester HospitalWinchester, MA | $6,724 |
| Noble HospitalWestfield, MA | $6,780 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $7,355 |
|---|---|
| Holy Family Hospital, a Caritas Family HospitalMethuen, MA | $7,004 |
| South Shore HospitalSouth Weymouth, MA | $7,003 |
| Mercy Medical CenterSpringfield, MA | $7,003 |
| Faulkner HospitalBoston, MA | $7,003 |
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 Massachusetts?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 47 hospitals in Massachusetts was billed at $29,947 on average, while the average medicare-allowed amount was $6,961, of which Medicare paid $5,537. 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 Massachusetts, average charges were 4.3 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.