What 9 hospitals in Kansas charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
Hospitals in Kansas billed an average of $78,159 for level 3 breast/lymphatic surgery and related procedures, about 9.5 times the average medicare-allowed amount of $8,262. That payment is 10% 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.
About 11¢ was paid for every $1 hospitals in Kansas billed for this service.
Every Kansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Kansas HospitalKansas City | 26 | $78,159 | $8,262 | $6,630 |
| St Francis Health CenterTopeka | – | – | – | – |
| Olathe Medical CenterOlathe | – | – | – | – |
| Shawnee Mission Medical CenterOverland Park | – | – | – | – |
| Lawrence Memorial HospitalLawrence | – | – | – | – |
| Menorah Medical CenterShawnee Mission | – | – | – | – |
| Kansas Surgery & Recovery CenterWichita | – | – | – | – |
| Saint Luke's South HospitalOverland Park | – | – | – | – |
| Ascentist HospitalLeawood | – | – | – | – |
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 9 hospitals in Kansas was billed at $78,159 on average, while the average medicare-allowed amount was $8,262, of which Medicare paid $6,630. 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. For this service in Kansas, average charges were 9.5 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.