Level 3 Breast/Lymphatic Surgery and Related Procedures in Missouri
What 21 hospitals in Missouri charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
Average charge
$50,961
Hospital list price billed
Average allowed
$7,992
Medicare's payment + patient's share
Medicare paid
$6,367
Average per service
State rank
#6 of 31
1 = lowest average payment
Hospitals in Missouri billed an average of $50,961 for level 3 breast/lymphatic surgery and related procedures, about 6.4 times the average medicare-allowed amount of $7,992. That payment is 13% 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 $7,992Billed $50,961
About 16¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 breast/lymphatic surgery and related procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Missouri
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Lester E Cox Medical CentersSpringfield, MO | $7,926 |
|---|---|
| Freeman Health System - Freeman WestJoplin, MO | $7,926 |
| Barnes Jewish HospitalSt Louis, MO | $7,966 |
| Barnes-Jewish West County HospitalSt Louis, MO | $8,086 |
Highest
| Barnes-Jewish West County HospitalSt Louis, MO | $8,086 |
|---|---|
| Barnes Jewish HospitalSt Louis, MO | $7,966 |
| Lester E Cox Medical CentersSpringfield, MO | $7,926 |
| Freeman Health System - Freeman WestJoplin, MO | $7,926 |
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 Missouri?
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 21 hospitals in Missouri was billed at $50,961 on average, while the average medicare-allowed amount was $7,992, of which Medicare paid $6,367. 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 Missouri, average charges were 6.4 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.