facebook tracking Level 2 Breast/Lymphatic Surgery and Related Procedures cost in Texas: 169 hospitals compared (APC 5092)

Level 2 Breast/Lymphatic Surgery and Related Procedures in Texas

What 169 hospitals in Texas charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.

APC 5092 Outpatient 2024 Medicare data
Average charge $50,777 Hospital list price billed
Average allowed $5,831 Medicare's payment + patient's share
Medicare paid $4,635 Average per service
State rank #19 of 49 1 = lowest average payment

Hospitals in Texas billed an average of $50,777 for level 2 breast/lymphatic surgery and related procedures, about 8.7 times the average medicare-allowed amount of $5,831. That payment is 7% 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 $5,831Billed $50,777

About 11¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 2 breast/lymphatic surgery and related procedures

Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Tx M D Anderson CtrHouston 469 $32,703 $6,016 $4,787
UT Southwestern University HospitalDallas 131 $33,674 $5,761 $4,569
Trinity Mother Frances SystTyler 120 $56,246 $5,658 $4,508
Mem Hermann Southwest HospHouston 79 $54,047 $5,986 $4,757
St Davids HospitalAustin 74 $82,166 $5,740 $4,573
Bsa HospitalAmarillo 72 $43,251 $5,596 $4,446
Methodist HospitalSan Antonio 72 $49,283 $5,658 $4,508
Scott & White Memorial HospitalTemple 67 $26,114 $5,881 $4,671
Baptist Medical CenterSan Antonio 67 $104,490 $5,555 $4,405
Methodist Hospital,TheHouston 62 $57,107 $6,047 $4,818
Hendrick Health SystemAbilene 59 $68,449 $6,038 $4,794
Baylor Regional Medical Center at PlanoPlano 59 $32,564 $5,631 $4,438
Texas Health Presbyterian Hospital DallasDallas 57 $39,377 $5,868 $4,674
Baylor All Saints Medical Center at FwFort Worth 47 $35,095 $5,887 $4,691
Baylor University Medical CenterDallas 46 $32,121 $5,666 $4,494
Mem Hermann Mem City HospHouston 46 $56,713 $6,047 $4,816
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 45 $36,067 $5,790 $4,592
Shannon Medical CenterSan Angelo 45 $28,678 $6,060 $4,828
Methodist Sugar Land HospitalSugar Land 45 $68,911 $6,047 $4,818
Covenant Medical CenterLubbock 44 $86,485 $5,658 $4,508
Houston Methodist West HospitalHouston 40 $57,487 $5,926 $4,697
Seton Medical Center AustinAustin 39 $49,642 $5,740 $4,573
Texas Health Harris Methodist Hospital Southwest FFort Worth 38 $34,220 $5,764 $4,567
East Texas Medical CenterTyler 37 $65,290 $5,536 $4,386
Medical Center of PlanoPlano 36 $113,630 $5,868 $4,676
St Lukes Episcopal HospitalHouston 34 $49,513 $6,047 $4,816
St David's South Austin Medical CenterAustin 34 $64,123 $5,740 $4,573
Houston Methodist the Woodlands HospitalThe Woodlands 32 $71,022 $6,047 $4,818
North Central Surgical Center LLPDallas 30 $24,920 $5,868 $4,676
Texas Health Harris Methodist Fort WorthFort Worth 28 $36,338 $5,536 $4,342
Mary Shiels HospitalDallas 28 $26,818 $5,868 $4,676
University Health SystemSan Antonio 27 $44,563 $5,658 $4,508
Texas Health Presbyterian Hospital RockwallRockwall 27 $37,190 $5,868 $4,676
United Regional Hlth Care SystWichita Falls 26 $25,084 $5,901 $4,663
University of Texas Medical Branch GalGalveston 26 $48,062 $5,907 $4,707
Texas Health Arlington Memorial HospitalArlington 26 $28,188 $5,707 $4,503
Methodist Willowbrook HospitalHouston 26 $76,824 $5,861 $4,632
Scott & White Hospital-Round RockRound Rock 26 $29,143 $5,564 $4,397
Texas Health Hospital FriscoFrisco 24 $27,595 $5,674 $4,481
Baylor Medical Center at WaxahachieWaxahachie 23 $33,102 $5,887 $4,691
Clear Lake Regional Medical CenterWebster 23 $112,976 $6,047 $4,818
Medical City Dallas HospitalDallas 23 $116,232 $5,868 $4,676
CHRISTUS St Michael Health SystemTexarkana 23 $36,306 $5,658 $4,508
Doctors Hospital at RenaissanceEdinburg 23 $57,052 $5,658 $4,508
Longview Regional Medical CenterLongview 22 $76,495 $5,801 $4,622
Texas Health Harris Methodist Hospital SouthlakeSouthlake 22 $24,208 $5,674 $4,477
Good Shepherd Medical Center MarshallMarshall 21 $80,743 $5,645 $4,466
Weatherford Regional Medical CenterWeatherford 21 $93,330 $5,887 $4,689
Lake Pointe Medical CenterRowlett 21 $34,754 $5,868 $4,676
Sid Peterson Memorial HospitalKerrville 20 $28,081 $5,658 $4,508
Hillcrest Baptist Med CenterWaco 19 $35,128 $5,871 $4,677
North Austin Medical CenterAustin 19 $93,943 $5,740 $4,573
CHRISTUS Santa Rosa HospitalSan Antonio 18 $62,483 $5,658 $4,508
Baylor Medical Center at FriscoFrisco 18 $35,314 $5,868 $4,676
Methodist Southlake Medical CenterSouthlake 18 $29,219 $5,887 $4,691
Providence Health CenterWaco 17 $39,215 $5,871 $4,677
Medical Center HospitalOdessa 17 $26,967 $5,393 $4,232
Houston Methodist Clear Lake HospitalHouston 17 $79,124 $5,763 $4,534
Denton Community HospitalDenton 17 $40,833 $5,887 $4,691
Hill Country Memorial HospitalFredericksburg 16 $43,028 $5,658 $4,508
Providence Memorial HospitalEl Paso 15 $202,190 $5,658 $4,508
CHRISTUS HospitalBeaumont 15 $47,536 $6,047 $4,818
CHI St Lukes Health Memorial LufkinLufkin 15 $37,323 $5,659 $4,488
Baylor Regional Medical Center at GrapevineGrapevine 15 $36,039 $5,574 $4,378
Memorial Hermann Sugar Land HospitalSugar Land 15 $52,722 $5,726 $4,496
Citizens Medical CenterVictoria 14 $34,219 $5,691 $4,534
Medical Center of LewisvilleLewisville 14 $122,525 $5,887 $4,691
Cedar Park Regional Medical CenterCedar Park 14 $63,076 $5,740 $4,573
Texas Health Presbyterian Hospital Flower MoundFlower Mound 14 $40,312 $5,887 $4,691
St Joseph Regional Health CenterBryan 13 $74,662 $5,680 $4,525
Valley Baptist Medical CenterHarlingen 13 $121,300 $5,658 $4,498
Memorial Hermann Texas Medical CenterHouston 13 $76,027 $5,676 $4,447
Sierra Medical CenterEl Paso 13 $150,498 $5,658 $4,500
University Medical CenterLubbock 13 $52,254 $5,658 $4,508
Kingwood Medical CenterKingwood 13 $97,614 $6,047 $4,818
Baylor Scott & White Medical Center- College StatiCollege Station 13 $25,560 $6,047 $4,818
Baylor Medical Center at IrvingIrving 12 $28,449 $5,868 $4,676
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 12 $24,626 $5,887 $4,691
University Medical Center at BrackenridgeAustin 11 $45,919 $5,740 $4,573
Medical Center of McKinneyMcKinney 11 $102,324 $5,868 $4,676
Methodist Richardson Medical CenterRichardson 11 $28,253 $5,755 $4,585
Memorial Hermann NortheastHumble 11 $47,490 $6,047 $4,818
Tops Surgical Specialty HospitalHouston 11 $33,407 $6,047 $4,818
St Luke's the Woodlands HospitalConroe 11 $47,517 $6,047 $4,818
Methodist Mansfield Medical CenterMansfield 11 $37,535 $5,887 $4,691
Seton Medical Center HaysKyle 11 $69,332 $5,740 $4,573
Baylor Scott and White Medical Center McKinneyMc Kinney 11 $32,143 $5,868 $4,676
Parkland Health and Hospital SystemDallas – – – –
University Medical Center of El PasoEl Paso – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
Laredo Medical CenterLaredo – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Jps Health NetworkFort Worth – – – –
Methodist Dallas Medical CenterDallas – – – –
Rolling Plains Memorial HospitalSweetwater – – – –
Brazosport Regional Health SystemLake Jackson – – – –
Titus Regional Medical CenterMt Pleasant – – – –
CHRISTUS Spohn HospitalBeeville – – – –
Fort Duncan Medical CenterEagle Pass – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Guadalupe Regional Medical CenterSeguin – – – –
Las Palmas Medical CenterEl Paso – – – –
Connally Memorial Medical CenterFloresville – – – –
South Texas Health SystemEdinburg – – – –
Midland Memorial HospitalMidland – – – –
Permian Regional Medical Center Andrews County HoAndrews – – – –
Detar Hospital NavarroVictoria – – – –
Adventhealth Central TexasKilleen – – – –
Grace Medical CenterLubbock – – – –
Mission Regional Medical CenterMission – – – –
East Texas Medical Center JacksonvilleJacksonville – – – –
Paris Regional Medical CenterParis – – – –
Wadley Regional Medical CenterTexarkana – – – –
Northwest Texas Hlthcare SystAmarillo – – – –
Conroe Regional Medical CenterConroe – – – –
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos – – – –
Harris County Hospital DistrictHouston – – – –
Texoma Healthcare SystemDenison – – – –
Mem Hermann Baptist HospitalBeaumont – – – –
Huntsville Memorial HospitalHuntsville – – – –
Columbus Community HospitalColumbus – – – –
East Texas Medical Center AthensAthens – – – –
Houston Methodist Baytown HospitalBaytown – – – –
Navarro Regional HospitalCorsicana – – – –
Woodland Heights Medical CenterLufkin – – – –
Nacogdoches Memorial HospitalNacogdoches – – – –
Covenant Hospital PlainviewPlainview – – – –
Brownwood Regional Medical CenterBrownwood – – – –
Cuero Community HospitalCuero – – – –
Denton Regional Medical CenterDenton – – – –
Houston Northwest Medical CenterHouston – – – –
Doctors Hospital of LaredoLaredo – – – –
West Houston Medical CenterHouston – – – –
Nacogdoches Medical CenterNacogdoches – – – –
Odessa Regional HospitalOdessa – – – –
Valley Regional Medical CenterBrownsville – – – –
Tomball Regional HospitalTomball – – – –
Womans Hospital of Texas,TheHouston – – – –
Medical Center of ArlingtonArlington – – – –
Huguley Health SystemFort Worth – – – –
Rio Grande Regional HospitalMcAllen – – – –
Round Rock Medical CenterRound Rock – – – –
Methodist Charlton Medical CenterDallas – – – –
Palestine Regional Medical CenterPalestine – – – –
Texas Health Presbyterian Hospital PlanoPlano – – – –
Corpus Christi Medical Center,TheCorpus Christi – – – –
Kell West Regional HospitalWichita Falls – – – –
Texas Health Presbyterian Hospital AllenAllen – – – –
Memorial Hermann Katy HospitalKaty – – – –
South Texas Spine and Surgical HospitalSan Antonio – – – –
Seton Northwest HospitalAustin – – – –
Usmd Hospital at Arlington L PArlington – – – –
Baylor Surgical Hospital at las ColinasIrving – – – –
Quail Creek Surgical HospitalAmarillo – – – –
Lubbock Heart Hospital LpLubbock – – – –
Baylor Surgical Hospital at Fort WorthFort Worth – – – –
Texas Health Center for Diagnostics & Surgery PlanPlano – – – –
Patients Medical Center, LtdPasadena – – – –
Seton Medical Center WilliamsonRound Rock – – – –
Sierra Providence East Medical CenterEl Paso – – – –
Methodist Stone Oak HospitalSan Antonio – – – –
Baylor Scott and White Surgical Hospital at ShermaSherman – – – –
Seton Medical Center Harker HeightsHarker Heights – – – –
Texas Health Harris Methodist Hospital AllianceFort Worth – – – –
Medical City AllianceFort Worth – – – –
The Hospitals of Providence Transmountain CampusEl Paso – – – –
Baylor Scott & White Medical Center PflugervillePflugerville – – – –
Baylor Scott & White Medical Center- AustinAustin – – – –
Legent Surgical Hospital PlanoPlano – – – –
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Lowest and highest allowed amounts in Texas

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

Highest

Shannon Medical CenterSan Angelo, TX$6,060
Mem Hermann Mem City HospHouston, TX$6,047
St Lukes Episcopal HospitalHouston, TX$6,047
CHRISTUS HospitalBeaumont, TX$6,047
Methodist Hospital,TheHouston, TX$6,047

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 Texas?

In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 169 hospitals in Texas was billed at $50,777 on average, while the average medicare-allowed amount was $5,831, of which Medicare paid $4,635. 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 Texas, average charges were 8.7 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.