Level 3 Breast/Lymphatic Surgery and Related Procedures in Alabama
What 15 hospitals in Alabama charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
Average charge
$190,526
Hospital list price billed
Average allowed
$6,824
Medicare's payment + patient's share
Medicare paid
$5,225
Average per service
State rank
#2 of 31
1 = lowest average payment
Hospitals in Alabama billed an average of $190,526 for level 3 breast/lymphatic surgery and related procedures, about 27.9 times the average medicare-allowed amount of $6,824. That payment is 26% below the U.S. average of $9,171.
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 $6,824Billed $190,526
About 4¢ was paid for every $1 hospitals in Alabama billed for this service.
Alabama hospitals: level 3 breast/lymphatic surgery and related procedures
Every Alabama hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Brookwood Medical CenterBirmingham | 12 | $190,526 | $6,824 | $5,225 |
| UAB Callahan Eye Hospital AuthorityBirmingham | – | – | – | – |
| University of Alabama HospitalBirmingham | – | – | – | – |
| Cullman Regional Medical CenterCullman | – | – | – | – |
| Huntsville HospitalHuntsville | – | – | – | – |
| Flowers HospitalDothan | – | – | – | – |
| St Vincent's BirminghamBirmingham | – | – | – | – |
| South Baldwin Regional Medical CenterFoley | – | – | – | – |
| D C H Regional Medical CenterTuscaloosa | – | – | – | – |
| Thomas HospitalFairhope | – | – | – | – |
| Grandview Medical CenterBirmingham | – | – | – | – |
| Mobile InfirmaryMobile | – | – | – | – |
| Crestwood Medical CenterHuntsville | – | – | – | – |
| Springhill Medical CenterMobile | – | – | – | – |
| Shoals HospitalMuscle Shoals | – | – | – | – |
Level 3 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 3 breast/lymphatic surgery and related procedures cost in Alabama?
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 15 hospitals in Alabama was billed at $190,526 on average, while the average medicare-allowed amount was $6,824, of which Medicare paid $5,225. 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 Alabama, average charges were 27.9 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.