Level 2 Breast/Lymphatic Surgery and Related Procedures in Oregon
What 29 hospitals in Oregon charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$35,294
Hospital list price billed
Average allowed
$6,943
Medicare's payment + patient's share
Medicare paid
$5,521
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $35,294 for level 2 breast/lymphatic surgery and related procedures, about 5.1 times the average medicare-allowed amount of $6,943. 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 $6,943Billed $35,294
About 20¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 2 breast/lymphatic surgery and related procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 69 | $38,622 | $6,842 | $5,452 |
| Salem HospitalSalem | 50 | $50,395 | $7,022 | $5,546 |
| Legacy Good Samaritan Medical CenterPortland | 42 | $31,929 | $6,713 | $5,317 |
| Three Rivers Community HospitalGrants Pass | 36 | $31,583 | $6,291 | $4,984 |
| St Charles Medical Center - BendBend | 35 | $27,943 | $6,734 | $5,333 |
| Good Samaritan Regional Medical CenterCorvallis | 32 | $28,875 | $6,770 | $5,394 |
| Providence St Vincent Medical CenterPortland | 28 | $38,544 | $6,842 | $5,452 |
| Bay Area HospitalCoos Bay | 28 | $31,161 | $6,922 | $5,474 |
| Providence Portland Medical CenterPortland | 26 | $32,799 | $6,842 | $5,452 |
| Providence Medford Medical CenterMedford | 25 | $26,124 | $7,918 | $6,308 |
| Legacy Meridian Park Medical CenterTualatin | 25 | $30,398 | $6,842 | $5,452 |
| Ashland Community HospitalAshland | 23 | $31,618 | $6,434 | $5,126 |
| Mercy Medical CenterRoseburg | 21 | $31,645 | $7,125 | $5,677 |
| Rogue Valley Medical CenterMedford | 20 | $34,946 | $7,918 | $6,308 |
| Mid-Columbia Medical CenterThe Dalles | 18 | $26,329 | $7,251 | $5,777 |
| Sacred Heart Medical Center - RiverbendSpringfield | 16 | $45,173 | $6,783 | $5,404 |
| Sky Lakes Medical CenterKlamath Falls | 13 | $40,180 | $8,478 | $6,846 |
| Adventist Medical CenterPortland | 11 | $62,748 | $6,842 | $5,452 |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Hillsboro Medical CenterHillsboro | – | – | – | – |
| Samaritan Albany General HospitalAlbany | – | – | – | – |
| Legacy Mount Hood Medical CenterGresham | – | – | – | – |
| Silverton Hospital NetworkSilverton | – | – | – | – |
| Providence Newberg HospitalNewberg | – | – | – | – |
| Providence Willamette Falls Medical CenterOregon City | – | – | – | – |
| St Alphonsus Medical Center - Ontario, INCOntario | – | – | – | – |
| Santiam Memorial HospitalStayton | – | – | – | – |
| Willamette Valley Medical CtrMcMinnville | – | – | – | – |
| Providence Milwaukie HospitalMilwaukie | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Three Rivers Community HospitalGrants Pass, OR | $6,291 |
|---|---|
| Ashland Community HospitalAshland, OR | $6,434 |
| Legacy Good Samaritan Medical CenterPortland, OR | $6,713 |
| St Charles Medical Center - BendBend, OR | $6,734 |
| Good Samaritan Regional Medical CenterCorvallis, OR | $6,770 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $8,478 |
|---|---|
| Rogue Valley Medical CenterMedford, OR | $7,918 |
| Providence Medford Medical CenterMedford, OR | $7,918 |
| Mid-Columbia Medical CenterThe Dalles, OR | $7,251 |
| Mercy Medical CenterRoseburg, OR | $7,125 |
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 Oregon?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 29 hospitals in Oregon was billed at $35,294 on average, while the average medicare-allowed amount was $6,943, of which Medicare paid $5,521. 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 Oregon, average charges were 5.1 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.