What 20 hospitals in Indiana charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
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.
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Saint Joseph Reg Medical CtrSouth Bend | – | – | – | – |
| Parkview HospitalFort Wayne | – | – | – | – |
| Eskenazi HealthIndianapolis | – | – | – | – |
| Reid Hosp & Hlth Care ServicesRichmond | – | – | – | – |
| Bloomington HospitalBloomington | – | – | – | – |
| Clarian Health PartnersIndianapolis | – | – | – | – |
| Memorial Hospital of South BendSouth Bend | – | – | – | – |
| Riverview HospitalNoblesville | – | – | – | – |
| St Vincent Hospital & Health ServicesIndianapolis | – | – | – | – |
| Ball Memorial Hospital INCMuncie | – | – | – | – |
| Major HospitalShelbyville | – | – | – | – |
| St Mary's Medical Center of Evansville INCEvansville | – | – | – | – |
| Franciscan Health LafayetteLafayette | – | – | – | – |
| Community HospitalMunster | – | – | – | – |
| Community Hospital SouthIndianapolis | – | – | – | – |
| Women's Hospital theNewburgh | – | – | – | – |
| St Vincent Carmel Hospital INCCarmel | – | – | – | – |
| Indiana University Health North HospitalCarmel | – | – | – | – |
| Franciscan Health IndianapolisIndianapolis | – | – | – | – |
| Indiana University Health Arnett HospitalLafayette | – | – | – | – |
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 20 hospitals in Indiana was billed at – on average, while the average medicare-allowed amount was –. Your own cost depends on your insurance, deductible and the hospital.
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. 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.