Level 3 Breast/Lymphatic Surgery and Related Procedures in Mississippi
What 4 hospitals in Mississippi charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
Average charge
$71,852
Hospital list price billed
Average allowed
$5,906
Medicare's payment + patient's share
Medicare paid
$4,473
Average per service
State rank
#1 of 31
1 = lowest average payment
Hospitals in Mississippi billed an average of $71,852 for level 3 breast/lymphatic surgery and related procedures, about 12.2 times the average medicare-allowed amount of $5,906. That payment is 36% 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 $5,906Billed $71,852
About 8¢ was paid for every $1 hospitals in Mississippi billed for this service.
Mississippi hospitals: level 3 breast/lymphatic surgery and related procedures
Every Mississippi hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Memorial Hospital at GulfportGulfport | 11 | $71,852 | $5,906 | $4,473 |
| North Mississippi Medical CenterTupelo | – | – | – | – |
| Madison County Medical CtrCanton | – | – | – | – |
| Merit Health Women's HospitalFlowood | – | – | – | – |
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 Mississippi?
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 4 hospitals in Mississippi was billed at $71,852 on average, while the average medicare-allowed amount was $5,906, of which Medicare paid $4,473. 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 Mississippi, average charges were 12.2 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.