facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in New York: 51 hospitals compared (APC 5093)

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

What 51 hospitals in New York 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 $61,116 Hospital list price billed
Average allowed $10,613 Medicare's payment + patient's share
Medicare paid $8,978 Average per service
State rank #30 of 31 1 = lowest average payment

Hospitals in New York billed an average of $61,116 for level 3 breast/lymphatic surgery and related procedures, about 5.8 times the average medicare-allowed amount of $10,613. That payment is 16% 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 $10,613Billed $61,116

About 17¢ was paid for every $1 hospitals in New York billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Mem Sloan-Kettering Cancer CtrNew York 59 $28,555 $10,716 $9,081
NYU Hospitals CenterNew York 35 $126,483 $10,604 $8,972
Glen Cove HospitalGlen Cove 20 $55,135 $10,611 $8,979
New York-Presbyterian HospitalNew York 19 $57,505 $10,238 $8,606
St Francis Hospital, RoslynRoslyn 15 $89,877 $10,611 $8,979
Mount Sinai HospitalNew York 14 $35,022 $10,716 $9,084
Long Island Jewish Medical CenterNew Hyde Park 12 $40,735 $10,608 $8,951
Buffalo General HospitalBuffalo – – – –
Our Lady of Lourdes Memorial Hospital, INCBinghamton – – – –
Albany Medical Center HospitalAlbany – – – –
Vassar Brothers Medical CenterPoughkeepsie – – – –
Richmond University Medical CenterStaten Island – – – –
Huntington HospitalHuntington – – – –
Mount Sinai WestNew York – – – –
St Peter's HospitalAlbany – – – –
North Shore University HospitalManhasset – – – –
Peconic Bay Medical CenterRiverhead – – – –
Lenox Hill HospitalNew York – – – –
Rochester General HospitalRochester – – – –
Garnet Health Medical CenterGoshen – – – –
Mary Imogene Bassett HospitalCooperstown – – – –
St Joseph's Hospital Health CenterSyracuse – – – –
Long Island Community HospitalPatchogue – – – –
Ellis HospitalSchenectady – – – –
Samaritan Medical CenterWatertown – – – –
Staten Island University HospitalStaten Island – – – –
Northern Westchester HospitalMt Kisco – – – –
John T Mather Memorial Hospital of Port JeffersonPort Jefferson – – – –
Maimonides Medical CenterBrooklyn – – – –
South Nassau Communities HospitalOceanside – – – –
Crouse HospitalSyracuse – – – –
St John's Riverside HospitalYonkers – – – –
Saratoga HospitalSaratoga Springs – – – –
Westchester Medical CenterValhalla – – – –
University Hospital S U N Y Health Science CenterSyracuse – – – –
St Charles HospitalPort Jefferson – – – –
Mercy Medical CenterRockville Centre – – – –
Phelps Memorial Hospital AssnSleepy Hollow – – – –
Cornwall HospitalCornwall – – – –
Hudson Valley Hospital CenterCortlandt Manor – – – –
Putnam Hospital CenterCarmel – – – –
Mercy HospitalBuffalo – – – –
Good Samaritan Hospital Medical CenterWest Islip – – – –
White Plains Hospital CtrWhite Plains – – – –
Cayuga Medical Center at IthacaIthaca – – – –
Plainview HospitalPlainview – – – –
St Joseph HospitalBethpage – – – –
Roswell Park Cancer InstituteBuffalo – – – –
University HospitalStony Brook – – – –
United Health Services HospsBinghamton – – – –
St Catherine of Siena HospitalSmithtown – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All New York hospitals New York hospital finances
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Lowest and highest allowed amounts in New York

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

New York-Presbyterian HospitalNew York, NY$10,238
NYU Hospitals CenterNew York, NY$10,604
Long Island Jewish Medical CenterNew Hyde Park, NY$10,608
Glen Cove HospitalGlen Cove, NY$10,611
St Francis Hospital, RoslynRoslyn, NY$10,611

Highest

Mem Sloan-Kettering Cancer CtrNew York, NY$10,716
Mount Sinai HospitalNew York, NY$10,716
Glen Cove HospitalGlen Cove, NY$10,611
St Francis Hospital, RoslynRoslyn, NY$10,611
Long Island Jewish Medical CenterNew Hyde Park, NY$10,608

Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

California · $11,898 Delaware · $9,452 Massachusetts · $9,976 Minnesota · $9,255 New Hampshire · $9,624 New Jersey · $10,271 New Mexico · $9,540 Washington · $9,493

Questions

How much does level 3 breast/lymphatic surgery and related procedures cost in New York?

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 51 hospitals in New York was billed at $61,116 on average, while the average medicare-allowed amount was $10,613, of which Medicare paid $8,978. 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 York, average charges were 5.8 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.