Level 2 Breast/Lymphatic Surgery and Related Procedures in Wisconsin
What 57 hospitals in Wisconsin charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$37,846
Hospital list price billed
Average allowed
$6,018
Medicare's payment + patient's share
Medicare paid
$4,789
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $37,846 for level 2 breast/lymphatic surgery and related procedures, about 6.3 times the average medicare-allowed amount of $6,018. That payment is 4% 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 $6,018Billed $37,846
About 16¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 2 breast/lymphatic surgery and related procedures
Every Wisconsin 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 Wi Hospitals & Clinics AuthorityMadison | 184 | $41,414 | $6,035 | $4,796 |
| Froedtert Mem Lutheran HsptlMilwaukee | 57 | $54,864 | $6,050 | $4,803 |
| Luther Hospital Mayo Health SystemEau Claire | 54 | $25,757 | $6,186 | $4,929 |
| Waukesha Memorial HospitalWaukesha | 53 | $43,012 | $5,941 | $4,733 |
| St Mary's HospitalMadison | 43 | $29,933 | $6,087 | $4,850 |
| Gundersen Luth Med CtrLa Crosse | 41 | $36,315 | $6,144 | $4,895 |
| Appleton Med CtrAppleton | 32 | $26,983 | $5,877 | $4,683 |
| Bellin Memorial HsptlGreen Bay | 28 | $47,728 | $5,835 | $4,649 |
| Aurora St Lukes Medical CenterMilwaukee | 25 | $45,184 | $6,097 | $4,850 |
| Aurora Baycare Med CtrGreen Bay | 25 | $34,346 | $5,872 | $4,670 |
| Froedtert SouthKenosha | 22 | $32,241 | $6,133 | $4,886 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 21 | $26,567 | $6,144 | $4,895 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 18 | $48,451 | $6,136 | $4,889 |
| St Josephs Com Hsptl West BendWest Bend | 17 | $43,386 | $5,941 | $4,733 |
| St Marys Hsptl Med CtrGreen Bay | 17 | $35,916 | $5,865 | $4,673 |
| Mercy Hlth Sys CorpJanesville | 16 | $43,903 | $5,645 | $4,437 |
| Aurora West Allis Medical CenterWest Allis | 16 | $42,960 | $5,852 | $4,644 |
| Aurora Medical CenterGrafton | 16 | $42,065 | $5,941 | $4,733 |
| Marshfield Medical Center - Eau ClaireEau Claire | 16 | $23,511 | $5,861 | $4,670 |
| Aspirus Wausau HospitalWausau | 15 | $30,874 | $5,835 | $4,649 |
| Ascension SE Wisconsin HospitalMilwaukee | 15 | $29,572 | $5,941 | $4,723 |
| St Elizabeth HsptlAppleton | 13 | $23,945 | $5,876 | $4,682 |
| Aurora Memorial Hsptl BurlingtonBurlington | 13 | $31,947 | $6,133 | $4,886 |
| St Agnes HsptlFond du Lac | 12 | $27,015 | $6,368 | $5,074 |
| Aurora Medical CenterSummit | 12 | $36,452 | $5,946 | $4,737 |
| Monroe ClinicMonroe | 11 | $34,135 | $6,087 | $4,850 |
| Marshfield Medical CenterMarshfield | 11 | $28,298 | $6,249 | $4,975 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | – | – | – | – |
| Marshfield Medical Center - Rice LakeRice Lake | – | – | – | – |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Aspirus Rhinelander HospitalRhinelander | – | – | – | – |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Divine Savior HlthcarePortage | – | – | – | – |
| St Nicholas HospitalSheboygan | – | – | – | – |
| Thedacare Regional Med Ctr - NeenahNeenah | – | – | – | – |
| Oconomowoc Mem HsptlOconomowoc | – | – | – | – |
| Fort HealthcareFort Atkinson | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Beaver Dam Com HsptlBeaver Dam | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| Meriter HsptlMadison | – | – | – | – |
| Sauk Prairie Mem HsptlPrairie du Sac | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| Beloit Mem HsptlBeloit | – | – | – | – |
| Community Mem HsptlMenomonee Falls | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Mile Bluff Medical Center, INCMauston | – | – | – | – |
| Bay Area Med CtrMarinette | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Aurora Med Ctr KenoshaKenosha | – | – | – | – |
| Oakleaf Surgical HospitalEau Claire | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
| SSM Health St Mary's Hospital - JanesvilleJanesville | – | – | – | – |
| Marshfield Medical Center - MinocquaMinocqua | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Mercy Hlth Sys CorpJanesville, WI | $5,645 |
|---|---|
| Aspirus Wausau HospitalWausau, WI | $5,835 |
| Bellin Memorial HsptlGreen Bay, WI | $5,835 |
| Aurora West Allis Medical CenterWest Allis, WI | $5,852 |
| Marshfield Medical Center - Eau ClaireEau Claire, WI | $5,861 |
Highest
| St Agnes HsptlFond du Lac, WI | $6,368 |
|---|---|
| Marshfield Medical CenterMarshfield, WI | $6,249 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $6,186 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI | $6,144 |
| Gundersen Luth Med CtrLa Crosse, WI | $6,144 |
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 Wisconsin?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 57 hospitals in Wisconsin was billed at $37,846 on average, while the average medicare-allowed amount was $6,018, of which Medicare paid $4,789. 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 Wisconsin, average charges were 6.3 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.