facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in New Hampshire: 7 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in New Hampshire

What 7 hospitals in New Hampshire 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 $37,455 Hospital list price billed
Average allowed $9,624 Medicare's payment + patient's share
Medicare paid $7,992 Average per service
State rank #27 of 31 1 = lowest average payment

Hospitals in New Hampshire billed an average of $37,455 for level 3 breast/lymphatic surgery and related procedures, about 3.9 times the average medicare-allowed amount of $9,624. That payment is 5% above 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 $9,624Billed $37,455

About 26¢ was paid for every $1 hospitals in New Hampshire billed for this service.

New Hampshire hospitals: level 3 breast/lymphatic surgery and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mary Hitchcock Mem HospitalLebanon 12 $37,455 $9,624 $7,992
Concord HospitalConcord – – – –
St Joseph HospitalNashua – – – –
Elliot HospitalManchester – – – –
Wentworth-Douglass HospitalDover – – – –
Exeter HospitalExeter – – – –
Portsmouth Regional HospitalPortsmouth – – – –
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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 New Hampshire?

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 7 hospitals in New Hampshire was billed at $37,455 on average, while the average medicare-allowed amount was $9,624, of which Medicare paid $7,992. 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 New Hampshire, average charges were 3.9 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.