facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Arizona: 20 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Arizona

What 20 hospitals in Arizona charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.

APC 5093 Outpatient 2024 Medicare data
Average charge $120,678 Hospital list price billed
Average allowed $9,187 Medicare's payment + patient's share
Medicare paid $7,555 Average per service
State rank #22 of 31 1 = lowest average payment

Hospitals in Arizona billed an average of $120,678 for level 3 breast/lymphatic surgery and related procedures, about 13.1 times the average medicare-allowed amount of $9,187. That payment is about the same as 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 $9,187Billed $120,678

About 8¢ was paid for every $1 hospitals in Arizona billed for this service.

Arizona hospitals: level 3 breast/lymphatic surgery and related procedures

Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Scottsdale Healthcare-Shea Medical CenterScottsdale 43 $157,251 $9,187 $7,555
Mayo Clinic HospitalPhoenix 30 $39,643 $9,187 $7,555
Chandler Regional Medical CenterChandler 15 $142,798 $9,187 $7,554
Scottsdale Healthcare-Osborn Medical CenterScottsdale 12 $164,560 $9,187 $7,555
Banner - University Medical Center PhoenixPhoenix – – – –
Tucson Medical CenterTucson – – – –
Yavapai Regional Medical CenterPrescott – – – –
Flagstaff Medical CenterFlagstaff – – – –
St Joseph's Hospital and Medical CenterPhoenix – – – –
Abrazo Central CampusPhoenix – – – –
University Medical CenterTucson – – – –
Banner Desert Medical CenterMesa – – – –
Havasu Regional Medical CenterLake Havasu City – – – –
Northwest Medical CenterTucson – – – –
Banner Thunderbird Medical CenterGlendale – – – –
John C Lincoln Deer Valley HospitalPhoenix – – – –
Banner del E Webb Medical CenterSun City West – – – –
Arrowhead HospitalGlendale – – – –
Banner Gateway Medical CenterGilbert – – – –
City of Hope Cancer Center PhoenixGoodyear – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All Arizona hospitals Arizona hospital finances
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Lowest and highest allowed amounts in Arizona

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

Colorado · $8,817 Delaware · $9,452 Illinois · $8,972 Minnesota · $9,255 New Hampshire · $9,624 New Mexico · $9,540 South Dakota · $8,749 Washington · $9,493

Questions

How much does level 3 breast/lymphatic surgery and related procedures cost in Arizona?

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 20 hospitals in Arizona was billed at $120,678 on average, while the average medicare-allowed amount was $9,187, of which Medicare paid $7,555. 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 Arizona, average charges were 13.1 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.