facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Illinois: 46 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Illinois

What 46 hospitals in Illinois 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 $57,552 Hospital list price billed
Average allowed $8,972 Medicare's payment + patient's share
Medicare paid $7,340 Average per service
State rank #21 of 31 1 = lowest average payment

Hospitals in Illinois billed an average of $57,552 for level 3 breast/lymphatic surgery and related procedures, about 6.4 times the average medicare-allowed amount of $8,972. That payment is 2% 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 $8,972Billed $57,552

About 16¢ was paid for every $1 hospitals in Illinois billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Evanston HospitalEvanston 25 $45,234 $8,787 $7,155
Northwestern Memorial HospitalChicago 24 $70,385 $9,164 $7,532
Provena St Joseph Medical CenterJoliet – – – –
Loyola Gottlieb Memorial HospitalMelrose Park – – – –
Herrin HospitalHerrin – – – –
Mt Sinai Hospital Medical CenterChicago – – – –
Copley Memorial HospitalAurora – – – –
Sherman HospitalElgin – – – –
St Anthonys Memorial HospitalEffingham – – – –
St Johns HospitalSpringfield – – – –
Palos Community HospitalPalos Heights – – – –
Rush Oak Park HospitalOak Park – – – –
Saint Francis Medical CenterPeoria – – – –
The University of Chicago Medical CenterChicago – – – –
Carle Foundation HospitalUrbana – – – –
Midwestern Region Med CenterZion – – – –
Swedish Covenant HospitalChicago – – – –
Northwestern Medicine McHenryMcHenry – – – –
Resurrection Medical CenterChicago – – – –
Rush University Medical CenterChicago – – – –
Hinsdale HospitalHinsdale – – – –
Bromenn Healthcare SystemNormal – – – –
Lake Forest HospitalLake Forest – – – –
Decatur Memorial HospitalDecatur – – – –
Memorial Medical CenterSpringfield – – – –
Franciscan Health Olympia & Chicago HeightsOlympia Fields – – – –
Advocate Illinois Masonic Medical CenterChicago – – – –
Heartland Regional Medical CenterMarion – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Advocate Condell Medical CenterLibertyville – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Delnor Community HospitalGeneva – – – –
Silver Cross HospitalJoliet – – – –
Advocate Lutheran General HospitalPark Ridge – – – –
Saint Joseph HospitalChicago – – – –
Edward HospitalNaperville – – – –
Saint Anthony Medical CenterRockford – – – –
Central Dupage HospitalWinfield – – – –
Northwest Community HospitalArlington Heights – – – –
Alexian Brothers Medical CenterElk Grove Village – – – –
Loyola University Medical CenterMaywood – – – –
Advocate Good Samaritan HospitalDowners Grove – – – –
Anderson HospitalMaryville – – – –
St Alexius Medical CenterSchaumburg – – – –
Advocate Good Shepherd HospitalBarrington – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All Illinois hospitals Illinois hospital finances
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Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

Arizona · $9,187 Colorado · $8,817 Delaware · $9,452 Florida · $8,497 Minnesota · $9,255 North Carolina · $8,433 South Dakota · $8,749 Washington · $9,493

Questions

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

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 46 hospitals in Illinois was billed at $57,552 on average, while the average medicare-allowed amount was $8,972, of which Medicare paid $7,340. 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 Illinois, average charges were 6.4 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.