Level 4 Breast/Lymphatic Surgery and Related Procedures in Arizona
What 19 hospitals in Arizona charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.
Average charge
$142,285
Hospital list price billed
Average allowed
$16,500
Medicare's payment + patient's share
Medicare paid
$14,868
Average per service
State rank
#16 of 23
1 = lowest average payment
Hospitals in Arizona billed an average of $142,285 for level 4 breast/lymphatic surgery and related procedures, about 8.6 times the average medicare-allowed amount of $16,500. That payment is 4% below the U.S. average of $17,182.
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 $16,500Billed $142,285
About 12¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 4 breast/lymphatic surgery and related procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 13 | $183,850 | $15,953 | $14,321 |
| Banner Gateway Medical CenterGilbert | 11 | $93,163 | $17,146 | $15,514 |
| Tucson Medical CenterTucson | – | – | – | – |
| Yavapai Regional Medical CenterPrescott | – | – | – | – |
| Yuma Regional Medical CenterYuma | – | – | – | – |
| Flagstaff Medical CenterFlagstaff | – | – | – | – |
| St Joseph's Hospital and Medical CenterPhoenix | – | – | – | – |
| Chandler Regional Medical CenterChandler | – | – | – | – |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | – | – | – | – |
| Summit Healthcare Regional Medical CenterShow Low | – | – | – | – |
| University Medical CenterTucson | – | – | – | – |
| Havasu Regional Medical CenterLake Havasu City | – | – | – | – |
| Northwest Medical CenterTucson | – | – | – | – |
| Banner Baywood Medical CenterMesa | – | – | – | – |
| Banner Thunderbird Medical CenterGlendale | – | – | – | – |
| Arrowhead HospitalGlendale | – | – | – | – |
| Mayo Clinic HospitalPhoenix | – | – | – | – |
| Mercy Gilbert Medical CenterGilbert | – | – | – | – |
| City of Hope Cancer Center PhoenixGoodyear | – | – | – | – |
Level 4 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 4 breast/lymphatic surgery and related procedures cost in Arizona?
In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 19 hospitals in Arizona was billed at $142,285 on average, while the average medicare-allowed amount was $16,500, of which Medicare paid $14,868. 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 Arizona, average charges were 8.6 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.