Level 2 Breast/Lymphatic Surgery and Related Procedures in West Virginia
What 19 hospitals in West Virginia charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$42,516
Hospital list price billed
Average allowed
$5,495
Medicare's payment + patient's share
Medicare paid
$4,359
Average per service
State rank
#6 of 49
1 = lowest average payment
Hospitals in West Virginia billed an average of $42,516 for level 2 breast/lymphatic surgery and related procedures, about 7.7 times the average medicare-allowed amount of $5,495. That payment is 12% 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 $5,495Billed $42,516
About 13¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 2 breast/lymphatic surgery and related procedures
Every West 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 |
|---|---|---|---|---|
| Charleston Area Medical CenterCharleston | 52 | $44,168 | $5,443 | $4,320 |
| West Virginia University HospitalsMorgantown | 46 | $58,608 | $5,361 | $4,252 |
| Wheeling HospitalWheeling | 46 | $40,956 | $5,361 | $4,252 |
| United Hospital CenterBridgeport | 24 | $28,579 | $6,229 | $4,963 |
| Mon Health Medical CenterMorgantown | 23 | $47,543 | $5,523 | $4,398 |
| Cabell-Huntington Hospital INCHuntington | 22 | $36,722 | $5,555 | $4,426 |
| Thomas Memorial HospitalSouth Charleston | 20 | $57,337 | $5,314 | $4,184 |
| Princeton Community HospitalPrinceton | 18 | $33,949 | $5,365 | $4,180 |
| Camden Clark Memorial HospitalParkersburg | 16 | $25,046 | $5,528 | $4,404 |
| St Mary's Medical CenterHuntington | 14 | $23,177 | $5,555 | $4,422 |
| Greenbrier Valley Medical CenterRonceverte | – | – | – | – |
| Berkeley Medical CenterMartinsburg | – | – | – | – |
| Rivers HealthPoint Pleasant | – | – | – | – |
| Weirton Medical CenterWeirton | – | – | – | – |
| Stonewall Jackson Mem HospWeston | – | – | – | – |
| Logan Regional Medical CenterLogan | – | – | – | – |
| Beckley Arh HospitalBeckley | – | – | – | – |
| Raleigh General HospitalBeckley | – | – | – | – |
| Camc Charleston Surgical HospitalCharleston | – | – | – | – |
Lowest and highest allowed amounts in West 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
| Thomas Memorial HospitalSouth Charleston, WV | $5,314 |
|---|---|
| West Virginia University HospitalsMorgantown, WV | $5,361 |
| Wheeling HospitalWheeling, WV | $5,361 |
| Princeton Community HospitalPrinceton, WV | $5,365 |
| Charleston Area Medical CenterCharleston, WV | $5,443 |
Highest
| United Hospital CenterBridgeport, WV | $6,229 |
|---|---|
| St Mary's Medical CenterHuntington, WV | $5,555 |
| Cabell-Huntington Hospital INCHuntington, WV | $5,555 |
| Camden Clark Memorial HospitalParkersburg, WV | $5,528 |
| Mon Health Medical CenterMorgantown, WV | $5,523 |
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 West Virginia?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 19 hospitals in West Virginia was billed at $42,516 on average, while the average medicare-allowed amount was $5,495, of which Medicare paid $4,359. 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 West Virginia, average charges were 7.7 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.