facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Georgia: 33 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Georgia

What 33 hospitals in Georgia 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 $69,001 Hospital list price billed
Average allowed $8,191 Medicare's payment + patient's share
Medicare paid $6,624 Average per service
State rank #13 of 31 1 = lowest average payment

Hospitals in Georgia billed an average of $69,001 for level 3 breast/lymphatic surgery and related procedures, about 8.4 times the average medicare-allowed amount of $8,191. That payment is 11% 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 $8,191Billed $69,001

About 12¢ was paid for every $1 hospitals in Georgia billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Northside HospitalAtlanta 42 $55,873 $8,371 $6,800
Candler HospitalSavannah 15 $56,131 $7,968 $6,348
Northeast Georgia Medical Center, INCGainesville 13 $70,297 $8,593 $6,942
Athens Regional Medical CenterAthens 13 $123,030 $8,526 $6,894
Piedmont HospitalAtlanta 13 $70,936 $7,131 $5,783
Northside Hospital ForsythCumming – – – –
St Mary's HospitalAthens – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Northside Hospital CherokeeCanton – – – –
Emory University HospitalAtlanta – – – –
Southeast Georgia Reg Med CtrBrunswick – – – –
Piedmont Augusta HospitalAugusta – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Wellstar Kennestone HospitalMarietta – – – –
Memorial Health Univ Med Cen, INCSavannah – – – –
Union General HospitalBlairsville – – – –
Emory University Hospital MidtownAtlanta – – – –
Saint Joseph's Hosp of AtlantaAtlanta – – – –
Colquitt Reg Medical CenterMoultrie – – – –
Atrium Health Navicent the Medical CenterMacon – – – –
Sgmc HealthValdosta – – – –
St Francis Hospital, INCColumbus – – – –
Evans Memorial HospitalClaxton – – – –
Coliseum Medical CenterMacon – – – –
Doctors HospitalAugusta – – – –
Henry Medical Center, INCStockbridge – – – –
North Fulton Regional HospitalRoswell – – – –
Piedmont Columbus Regional NorthsideColumbus – – – –
Piedmont Fayette HospitalFayetteville – – – –
Piedmont Newnan Hospital, INCNewnan – – – –
Emory Johns Creek HospitalJohns Creek – – – –
Southeastern Regional Medical Center, INCNewnan – – – –
Northside Hospital DuluthDuluth – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All Georgia hospitals Georgia hospital finances
Advertisement

Lowest and highest allowed amounts in Georgia

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

Piedmont HospitalAtlanta, GA$7,131
Candler HospitalSavannah, GA$7,968
Northside HospitalAtlanta, GA$8,371
Athens Regional Medical CenterAthens, GA$8,526
Northeast Georgia Medical Center, INCGainesville, GA$8,593

Highest

Northeast Georgia Medical Center, INCGainesville, GA$8,593
Athens Regional Medical CenterAthens, GA$8,526
Northside HospitalAtlanta, GA$8,371
Candler HospitalSavannah, GA$7,968
Piedmont HospitalAtlanta, GA$7,131

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

Kansas · $8,262 Kentucky · $8,121 Louisiana · $7,993 Michigan · $8,127 Missouri · $7,992 Ohio · $8,079 Oklahoma · $8,121 South Carolina · $8,116

Questions

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

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 33 hospitals in Georgia was billed at $69,001 on average, while the average medicare-allowed amount was $8,191, of which Medicare paid $6,624. 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 Georgia, average charges were 8.4 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.