facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in Wisconsin: 21 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in Wisconsin

What 21 hospitals in Wisconsin 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.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse – – – –
Waukesha Memorial HospitalWaukesha – – – –
Aspirus Wausau HospitalWausau – – – –
Aurora Sheboygan Mem Med CtrSheboygan – – – –
Marshfield Medical CenterMarshfield – – – –
Thedacare Regional Med Ctr - NeenahNeenah – – – –
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee – – – –
Mercy Hlth Sys CorpJanesville – – – –
Luther Hospital Mayo Health SystemEau Claire – – – –
Gundersen Luth Med CtrLa Crosse – – – –
St Agnes HsptlFond du Lac – – – –
Meriter HsptlMadison – – – –
Wheaton Franciscan Healthcare- All SaintsRacine – – – –
University of Wi Hospitals & Clinics AuthorityMadison – – – –
Community Mem HsptlMenomonee Falls – – – –
Aurora St Lukes Medical CenterMilwaukee – – – –
Appleton Med CtrAppleton – – – –
Froedtert Mem Lutheran HsptlMilwaukee – – – –
Aurora Baycare Med CtrGreen Bay – – – –
Aurora Medical CenterSummit – – – –
Marshfield Medical Center - Eau ClaireEau Claire – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All Wisconsin hospitals Wisconsin hospital finances
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Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

Alabama · $6,824 Louisiana · $7,993 Mississippi · $5,906 Missouri · $7,992 Nebraska · $7,869 Ohio · $8,079 Pennsylvania · $7,302 Tennessee · $7,651

Questions

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

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 21 hospitals in Wisconsin 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.