Level 2 Breast/Lymphatic Surgery and Related Procedures in Washington
What 43 hospitals in Washington charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$46,168
Hospital list price billed
Average allowed
$6,649
Medicare's payment + patient's share
Medicare paid
$5,283
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $46,168 for level 2 breast/lymphatic surgery and related procedures, about 6.9 times the average medicare-allowed amount of $6,649. That payment is 6% 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 $6,649Billed $46,168
About 14¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 2 breast/lymphatic surgery and related procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Washington Medical CtrSeattle | 138 | $36,024 | $6,545 | $5,214 |
| Confluence Health HospitalWenatchee | 82 | $34,961 | $7,061 | $5,626 |
| Providence Sacred Heart Medical CenterSpokane | 81 | $40,453 | $6,545 | $5,215 |
| Kadlec Regional Medical CenterRichland | 64 | $37,410 | $6,463 | $5,133 |
| Tacoma General HospitalTacoma | 60 | $54,067 | $6,540 | $5,175 |
| Virginia Mason Medical CenterSeattle | 51 | $44,523 | $6,326 | $4,996 |
| Providence Regional Medical Center EverettEverett | 50 | $37,932 | $6,660 | $5,302 |
| Providence St Peter HospitalOlympia | 39 | $41,362 | $6,593 | $5,253 |
| St Joseph Medical CenterTacoma | 39 | $95,811 | $6,719 | $5,353 |
| St Michael Medical CenterBremerton | 35 | $74,430 | $6,873 | $5,444 |
| Swedish Medical CenterSeattle | 34 | $60,426 | $6,824 | $5,404 |
| Overlake Hospital Medical CenterBellevue | 34 | $56,871 | $6,660 | $5,306 |
| Evergreenhealth Medical CenterKirkland | 33 | $29,559 | $6,660 | $5,306 |
| Skagit Valley HospitalMt Vernon | 31 | $39,405 | $6,593 | $5,253 |
| Peacehealth St Joseph Medical CenterBellingham | 31 | $52,452 | $7,010 | $5,585 |
| Yakima Valley Memorial HospitalYakima | 30 | $27,991 | $7,010 | $5,585 |
| Providence Holy Family HospitalSpokane | 30 | $58,131 | $6,545 | $5,215 |
| S W Washington Medical CenterVancouver | 29 | $51,217 | $6,466 | $5,070 |
| Olympic Medical CenterPort Angeles | 28 | $22,924 | $7,010 | $5,585 |
| Providence St Mary Medical CenterWalla Walla | 27 | $76,103 | $7,010 | $5,578 |
| Valley Medical CenterRenton | 27 | $46,221 | $6,660 | $5,306 |
| St Anthony HospitalGig Harbor | 23 | $80,981 | $6,719 | $5,353 |
| Legacy Salmon Creek Medical CenterVancouver | 20 | $30,718 | $6,297 | $4,906 |
| Deaconess Medical CenterSpokane | 18 | $40,296 | $6,255 | $4,925 |
| Valley Hospital & Medical CenterSpokane | 16 | $33,906 | $6,545 | $5,214 |
| Swedish IssaquahIssaquah | 16 | $45,562 | $6,660 | $5,306 |
| Capital Medical CenterOlympia | 15 | $48,969 | $6,005 | $4,639 |
| Island HospitalAnacortes | – | – | – | – |
| Highline Medical CenterBurien | – | – | – | – |
| Auburn Regional Medical CenterAuburn | – | – | – | – |
| Providence Centralia HospitalCentralia | – | – | – | – |
| St Clare HospitalLakewood | – | – | – | – |
| Swedish Edmonds HospitalEdmonds | – | – | – | – |
| Grays Harbor Community HospitalAberdeen | – | – | – | – |
| Samaritan HospitalMoses Lake | – | – | – | – |
| Toppenish Community HospitalToppenish | – | – | – | – |
| Peachealth St John Medical CenterLongview | – | – | – | – |
| Group Health Central HospitalSeattle | – | – | – | – |
| Trios HealthKennewick | – | – | – | – |
| Cascade Valley HospitalArlington | – | – | – | – |
| Harborview Medical CenterSeattle | – | – | – | – |
| Good Samaritan Hospital & Rehab CenterPuyallup | – | – | – | – |
| St Francis Community HospitalFederal Way | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Capital Medical CenterOlympia, WA | $6,005 |
|---|---|
| Deaconess Medical CenterSpokane, WA | $6,255 |
| Legacy Salmon Creek Medical CenterVancouver, WA | $6,297 |
| Virginia Mason Medical CenterSeattle, WA | $6,326 |
| Kadlec Regional Medical CenterRichland, WA | $6,463 |
Highest
| Confluence Health HospitalWenatchee, WA | $7,061 |
|---|---|
| Providence St Mary Medical CenterWalla Walla, WA | $7,010 |
| Peacehealth St Joseph Medical CenterBellingham, WA | $7,010 |
| Yakima Valley Memorial HospitalYakima, WA | $7,010 |
| Olympic Medical CenterPort Angeles, WA | $7,010 |
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 Washington?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 43 hospitals in Washington was billed at $46,168 on average, while the average medicare-allowed amount was $6,649, of which Medicare paid $5,283. 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 Washington, average charges were 6.9 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.