facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Ohio: 39 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Ohio

What 39 hospitals in Ohio 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 $41,428 Hospital list price billed
Average allowed $8,079 Medicare's payment + patient's share
Medicare paid $6,438 Average per service
State rank #8 of 31 1 = lowest average payment

Hospitals in Ohio billed an average of $41,428 for level 3 breast/lymphatic surgery and related procedures, about 5.1 times the average medicare-allowed amount of $8,079. That payment is 12% 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 $8,079Billed $41,428

About 20¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 3 breast/lymphatic surgery and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 15 $46,506 $7,620 $5,988
Christ HospitalCincinnati 14 $39,861 $8,172 $6,521
Mount Carmel St Ann's HospitalWesterville 12 $57,325 $8,428 $6,776
Bethesda North HospitalCincinnati 12 $21,010 $8,197 $6,565
University Hospital, INCCincinnati – – – –
Riverside Methodist HospitalColumbus – – – –
Jewish Hospital, LLCCincinnati – – – –
Grant Medical CenterColumbus – – – –
Summa Health System - Akron CampusAkron – – – –
Cleveland Clinic - Akron GeneralAkron – – – –
Wood County HospitalBowling Green – – – –
Mount Carmel HealthColumbus – – – –
Wooster Community HospitalWooster – – – –
Parma Community General HospitalParma – – – –
Miami Valley HospitalDayton – – – –
Mercy Hospital FairfieldFairfield – – – –
Metrohealth SystemCleveland – – – –
St Elizabeth Health CenterYoungstown – – – –
Toledo Hospital theToledo – – – –
Mercy Medical CenterCanton – – – –
Fairview HospitalCleveland – – – –
Kettering Medical CenterKettering – – – –
Aultman HospitalCanton – – – –
Ohio State University HospitalsColumbus – – – –
Mercy St Vincent Medical CenterToledo – – – –
St John Medical CenterWestlake – – – –
Good Samaritan HospitalCincinnati – – – –
University Hospitals of ClevelandCleveland – – – –
Marietta Memorial HospitalMarietta – – – –
Mercy Regional Medical CenterLorain – – – –
Hillcrest HospitalCleveland – – – –
Arthur G James Cancer HospitalColumbus – – – –
Dublin Methodist HospitalDublin – – – –
Crystal Clinic Orthopaedic CenterAkron – – – –
Surgical Hospital at SouthwoodsYoungstown – – – –
West Chester Medical CenterWest Chester – – – –
Ohio Valley Medical Center, LLCSpringfield – – – –
University Hospitals Ahuja Medical CenterBeachwood – – – –
Soin Medical CenterBeaver Creek – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All Ohio hospitals Ohio hospital finances
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Lowest and highest allowed amounts in Ohio

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

Cleveland Clinic - Main CampusCleveland, OH$7,620
Christ HospitalCincinnati, OH$8,172
Bethesda North HospitalCincinnati, OH$8,197
Mount Carmel St Ann's HospitalWesterville, OH$8,428

Highest

Mount Carmel St Ann's HospitalWesterville, OH$8,428
Bethesda North HospitalCincinnati, OH$8,197
Christ HospitalCincinnati, OH$8,172
Cleveland Clinic - Main CampusCleveland, OH$7,620

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

Georgia · $8,191 Kansas · $8,262 Kentucky · $8,121 Louisiana · $7,993 Michigan · $8,127 Missouri · $7,992 Oklahoma · $8,121 South Carolina · $8,116

Questions

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

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 39 hospitals in Ohio was billed at $41,428 on average, while the average medicare-allowed amount was $8,079, of which Medicare paid $6,438. 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 Ohio, average charges were 5.1 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.