Level 2 Breast/Lymphatic Surgery and Related Procedures in Minnesota
What 43 hospitals in Minnesota charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$28,853
Hospital list price billed
Average allowed
$6,347
Medicare's payment + patient's share
Medicare paid
$5,054
Average per service
State rank
#34 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $28,853 for level 2 breast/lymphatic surgery and related procedures, about 4.5 times the average medicare-allowed amount of $6,347. That payment is 1% 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 $6,347Billed $28,853
About 22¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 2 breast/lymphatic surgery and related procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 187 | $37,108 | $6,718 | $5,352 |
| Essentia Health DuluthDuluth | 63 | $26,507 | $6,070 | $4,836 |
| United HospitalSt Paul | 61 | $22,861 | $6,233 | $4,966 |
| Abbott Northwestern Hospital INCMinneapolis | 57 | $24,264 | $5,796 | $4,618 |
| Park Nicollet Methodist HospitalSaint Louis Park | 54 | $31,140 | $6,233 | $4,966 |
| St Cloud HospitalSt Cloud | 51 | $26,582 | $6,626 | $5,279 |
| Mercy HospitalCoon Rapids | 43 | $27,736 | $6,233 | $4,966 |
| St Lukes HospitalDuluth | 36 | $31,680 | $6,186 | $4,929 |
| Mayo Clinic Health System - MankatoMankato | 33 | $22,255 | $6,684 | $5,326 |
| Ridgeview Medical CenterWaconia | 24 | $30,046 | $6,233 | $4,966 |
| Lakeview Memorial HospitalStillwater | 24 | $16,103 | $6,233 | $4,963 |
| Regions HospitalSt Paul | 24 | $18,939 | $6,233 | $4,966 |
| Fairview Southdale HospitalEdina | 21 | $26,130 | $6,233 | $4,966 |
| University of Minnesota Medical Center, FairviewMinneapolis | 20 | $45,634 | $5,888 | $4,641 |
| Fairview Ridges HospitalBurnsville | 18 | $31,828 | $6,233 | $4,966 |
| Rice Memorial HospitalWillmar | 16 | $21,360 | $6,177 | $4,856 |
| Lake Region Healthcare CorporationFergus Falls | 14 | $26,651 | $6,501 | $5,180 |
| Essentia Health St Joseph's Medical CenterBrainerd | 14 | $27,096 | $6,501 | $5,180 |
| Hutchinson Area Health CareHutchinson | 14 | $30,128 | $6,573 | $5,237 |
| North Memorial Medical CenterRobbinsdale | 13 | $19,955 | $6,233 | $4,966 |
| Virginia Regional Medical CenterVirginia | 13 | $30,707 | $6,070 | $4,832 |
| Sanford Bemidji Medical CenterBemidji | 12 | $17,869 | $6,501 | $5,180 |
| Essentia Health St Mary's Medical CenterDuluth | 11 | $24,458 | $6,187 | $4,922 |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Olmsted Medical CenterRochester | – | – | – | – |
| Northfield HospitalNorthfield | – | – | – | – |
| Fairview Red Wing HospitalRed Wing | – | – | – | – |
| Sanford Worthington Medical CenterWorthington | – | – | – | – |
| Alomere HealthAlexandria | – | – | – | – |
| Range Regional Health ServicesHibbing | – | – | – | – |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | – | – | – | – |
| Winona Health ServicesWinona | – | – | – | – |
| Fairview Lakes Health ServicesWyoming | – | – | – | – |
| Itasca Medical CenterGrand Rapids | – | – | – | – |
| Owatonna HospitalOwatonna | – | – | – | – |
| Allina Health Faribault Medical CenterFaribault | – | – | – | – |
| St Marys Regional Health CenterDetroit Lakes | – | – | – | – |
| St Francis Regional Medical CenterShakopee | – | – | – | – |
| Fairview Northland Regional HospitalPrinceton | – | – | – | – |
| Fairmont Medical CenterFairmont | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
| Healtheast Woodwinds HospitalWoodbury | – | – | – | – |
| Maple Grove HospitalMaple Grove | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Abbott Northwestern Hospital INCMinneapolis, MN | $5,796 |
|---|---|
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $5,888 |
| Essentia Health DuluthDuluth, MN | $6,070 |
| Virginia Regional Medical CenterVirginia, MN | $6,070 |
| Rice Memorial HospitalWillmar, MN | $6,177 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $6,718 |
|---|---|
| Mayo Clinic Health System - MankatoMankato, MN | $6,684 |
| St Cloud HospitalSt Cloud, MN | $6,626 |
| Hutchinson Area Health CareHutchinson, MN | $6,573 |
| Lake Region Healthcare CorporationFergus Falls, MN | $6,501 |
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 Minnesota?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 43 hospitals in Minnesota was billed at $28,853 on average, while the average medicare-allowed amount was $6,347, of which Medicare paid $5,054. 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 Minnesota, average charges were 4.5 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.