Level 2 Breast/Lymphatic Surgery and Related Procedures in Virginia
What 56 hospitals in Virginia charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$46,863
Hospital list price billed
Average allowed
$5,784
Medicare's payment + patient's share
Medicare paid
$4,593
Average per service
State rank
#18 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $46,863 for level 2 breast/lymphatic surgery and related procedures, about 8.1 times the average medicare-allowed amount of $5,784. That payment is 8% 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 $5,784Billed $46,863
About 12¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 2 breast/lymphatic surgery and related procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 151 | $29,637 | $6,018 | $4,775 |
| Medical College of Virginia HospitalsRichmond | 133 | $75,245 | $5,590 | $4,446 |
| University of Virginia Medical CenterCharlottesville | 105 | $33,877 | $5,963 | $4,746 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 94 | $37,378 | $6,012 | $4,790 |
| Sentara Leigh HospitalNorfolk | 93 | $31,147 | $5,577 | $4,422 |
| Carilion Medical CenterRoanoke | 88 | $58,831 | $5,563 | $4,422 |
| Cjw Medical CenterRichmond | 83 | $121,480 | $5,506 | $4,365 |
| Winchester Medical Center INCWinchester | 79 | $21,755 | $6,348 | $5,045 |
| Inova Fair Oaks HospitalFairfax | 61 | $26,765 | $6,035 | $4,792 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 59 | $35,004 | $5,988 | $4,771 |
| Henrico Doctors' HospitalRichmond | 50 | $118,673 | $5,573 | $4,422 |
| Sentara Bayside HospitalVirginia Beach | 49 | $31,564 | $5,490 | $4,332 |
| Riverside Regional Medical CenterNewport News | 45 | $23,014 | $5,217 | $4,076 |
| Virginia Hospital Center - ArlingtonArlington | 44 | $41,976 | $6,004 | $4,761 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 41 | $34,667 | $5,615 | $4,473 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 39 | $37,052 | $5,988 | $4,771 |
| Sentara Careplex HospitalHampton | 37 | $38,147 | $5,562 | $4,409 |
| Chesapeake General HospitalChesapeake | 37 | $41,938 | $5,674 | $4,521 |
| Sentara Rmh Medical CenterHarrisonburg | 32 | $26,333 | $6,413 | $5,109 |
| Sentara Obici HospitalSuffolk | 32 | $30,030 | $5,370 | $4,250 |
| Bon Secours - Maryview Medical CenterPortsmouth | 31 | $34,643 | $5,614 | $4,473 |
| Augusta HealthFishersville | 31 | $56,956 | $6,303 | $5,022 |
| Bon Secours - St Francis Medical CenterMidlothian | 31 | $26,837 | $5,671 | $4,517 |
| Sentara Norfolk General HospitalNorfolk | 30 | $43,042 | $5,523 | $4,370 |
| Lewisgale Medical CenterSalem | 30 | $80,964 | $5,358 | $4,217 |
| Montgomery Regional HospitalBlacksburg | 29 | $76,080 | $5,467 | $4,324 |
| Reston Hospital CenterReston | 27 | $79,230 | $5,995 | $4,740 |
| Martha Jefferson HospitalCharlottesville | 26 | $25,837 | $5,670 | $4,517 |
| Mary Washington Hospital, INCFredericksburg | 25 | $18,903 | $5,725 | $4,482 |
| Inova Alexandria HospitalAlexandria | 24 | $34,359 | $6,115 | $4,872 |
| Danville Regional Medical CenterDanville | 20 | $60,788 | $5,794 | $4,617 |
| Mary Immaculate HospitalNewport News | 19 | $41,278 | $5,615 | $4,473 |
| Carilion New River Vly Med CtrChristiansburg | 16 | $57,406 | $5,614 | $4,473 |
| Riverside Walter Reed HospitalGloucester | 16 | $23,731 | $5,615 | $4,473 |
| Inova Loudoun HospitalLeesburg | 15 | $25,886 | $6,115 | $4,872 |
| Southside Regional Medical CenterPetersburg | 14 | $72,710 | $5,674 | $4,521 |
| Inova Mount Vernon HospitalAlexandria | 11 | $30,631 | $6,115 | $4,872 |
| Halifax Regional HospitalSouth Boston | – | – | – | – |
| Culpeper Regional HospitalCulpeper | – | – | – | – |
| John Randolph Medical CenterHopewell | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Riverside Shore Memorial HospitalNassawadox | – | – | – | – |
| Johnston Memorial HospitalAbingdon | – | – | – | – |
| Sentara Virginia Beach General HospitalVirginia Beach | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Community Memorial Healthcenter, INCSouth Hill | – | – | – | – |
| Sentara Northern Virginia Medical CenterWoodbridge | – | – | – | – |
| Wellmont Lonesome Pine HospitalBig Stone Gap | – | – | – | – |
| Twin County Regional HospitalGalax | – | – | – | – |
| Pulaski Community HospitalPulaski | – | – | – | – |
| Alleghany Regional HospitalJackson River | – | – | – | – |
| Stafford Hospital CenterStafford | – | – | – | – |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | – | – | – | – |
| UVA Health Haymarket Medical CenterHaymarket | – | – | – | – |
| Stonesprings Hospital CenterDulles | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Riverside Regional Medical CenterNewport News, VA | $5,217 |
|---|---|
| Lewisgale Medical CenterSalem, VA | $5,358 |
| Sentara Obici HospitalSuffolk, VA | $5,370 |
| Montgomery Regional HospitalBlacksburg, VA | $5,467 |
| Sentara Bayside HospitalVirginia Beach, VA | $5,490 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $6,413 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $6,348 |
| Augusta HealthFishersville, VA | $6,303 |
| Inova Alexandria HospitalAlexandria, VA | $6,115 |
| Inova Loudoun HospitalLeesburg, VA | $6,115 |
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 Virginia?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 56 hospitals in Virginia was billed at $46,863 on average, while the average medicare-allowed amount was $5,784, of which Medicare paid $4,593. 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 Virginia, average charges were 8.1 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.