facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Pennsylvania: 49 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Pennsylvania

What 49 hospitals in Pennsylvania 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 $65,144 Hospital list price billed
Average allowed $7,302 Medicare's payment + patient's share
Medicare paid $5,993 Average per service
State rank #3 of 31 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $65,144 for level 3 breast/lymphatic surgery and related procedures, about 8.9 times the average medicare-allowed amount of $7,302. That payment is 20% 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 $7,302Billed $65,144

About 11¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Hospital of the Univ of PaPhiladelphia 26 $65,144 $7,302 $5,993
Holy Spirit HospitalCamp Hill – – – –
Geisinger Medical CenterDanville – – – –
Temple University HospitalPhiladelphia – – – –
Williamsport Hospital & Medical CenterWilliamsport – – – –
York HospitalYork – – – –
St Luke's Hospital BethlehemBethlehem – – – –
Allegheny General HospitalPittsburgh – – – –
Grand View HospitalSellersville – – – –
Hamot Medical CenterErie – – – –
UPMC Pinnacle HospitalsHarrisburg – – – –
UPMC LititzLititz – – – –
Altoona Regional Health SystemAltoona – – – –
Robert Packer HospitalSayre – – – –
Dubois Regional Medical CenterDubois – – – –
West Penn HospitalPittsburgh – – – –
St Joseph Medical CenterReading – – – –
Holy Redeemer Hosp and Med CtrJenkintown – – – –
Lancaster General HospitalLancaster – – – –
UPMC MemorialYork – – – –
UPMC PassavantPittsburgh – – – –
Conemaugh Valley Memorial HospitalJohnstown – – – –
Magee Womens Hospital of UPMC Health SystemPittsburgh – – – –
Phoenixville HospitalPhoenixville – – – –
Lehigh Valley HospitalAllentown – – – –
Wilkes-Barre General HospitalWilkes-Barre – – – –
Main Line Hospital Bryn Mawr CampusBryn Mawr – – – –
Albert Einstein Medical CenterPhiladelphia – – – –
Chambersburg HospitalChambersburg – – – –
Mercy Health SystemConshohocken – – – –
UPMC Presbyterian ShadysidePittsburgh – – – –
Thomas Jefferson University HospitalPhiladelphia – – – –
Chester County HospitalWest Chester – – – –
Main Line Hospital LankenauWynnewood – – – –
Fox Chase Cancer CenterPhiladelphia – – – –
Excela Health Frick HospitalMt Pleasant – – – –
Riddle Memorial HospitalMedia – – – –
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia – – – –
St Clair Memorial HospitalPittsburgh – – – –
Abington Memorial HospitalAbington – – – –
Mercy Hospital ScrantonScranton – – – –
Milton S Hershey Medical CenterHershey – – – –
St Mary Medical CenterLanghorne – – – –
Western Pennsylvania Hosp Forbes Regional CampusMonroeville – – – –
St Luke's Hospital - Anderson CampusEaston – – – –
Jefferson Einstein Montgomery HospitalEast Norriton – – – –
St Luke's Hospital - Monroe CampusStroudsburg – – – –
AHN Wexford HospitalWexford – – – –
Lehigh Valley Hospital - Dickson CityDickson City – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All Pennsylvania hospitals Pennsylvania hospital finances
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Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

Alabama · $6,824 Kentucky · $8,121 Louisiana · $7,993 Missouri · $7,992 Nebraska · $7,869 Ohio · $8,079 South Carolina · $8,116 Tennessee · $7,651

Questions

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

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 49 hospitals in Pennsylvania was billed at $65,144 on average, while the average medicare-allowed amount was $7,302, of which Medicare paid $5,993. 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 Pennsylvania, average charges were 8.9 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.