facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Utah: 14 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Utah

What 14 hospitals in Utah 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 – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Utah Valley Regional Medical CenterProvo – – – –
McKay-Dee Hospital CenterOgden – – – –
Ogden Regional Medical CenterOgden – – – –
University Health Care/Univ Hospitals and ClinicsSalt Lake City – – – –
Lds HospitalSalt Lake City – – – –
Logan Regional HospitalLogan – – – –
St. George Regional HospitalSt George – – – –
American Fork HospitalAmerican Fork – – – –
Lakeview HospitalBountiful – – – –
Alta View HospitalSandy – – – –
St Marks HospitalSalt Lake City – – – –
Jordan Valley Medical CenterWest Jordan – – – –
Riverton HospitalRiverton – – – –
Lone Peak HospitalDraper – – – –
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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 Utah?

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 14 hospitals in Utah was billed at – on average, while the average medicare-allowed amount was –. 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. 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.