Level 3 Breast/Lymphatic Surgery and Related Procedures in Virginia
What 30 hospitals in Virginia charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
Average charge
$88,864
Hospital list price billed
Average allowed
$8,406
Medicare's payment + patient's share
Medicare paid
$6,774
Average per service
State rank
#15 of 31
1 = lowest average payment
Hospitals in Virginia billed an average of $88,864 for level 3 breast/lymphatic surgery and related procedures, about 10.6 times the average medicare-allowed amount of $8,406. That payment is 8% 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 $8,406Billed $88,864
About 9¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 breast/lymphatic surgery and related procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Virginia
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
| University of Virginia Medical CenterCharlottesville, VA | $8,068 |
|---|---|
| Cjw Medical CenterRichmond, VA | $8,116 |
| Sentara Leigh HospitalNorfolk, VA | $8,201 |
| Inova Fairfax HospitalFalls Church, VA | $8,836 |
Highest
| Inova Fairfax HospitalFalls Church, VA | $8,836 |
|---|---|
| Sentara Leigh HospitalNorfolk, VA | $8,201 |
| Cjw Medical CenterRichmond, VA | $8,116 |
| University of Virginia Medical CenterCharlottesville, VA | $8,068 |
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 Virginia?
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 30 hospitals in Virginia was billed at $88,864 on average, while the average medicare-allowed amount was $8,406, of which Medicare paid $6,774. 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 Virginia, average charges were 10.6 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.