facebook tracking Level 4 Breast/Lymphatic Surgery and Related Procedures cost in Florida: 53 hospitals compared (APC 5094)

Level 4 Breast/Lymphatic Surgery and Related Procedures in Florida

What 53 hospitals in Florida charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.

APC 5094 Outpatient 2024 Medicare data
Average charge $129,297 Hospital list price billed
Average allowed $15,930 Medicare's payment + patient's share
Medicare paid $14,298 Average per service
State rank #13 of 23 1 = lowest average payment

Hospitals in Florida billed an average of $129,297 for level 4 breast/lymphatic surgery and related procedures, about 8.1 times the average medicare-allowed amount of $15,930. That payment is 7% 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 $15,930Billed $129,297

About 12¢ was paid for every $1 hospitals in Florida billed for this service.

Florida hospitals: level 4 breast/lymphatic surgery and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
H Lee Moffitt Cancer CenterTampa 18 $88,810 $15,930 $14,298
Sarasota Memorial HospitalSarasota 15 $130,438 $15,930 $14,298
Mayo ClinicJacksonville 15 $69,663 $15,930 $14,298
Jupiter Medical CenterJupiter 15 $172,471 $15,930 $14,298
St Joseph's HospitalTampa 14 $95,984 $15,930 $14,298
Orlando Regional HealthcareOrlando 12 $236,254 $15,930 $14,298
Adventhealth OrlandoOrlando 12 $141,084 $15,930 $14,298
Shands Jacksonville Medical CenterJacksonville – – – –
Baptist Hospital of Miami INCMiami – – – –
Naples Community HospitalNaples – – – –
Holmes Regional Medical CenterMelbourne – – – –
Jackson Health SystemMiami – – – –
Sacred Heart HospitalPensacola – – – –
Health CentralOcoee – – – –
Bayfront Medical Center INCSt Petersburg – – – –
Mount Sinai Medical CenterMiami Beach – – – –
Manatee Memorial HospitalBradenton – – – –
Memorial Regional HospitalHollywood – – – –
St Vincent's Medical CenterJacksonville – – – –
Martin Memorial Health SystemsStuart – – – –
Adventhealth OcalaOcala – – – –
St Anthony's HospitalSt Petersburg – – – –
Adventhealth Daytona BeachDaytona Beach – – – –
Univ of Miami Hosp & ClinicsMiami – – – –
Baptist Medical CenterJacksonville – – – –
Indian River Medical CenterVero Beach – – – –
Shands Hospital at the University of FloridaGainesville – – – –
Morton Plant HospitalClearwater – – – –
Tampa General HospitalTampa – – – –
Tallahassee Memorial HealthcareTallahassee – – – –
South Miami HospitalMiami – – – –
Lakeland Regional Medical CenterLakeland – – – –
Boca Raton Regional HospitalBoca Raton – – – –
Adventhealth TampaTampa – – – –
Cape Canaveral HospitalCocoa Beach – – – –
HCA Florida Memorial HospitalJacksonville – – – –
HCA Florida Trinity HospitalNew Port Richey – – – –
Imperial Point Medical CenterFort Lauderdale – – – –
North Florida Regional Medical CenterGainesville – – – –
Ocala Regional Medical CenterOcala – – – –
Blake Medical CenterBradenton – – – –
Gulf Coast Medical Center Lee HealthFort Myers – – – –
Gulf Breeze HospitalGulf Breeze – – – –
West Boca Medical CenterBoca Raton – – – –
Physicians Regional Medical Center - Pine RidgeNaples – – – –
Cleveland Clinic HospitalWeston – – – –
Lakewood Ranch Medical CenterBradenton – – – –
Viera HospitalMelbourne – – – –
Adventhealth Wesley ChapelWesley Chapel – – – –
Ascension St Vincent's Clay CountyMiddleburg – – – –
Oviedo Medical CenterOviedo – – – –
Sarasota Memorial Hospital - VeniceNorth Venice – – – –
HCA Florida University HospitalDavie – – – –
Level 4 Breast/Lymphatic Surgery and Related Procedures: all states All Florida hospitals Florida hospital finances
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Lowest and highest allowed amounts in Florida

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

Orlando Regional HealthcareOrlando, FL$15,930
Adventhealth OrlandoOrlando, FL$15,930
St Joseph's HospitalTampa, FL$15,930
Sarasota Memorial HospitalSarasota, FL$15,930
Mayo ClinicJacksonville, FL$15,930

Highest

Orlando Regional HealthcareOrlando, FL$15,930
Adventhealth OrlandoOrlando, FL$15,930
St Joseph's HospitalTampa, FL$15,930
Sarasota Memorial HospitalSarasota, FL$15,930
Mayo ClinicJacksonville, FL$15,930

Level 4 Breast/Lymphatic Surgery and Related Procedures in other states

Arizona · $16,500 Georgia · $15,586 Kansas · $15,416 Michigan · $16,268 Ohio · $15,288 South Dakota · $16,487 Texas · $15,873 Virginia · $15,429

Questions

How much does level 4 breast/lymphatic surgery and related procedures cost in Florida?

In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 53 hospitals in Florida was billed at $129,297 on average, while the average medicare-allowed amount was $15,930, of which Medicare paid $14,298. 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 Florida, average charges were 8.1 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.