Level 3 Breast/Lymphatic Surgery and Related Procedures in Minnesota
What 17 hospitals in Minnesota charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
Average charge
$47,762
Hospital list price billed
Average allowed
$9,255
Medicare's payment + patient's share
Medicare paid
$7,623
Average per service
State rank
#23 of 31
1 = lowest average payment
Hospitals in Minnesota billed an average of $47,762 for level 3 breast/lymphatic surgery and related procedures, about 5.2 times the average medicare-allowed amount of $9,255. That payment is about the same as 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 $9,255Billed $47,762
About 19¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 3 breast/lymphatic surgery and related procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 18 | $47,762 | $9,255 | $7,623 |
| North Memorial Medical CenterRobbinsdale | – | – | – | – |
| Essentia Health St Mary's Medical CenterDuluth | – | – | – | – |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Olmsted Medical CenterRochester | – | – | – | – |
| Essentia Health DuluthDuluth | – | – | – | – |
| United HospitalSt Paul | – | – | – | – |
| Lake Region Healthcare CorporationFergus Falls | – | – | – | – |
| Park Nicollet Methodist HospitalSaint Louis Park | – | – | – | – |
| Abbott Northwestern Hospital INCMinneapolis | – | – | – | – |
| Lakeview Memorial HospitalStillwater | – | – | – | – |
| Fairview Southdale HospitalEdina | – | – | – | – |
| Mayo Clinic Health System - MankatoMankato | – | – | – | – |
| Regions HospitalSt Paul | – | – | – | – |
| Mercy HospitalCoon Rapids | – | – | – | – |
| Fairview Ridges HospitalBurnsville | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
Level 3 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 3 breast/lymphatic surgery and related procedures cost in Minnesota?
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 17 hospitals in Minnesota was billed at $47,762 on average, while the average medicare-allowed amount was $9,255, of which Medicare paid $7,623. 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 Minnesota, average charges were 5.2 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.