Level 2 Breast/Lymphatic Surgery and Related Procedures in Ohio
What 97 hospitals in Ohio charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$46,145
Hospital list price billed
Average allowed
$5,560
Medicare's payment + patient's share
Medicare paid
$4,403
Average per service
State rank
#8 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $46,145 for level 2 breast/lymphatic surgery and related procedures, about 8.3 times the average medicare-allowed amount of $5,560. That payment is 11% 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 $5,560Billed $46,145
About 12¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 2 breast/lymphatic surgery and related procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Arthur G James Cancer HospitalColumbus | 206 | $63,666 | $5,786 | $4,600 |
| Cleveland Clinic - Main CampusCleveland | 144 | $37,980 | $5,444 | $4,312 |
| Toledo Hospital theToledo | 77 | $56,274 | $5,763 | $4,579 |
| Miami Valley HospitalDayton | 65 | $48,635 | $5,638 | $4,478 |
| Christ HospitalCincinnati | 58 | $39,130 | $5,512 | $4,360 |
| Kettering Medical CenterKettering | 56 | $67,338 | $5,769 | $4,578 |
| Dublin Methodist HospitalDublin | 56 | $62,982 | $5,831 | $4,646 |
| Bethesda North HospitalCincinnati | 53 | $23,044 | $5,671 | $4,517 |
| University Hospitals Ahuja Medical CenterBeachwood | 46 | $40,285 | $5,374 | $4,243 |
| Marietta Memorial HospitalMarietta | 44 | $35,842 | $4,243 | $3,115 |
| Fairview HospitalCleveland | 43 | $44,260 | $5,567 | $4,435 |
| Riverside Methodist HospitalColumbus | 39 | $60,865 | $5,831 | $4,646 |
| Summa Health System - Akron CampusAkron | 31 | $40,856 | $5,264 | $4,136 |
| Genesis Healthcare SystemZanesville | 31 | $27,160 | $6,113 | $4,871 |
| Good Samaritan HospitalCincinnati | 31 | $26,328 | $5,525 | $4,371 |
| Cleveland Clinic - Akron GeneralAkron | 30 | $37,917 | $5,549 | $4,420 |
| St Rita's Medical CenterLima | 29 | $45,141 | $5,577 | $4,437 |
| Aultman HospitalCanton | 29 | $24,787 | $5,396 | $4,269 |
| University Hospital, INCCincinnati | 28 | $53,330 | $5,510 | $4,357 |
| Jewish Hospital, LLCCincinnati | 28 | $56,830 | $5,510 | $4,357 |
| Grant Medical CenterColumbus | 28 | $67,205 | $5,831 | $4,646 |
| Mount Carmel St Ann's HospitalWesterville | 27 | $45,612 | $5,488 | $4,302 |
| St Elizabeth Health CenterYoungstown | 27 | $47,253 | $5,549 | $4,421 |
| St John Medical CenterWestlake | 27 | $39,861 | $5,567 | $4,435 |
| Lake Hospital SystemPainesville | 26 | $33,983 | $5,396 | $4,265 |
| Cleveland Clinic Avon HospitalAvon | 26 | $36,498 | $5,567 | $4,435 |
| Mercy St Vincent Medical CenterToledo | 23 | $65,898 | $5,621 | $4,438 |
| Metrohealth SystemCleveland | 22 | $44,260 | $3,752 | $2,620 |
| Hillcrest HospitalCleveland | 22 | $49,158 | $5,365 | $4,234 |
| Mercy Medical CenterCanton | 21 | $34,258 | $5,549 | $4,420 |
| UH Regional HospitalsRichmond Heights | 21 | $36,630 | $5,567 | $4,435 |
| Southern Ohio Medical CenterPortsmouth | 20 | $38,648 | $5,943 | $4,735 |
| West Chester Medical CenterWest Chester | 20 | $46,813 | $5,671 | $4,518 |
| Blanchard Valley Health AssnFindlay | 17 | $19,806 | $5,565 | $4,434 |
| University Hospitals of ClevelandCleveland | 17 | $50,413 | $5,567 | $4,435 |
| Mercy Regional Medical CenterLorain | 17 | $37,895 | $5,567 | $4,435 |
| Surgical Hospital at SouthwoodsYoungstown | 16 | $26,112 | $5,549 | $4,421 |
| Marion General HospitalMarion | 15 | $54,227 | $5,708 | $4,548 |
| Ohiohealth Mansfield HospitalMansfield | 15 | $46,849 | $5,708 | $4,539 |
| Soin Medical CenterBeaver Creek | 15 | $56,745 | $5,546 | $4,349 |
| Mercy Hospital FairfieldFairfield | 14 | $65,959 | $5,671 | $4,518 |
| Wooster Community HospitalWooster | 13 | $20,634 | $5,578 | $4,444 |
| Upper Valley Medical CenterTroy | 13 | $38,329 | $5,577 | $4,443 |
| Ohio Valley Medical Center, LLCSpringfield | 13 | $33,969 | $5,853 | $4,649 |
| Parma Community General HospitalParma | 12 | $31,739 | $5,567 | $4,435 |
| University Hospitals - Elyria Medical CenterElyria | 12 | $34,706 | $5,567 | $4,435 |
| Mercy Hospital AndersonCincinnati | 11 | $56,923 | $5,671 | $4,518 |
| Firelands Community HospitalSandusky | 11 | $26,097 | $5,549 | $4,421 |
| Fairfield Medical CenterLancaster | 11 | $45,741 | $5,409 | $4,224 |
| Southwest General Health CenterMiddleburg Heights | 11 | $36,917 | $5,263 | $4,193 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 11 | $21,922 | $5,549 | $4,421 |
| Samaritan Hospital - Peoples HospitalAshland | – | – | – | – |
| Lima Memorial Health SystemLima | – | – | – | – |
| Union HospitalDover | – | – | – | – |
| Wilson Memorial HospitalSidney | – | – | – | – |
| Wood County HospitalBowling Green | – | – | – | – |
| Grand Lake Health SystemSt Marys | – | – | – | – |
| Mount Carmel HealthColumbus | – | – | – | – |
| Knox Community HospitalMt Vernon | – | – | – | – |
| Wayne HospitalGreenville | – | – | – | – |
| University of Toledo Medical CenterToledo | – | – | – | – |
| Holzer Medical CenterGallipolis | – | – | – | – |
| Trumbull Memorial HospitalWarren | – | – | – | – |
| Mercer County Joint Township Community HospitalColdwater | – | – | – | – |
| Fisher Titus Memorial HospitalNorwalk | – | – | – | – |
| Van Wert County HospitalVan Wert | – | – | – | – |
| Atrium Medical CenterMiddletown | – | – | – | – |
| University Hospitals Portage Medical CenterRavenna | – | – | – | – |
| Ohio State University HospitalsColumbus | – | – | – | – |
| Springfield Regional Medical CenterSpringfield | – | – | – | – |
| Mercy Hospital of TiffinTiffin | – | – | – | – |
| Medina HospitalMedina | – | – | – | – |
| Memorial Hospital of Union CountyMarysville | – | – | – | – |
| Coshocton County Memorial HospitalCoshocton | – | – | – | – |
| Ashtabula County Medical CenterAshtabula | – | – | – | – |
| Alliance Community HospitalAlliance | – | – | – | – |
| Kettering Health DaytonDayton | – | – | – | – |
| South Pointe HospitalWarrensville Heights | – | – | – | – |
| Summa Western Reserve HospitalCuyahoga Falls | – | – | – | – |
| Doctors HospitalColumbus | – | – | – | – |
| Memorial HospitalFremont | – | – | – | – |
| Adena Regional Medical CenterChillicothe | – | – | – | – |
| Berger HospitalCircleville | – | – | – | – |
| Trihealth Clinton Regional HospitalWilmington | – | – | – | – |
| Salem Community HospitalSalem | – | – | – | – |
| Madison County Hospital INCLondon | – | – | – | – |
| Mary Rutan HospitalBellefontaine | – | – | – | – |
| Southeastern Ohio Regional Medical CenterCambridge | – | – | – | – |
| Grady Memorial HospitalDelaware | – | – | – | – |
| Licking Memorial HospitalNewark | – | – | – | – |
| Mercy Franciscan Hospital - Mt AiryCincinnati | – | – | – | – |
| Kettering Medical Center - SycamoreMiamisburg | – | – | – | – |
| Mount Carmel New Albany Surgical HospitalNew Albany | – | – | – | – |
| Mercy Hospital of DefianceDefiance | – | – | – | – |
| St Elizabeth Boardman Health CenterYoungstown | – | – | – | – |
| Crystal Clinic Orthopaedic CenterAkron | – | – | – | – |
| Kettering Health TroyTroy | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $3,752 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $4,243 |
| Southwest General Health CenterMiddleburg Heights, OH | $5,263 |
| Summa Health System - Akron CampusAkron, OH | $5,264 |
| Hillcrest HospitalCleveland, OH | $5,365 |
Highest
| Genesis Healthcare SystemZanesville, OH | $6,113 |
|---|---|
| Southern Ohio Medical CenterPortsmouth, OH | $5,943 |
| Ohio Valley Medical Center, LLCSpringfield, OH | $5,853 |
| Dublin Methodist HospitalDublin, OH | $5,831 |
| Riverside Methodist HospitalColumbus, OH | $5,831 |
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 Ohio?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 97 hospitals in Ohio was billed at $46,145 on average, while the average medicare-allowed amount was $5,560, of which Medicare paid $4,403. 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 Ohio, average charges were 8.3 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.