Level 2 Breast/Lymphatic Surgery and Related Procedures in New York
What 99 hospitals in New York charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$42,026
Hospital list price billed
Average allowed
$7,195
Medicare's payment + patient's share
Medicare paid
$5,717
Average per service
State rank
#46 of 49
1 = lowest average payment
Hospitals in New York billed an average of $42,026 for level 2 breast/lymphatic surgery and related procedures, about 5.8 times the average medicare-allowed amount of $7,195. That payment is 15% 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 $7,195Billed $42,026
About 17¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 2 breast/lymphatic surgery and related procedures
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mem Sloan-Kettering Cancer CtrNew York | 361 | $41,914 | $7,388 | $5,879 |
| NYU Hospitals CenterNew York | 293 | $74,839 | $7,303 | $5,810 |
| New York-Presbyterian HospitalNew York | 207 | $33,451 | $7,374 | $5,869 |
| Long Island Jewish Medical CenterNew Hyde Park | 85 | $33,977 | $7,111 | $5,618 |
| University HospitalStony Brook | 85 | $44,800 | $7,283 | $5,803 |
| St Francis Hospital, RoslynRoslyn | 81 | $53,722 | $7,348 | $5,854 |
| Mount Sinai HospitalNew York | 78 | $31,453 | $7,420 | $5,912 |
| Roswell Park Cancer InstituteBuffalo | 71 | $23,054 | $6,914 | $5,509 |
| St Peter's HospitalAlbany | 64 | $20,846 | $6,914 | $5,509 |
| Huntington HospitalHuntington | 51 | $30,134 | $6,987 | $5,507 |
| Highland HospitalRochester | 50 | $28,188 | $6,914 | $5,509 |
| Glen Cove HospitalGlen Cove | 47 | $28,301 | $7,348 | $5,854 |
| Albany Medical Center HospitalAlbany | 45 | $22,948 | $6,669 | $5,264 |
| Mary Imogene Bassett HospitalCooperstown | 44 | $26,442 | $7,405 | $5,900 |
| Vassar Brothers Medical CenterPoughkeepsie | 41 | $32,279 | $7,082 | $5,590 |
| Saratoga HospitalSaratoga Springs | 41 | $35,272 | $6,914 | $5,508 |
| Rochester General HospitalRochester | 40 | $22,741 | $6,501 | $5,095 |
| South Nassau Communities HospitalOceanside | 40 | $45,629 | $7,348 | $5,854 |
| White Plains Hospital CtrWhite Plains | 39 | $68,807 | $7,420 | $5,912 |
| Lenox Hill HospitalNew York | 38 | $38,057 | $7,345 | $5,852 |
| Northern Westchester HospitalMt Kisco | 36 | $63,324 | $6,928 | $5,420 |
| Garnet Health Medical CenterGoshen | 35 | $38,591 | $7,071 | $5,580 |
| Mount Sinai WestNew York | 34 | $29,697 | $7,173 | $5,680 |
| Crouse HospitalSyracuse | 34 | $20,877 | $6,914 | $5,509 |
| University Hospital S U N Y Health Science CenterSyracuse | 34 | $40,612 | $6,914 | $5,509 |
| Long Island Community HospitalPatchogue | 33 | $83,909 | $7,107 | $5,627 |
| Good Samaritan Hospital Medical CenterWest Islip | 31 | $40,723 | $7,283 | $5,803 |
| Montefiore Medical CenterBronx | 27 | $45,426 | $7,345 | $5,852 |
| St Joseph's Hospital Health CenterSyracuse | 27 | $17,420 | $6,914 | $5,509 |
| Staten Island University HospitalStaten Island | 27 | $32,744 | $7,202 | $5,693 |
| Maimonides Medical CenterBrooklyn | 25 | $41,239 | $7,420 | $5,912 |
| Good Samaritan Hospital of SuffernSuffern | 24 | $119,302 | $7,420 | $5,912 |
| Strong Memorial HospitalRochester | 23 | $28,743 | $6,914 | $5,509 |
| Buffalo General HospitalBuffalo | 22 | $32,934 | $6,914 | $5,504 |
| North Shore University HospitalManhasset | 22 | $38,818 | $7,232 | $5,741 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 22 | $34,039 | $6,492 | $5,012 |
| New York Hospital Medical Center of QueensNew York | 21 | $35,804 | $7,420 | $5,912 |
| Cayuga Medical Center at IthacaIthaca | 20 | $34,967 | $7,405 | $5,900 |
| St Catherine of Siena HospitalSmithtown | 20 | $33,811 | $6,707 | $5,226 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 19 | $27,817 | $7,405 | $5,900 |
| Putnam Hospital CenterCarmel | 19 | $47,822 | $6,923 | $5,414 |
| Mercy Medical CenterRockville Centre | 18 | $40,864 | $7,348 | $5,854 |
| Glens Falls HospitalGlens Falls | 17 | $17,096 | $6,914 | $5,509 |
| Canton-Potsdam HospitalPotsdam | 17 | $13,609 | $7,405 | $5,900 |
| Oneida Healthcare CenterOneida | 16 | $30,905 | $6,914 | $5,509 |
| Unity Hospital of RochesterRochester | 16 | $21,197 | $6,914 | $5,509 |
| United Health Services HospsBinghamton | 15 | $24,999 | $6,914 | $5,509 |
| Northern Dutchess HospitalRhinebeck | 13 | $31,752 | $7,159 | $5,667 |
| Healthalliance Hospital Marys Avenue CampusKingston | 13 | $26,990 | $7,051 | $5,618 |
| Phelps Memorial Hospital AssnSleepy Hollow | 13 | $86,910 | $7,420 | $5,912 |
| Wynn HospitalUtica | 12 | $35,990 | $6,914 | $5,509 |
| Plainview HospitalPlainview | 12 | $35,465 | $6,860 | $5,367 |
| St Joseph HospitalBethpage | 12 | $41,107 | $7,348 | $5,854 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 11 | $48,581 | $6,914 | $5,509 |
| Cornwall HospitalCornwall | 11 | $59,547 | $7,275 | $5,783 |
| Bronxcare Hospital CenterBronx | – | – | – | – |
| Jamaica Hospital Med CenterJamaica | – | – | – | – |
| Richmond University Medical CenterStaten Island | – | – | – | – |
| Southside HospitalBay Shore | – | – | – | – |
| St Mary's Hospital at AmsterdamAmsterdam | – | – | – | – |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | – | – | – | – |
| Geneva General HospitalGeneva | – | – | – | – |
| F F Thompson HospitalCanandaigua | – | – | – | – |
| Sisters of Charity HospitalBuffalo | – | – | – | – |
| Adirondack Medical CenterSaranac Lake | – | – | – | – |
| Lincoln Medical & Mental Health CenterBronx | – | – | – | – |
| Aurelia Osborn Fox Memorial HospitalOneonta | – | – | – | – |
| Arnot Ogden Medical CenterElmira | – | – | – | – |
| Columbia Memorial HospitalHudson | – | – | – | – |
| Olean General HospitalOlean | – | – | – | – |
| Nyack HospitalNyack | – | – | – | – |
| Peconic Bay Medical CenterRiverhead | – | – | – | – |
| St James Mercy HospitalHornell | – | – | – | – |
| Ellis HospitalSchenectady | – | – | – | – |
| Samaritan Medical CenterWatertown | – | – | – | – |
| Beth Israel Medical CenterNew York | – | – | – | – |
| Cortland Regional Medical Center, INCCortland | – | – | – | – |
| Samaritan HospitalTroy | – | – | – | – |
| Montefiore New Rochelle HospitalNew Rochelle | – | – | – | – |
| Flushing Hospital Medical CenterNew York | – | – | – | – |
| South Brooklyn HealthBrooklyn | – | – | – | – |
| Kings County Hospital CenterBrooklyn | – | – | – | – |
| Bellevue Hospital CenterNew York | – | – | – | – |
| St John's Riverside HospitalYonkers | – | – | – | – |
| Rome Memorial Hospital, INCRome | – | – | – | – |
| Oswego HospitalOswego | – | – | – | – |
| Erie County Medical CenterBuffalo | – | – | – | – |
| Wyckoff Heights Medical CenterBrooklyn | – | – | – | – |
| Brooks Memorial HospitalDunkirk | – | – | – | – |
| Brookdale Hospital Medical CenterBrooklyn | – | – | – | – |
| Westchester Medical CenterValhalla | – | – | – | – |
| UPMC Chautauqua at WcaJamestown | – | – | – | – |
| St Charles HospitalPort Jefferson | – | – | – | – |
| Hudson Valley Hospital CenterCortlandt Manor | – | – | – | – |
| Corning HospitalCorning | – | – | – | – |
| Mercy HospitalBuffalo | – | – | – | – |
| University Hospital of Brooklyn ( Downstate )Brooklyn | – | – | – | – |
| St John's Episcopal Hospital at South ShoreFar Rockaway | – | – | – | – |
| Woodhull Medical and Mental Health CenterBrooklyn | – | – | – | – |
Lowest and highest allowed amounts in New York
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
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson, NY | $6,492 |
|---|---|
| Rochester General HospitalRochester, NY | $6,501 |
| Albany Medical Center HospitalAlbany, NY | $6,669 |
| St Catherine of Siena HospitalSmithtown, NY | $6,707 |
| Plainview HospitalPlainview, NY | $6,860 |
Highest
| Mount Sinai HospitalNew York, NY | $7,420 |
|---|---|
| New York Hospital Medical Center of QueensNew York, NY | $7,420 |
| Good Samaritan Hospital of SuffernSuffern, NY | $7,420 |
| Maimonides Medical CenterBrooklyn, NY | $7,420 |
| Phelps Memorial Hospital AssnSleepy Hollow, NY | $7,420 |
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 New York?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 99 hospitals in New York was billed at $42,026 on average, while the average medicare-allowed amount was $7,195, of which Medicare paid $5,717. 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 New York, average charges were 5.8 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.