Level 4 Breast/Lymphatic Surgery and Related Procedures in Arkansas
What 8 hospitals in Arkansas charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.
Average charge
$101,324
Hospital list price billed
Average allowed
$15,076
Medicare's payment + patient's share
Medicare paid
$13,444
Average per service
State rank
#6 of 23
1 = lowest average payment
Hospitals in Arkansas billed an average of $101,324 for level 4 breast/lymphatic surgery and related procedures, about 6.7 times the average medicare-allowed amount of $15,076. That payment is 12% 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 $15,076Billed $101,324
About 15¢ was paid for every $1 hospitals in Arkansas billed for this service.
Arkansas hospitals: level 4 breast/lymphatic surgery and related procedures
Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Arkansas Medical SciencesLittle Rock | 11 | $101,324 | $15,076 | $13,444 |
| Washington Regional Med CenterFayetteville | – | – | – | – |
| St Vincent Infirmary Medical CenterLittle Rock | – | – | – | – |
| Mercy Hospital Northwest ArkansasRogers | – | – | – | – |
| St Bernards Medical CenterJonesboro | – | – | – | – |
| Northwest Medical Center-SpringdaleSpringdale | – | – | – | – |
| Mercy Hospital Fort SmithFort Smith | – | – | – | – |
| Baptist Health Medical Center-Little RockLittle Rock | – | – | – | – |
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 Arkansas?
In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 8 hospitals in Arkansas was billed at $101,324 on average, while the average medicare-allowed amount was $15,076, of which Medicare paid $13,444. 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 Arkansas, average charges were 6.7 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.