Level 2 Breast/Lymphatic Surgery and Related Procedures in Pennsylvania
What 103 hospitals in Pennsylvania charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$53,728
Hospital list price billed
Average allowed
$6,054
Medicare's payment + patient's share
Medicare paid
$4,818
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $53,728 for level 2 breast/lymphatic surgery and related procedures, about 8.9 times the average medicare-allowed amount of $6,054. That payment is 3% 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 $6,054Billed $53,728
About 11¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 2 breast/lymphatic surgery and related procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 155 | $75,029 | $6,188 | $4,931 |
| Lehigh Valley HospitalAllentown | 125 | $39,146 | $6,188 | $4,903 |
| Fox Chase Cancer CenterPhiladelphia | 80 | $61,426 | $6,335 | $5,048 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 78 | $51,329 | $5,555 | $4,417 |
| Chester County HospitalWest Chester | 61 | $42,456 | $6,291 | $5,012 |
| Milton S Hershey Medical CenterHershey | 60 | $68,926 | $6,057 | $4,808 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 58 | $52,637 | $6,570 | $5,234 |
| Lancaster General HospitalLancaster | 57 | $33,546 | $5,981 | $4,748 |
| St Luke's Hospital BethlehemBethlehem | 49 | $78,652 | $6,257 | $4,962 |
| UPMC Presbyterian ShadysidePittsburgh | 46 | $82,108 | $5,824 | $4,641 |
| St Luke's Hospital - Anderson CampusEaston | 43 | $67,344 | $5,943 | $4,735 |
| UPMC Pinnacle HospitalsHarrisburg | 41 | $37,139 | $5,844 | $4,653 |
| Thomas Jefferson University HospitalPhiladelphia | 39 | $49,991 | $6,111 | $4,847 |
| West Penn HospitalPittsburgh | 37 | $35,857 | $5,824 | $4,641 |
| UPMC MemorialYork | 37 | $38,029 | $4,038 | $3,191 |
| Geisinger Medical CenterDanville | 34 | $104,451 | $5,824 | $4,641 |
| Geisinger-Community Medical CenterScranton | 33 | $92,470 | $5,824 | $4,641 |
| Robert Packer HospitalSayre | 33 | $42,197 | $5,990 | $4,773 |
| Main Line Hospital LankenauWynnewood | 33 | $34,160 | $6,291 | $5,012 |
| Williamsport Hospital & Medical CenterWilliamsport | 32 | $42,599 | $5,824 | $4,641 |
| Grand View HospitalSellersville | 30 | $36,207 | $6,291 | $5,012 |
| Wilkes-Barre General HospitalWilkes-Barre | 30 | $60,358 | $5,824 | $4,638 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 30 | $31,671 | $6,291 | $5,012 |
| Gettysburg HospitalGettysburg | 29 | $41,464 | $5,894 | $4,696 |
| York HospitalYork | 28 | $58,380 | $6,138 | $4,890 |
| Dubois Regional Medical CenterDubois | 28 | $16,509 | $6,238 | $4,970 |
| Saint Vincent Health CenterErie | 26 | $81,181 | $6,873 | $5,476 |
| Evangelical Community HospitalLewisburg | 26 | $55,982 | $5,824 | $4,641 |
| St Mary Medical CenterLanghorne | 25 | $46,048 | $6,481 | $5,164 |
| Reading Hospital and Med CtrWest Reading | 24 | $39,736 | $5,958 | $4,745 |
| Albert Einstein Medical CenterPhiladelphia | 22 | $32,965 | $6,335 | $5,048 |
| Main Line Hospital PaoliPaoli | 22 | $30,872 | $6,291 | $5,006 |
| Jefferson Regional Medical CenterClairton | 22 | $33,147 | $5,824 | $4,637 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 22 | $119,129 | $5,666 | $4,514 |
| AHN Wexford HospitalWexford | 22 | $44,570 | $5,824 | $4,641 |
| Holy Redeemer Hosp and Med CtrJenkintown | 21 | $19,754 | $6,118 | $4,874 |
| Chestnut Hill HospitalPhiladelphia | 20 | $80,099 | $6,335 | $5,048 |
| Lewistown HospitalLewistown | 20 | $59,652 | $4,870 | $3,880 |
| St Joseph Medical CenterReading | 20 | $83,313 | $5,946 | $4,738 |
| Phoenixville HospitalPhoenixville | 20 | $55,037 | $6,291 | $5,012 |
| Carlisle Regional Medical CtrCarlisle | 19 | $36,688 | $5,904 | $4,704 |
| Pocono Medical CenterEast Stroudsburg | 19 | $42,399 | $6,360 | $5,068 |
| Doylestown HospitalDoylestown | 19 | $34,120 | $6,291 | $5,012 |
| St Clair Memorial HospitalPittsburgh | 19 | $35,874 | $5,824 | $4,641 |
| Abington Memorial HospitalAbington | 18 | $31,654 | $6,118 | $4,874 |
| Allegheny General HospitalPittsburgh | 17 | $48,360 | $5,552 | $4,368 |
| Jefferson Health- NortheastPhiladelphia | 17 | $27,878 | $6,330 | $5,044 |
| Hamot Medical CenterErie | 16 | $53,299 | $6,873 | $5,476 |
| UPMC PassavantPittsburgh | 16 | $51,865 | $5,824 | $4,641 |
| Chambersburg HospitalChambersburg | 16 | $34,123 | $6,506 | $5,184 |
| Lehigh Valley Hospital - Dickson CityDickson City | 16 | $45,071 | $5,824 | $4,641 |
| Mount Nittany Medical CenterState College | 15 | $51,706 | $6,581 | $5,243 |
| Penn State Health Hampden Medical CenterEnola | 15 | $81,177 | $5,843 | $4,656 |
| Temple University HospitalPhiladelphia | 14 | $100,501 | $6,570 | $5,234 |
| St Luke's Quakertown HospitalQuakertown | 13 | $86,783 | $6,291 | $5,012 |
| UPMC LititzLititz | 13 | $34,285 | $5,861 | $4,670 |
| St Luke's Hospital - Monroe CampusStroudsburg | 13 | $74,377 | $6,177 | $4,921 |
| Uniontown HospitalUniontown | 12 | $32,621 | $5,824 | $4,641 |
| Riddle Memorial HospitalMedia | 12 | $29,201 | $6,335 | $5,048 |
| Good Samaritan HospitalLebanon | 11 | $38,305 | $6,184 | $4,927 |
| Altoona Regional Health SystemAltoona | 11 | $33,935 | $6,238 | $4,970 |
| Excela Health Westmoreland Regional HospitalGreensburg | 11 | $23,005 | $5,824 | $4,641 |
| Crozer Chester Medical CenterChester | 11 | $69,010 | $6,335 | $5,048 |
| Penn Presbyterian Medical CenterPhiladelphia | 11 | $85,034 | $6,570 | $5,234 |
| Bloomsburg HospitalBloomsburg | – | – | – | – |
| Holy Spirit HospitalCamp Hill | – | – | – | – |
| Lansdale HospitalLansdale | – | – | – | – |
| Jameson Memorial HospitalNew Castle | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Allegheny Valley HospitalNatrona Heights | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| Washington Hospital, theWashington | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| Clarion HospitalClarion | – | – | – | – |
| UPMC St MargaretPittsburgh | – | – | – | – |
| Conemaugh Valley Memorial HospitalJohnstown | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Meadville Medical CenterMeadville | – | – | – | – |
| Mercy Suburban HospitalNorristown | – | – | – | – |
| Pottstown Memorial Med CenterPottstown | – | – | – | – |
| Warren General HospitalWarren | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Easton HospitalEaston | – | – | – | – |
| Butler Health SystemButler | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| Hazleton General HospitalHazleton | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Latrobe Area HospitalLatrobe | – | – | – | – |
| Ephrata Community HospitalEphrata | – | – | – | – |
| Hanover HospitalHanover | – | – | – | – |
| Mercy Hospital ScrantonScranton | – | – | – | – |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | – | – | – | – |
| Surgical Institute of ReadingWyomissing | – | – | – | – |
| UPMC EastMonroeville | – | – | – | – |
| Jefferson Einstein Montgomery HospitalEast Norriton | – | – | – | – |
| Geisinger St. Luke's HospitalOrwigsburg | – | – | – | – |
| St Luke's Hospital - Carbon CampusLehighton | – | – | – | – |
| Penn State Health Lancaster Medical CenterLancaster | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| UPMC MemorialYork, PA | $4,038 |
|---|---|
| Lewistown HospitalLewistown, PA | $4,870 |
| Allegheny General HospitalPittsburgh, PA | $5,552 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh, PA | $5,555 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $5,666 |
Highest
| Saint Vincent Health CenterErie, PA | $6,873 |
|---|---|
| Hamot Medical CenterErie, PA | $6,873 |
| Mount Nittany Medical CenterState College, PA | $6,581 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $6,570 |
| Temple University HospitalPhiladelphia, PA | $6,570 |
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 Pennsylvania?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 103 hospitals in Pennsylvania was billed at $53,728 on average, while the average medicare-allowed amount was $6,054, of which Medicare paid $4,818. 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 Pennsylvania, average charges were 8.9 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.