facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Michigan: 31 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Michigan

What 31 hospitals in Michigan 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 $57,425 Hospital list price billed
Average allowed $8,127 Medicare's payment + patient's share
Medicare paid $6,486 Average per service
State rank #12 of 31 1 = lowest average payment

Hospitals in Michigan billed an average of $57,425 for level 3 breast/lymphatic surgery and related procedures, about 7.1 times the average medicare-allowed amount of $8,127. 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 $8,127Billed $57,425

About 14¢ was paid for every $1 hospitals in Michigan billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
William Beaumont Hospital-TroyTroy 29 $47,985 $7,957 $6,311
William Beaumont HospitalRoyal Oak 18 $72,634 $8,400 $6,768
St Mary Mercy HospitalLivonia – – – –
Bronson Methodist HospitalKalamazoo – – – –
Providence Hospital and Medical CentersSouthfield – – – –
Spectrum Health - Butterworth CampusGrand Rapids – – – –
Univ of Michigan HospitalsAnn Arbor – – – –
Henry Ford Macomb HospitalClinton Twp – – – –
Saint Mary's Health CareGrand Rapids – – – –
Trinity Health Muskegon HospitalMuskegon – – – –
Covenant Medical Center, INCSaginaw – – – –
Holland Community HospitalHolland – – – –
Battle Creek Health SystemBattle Creek – – – –
Mymichigan Medical Center SaginawSaginaw – – – –
Allegiance HealthJackson – – – –
Munson Medical CenterTraverse City – – – –
Harper University HospitalDetroit – – – –
Northern Michigan Regional HospitalPetoskey – – – –
Borgess Medical CenterKalamazoo – – – –
Hurley Medical CenterFlint – – – –
Trinity Health Ann Arbor HospitalAnn Arbor – – – –
St John Hospital and Medical CenterDetroit – – – –
Corewell Health Trenton HospitalTrenton – – – –
Genesys Regional Medical Center - Health ParkGrand Blanc – – – –
McLaren MacombMt Clemens – – – –
Edward W Sparrow HospitalLansing – – – –
Ascension Providence Rochester HospitalRochester – – – –
Chelsea Community HospitalChelsea – – – –
Huron Valley-Sinai HospitalCommerce Twp – – – –
Karmanos Cancer CenterDetroit – – – –
Henry Ford West Bloomfield HospitalWest Bloomfield Twp – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All Michigan hospitals Michigan hospital finances
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Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

Georgia · $8,191 Kansas · $8,262 Kentucky · $8,121 Louisiana · $7,993 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 Michigan?

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 31 hospitals in Michigan was billed at $57,425 on average, while the average medicare-allowed amount was $8,127, of which Medicare paid $6,486. 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 Michigan, average charges were 7.1 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.