facebook tracking Level 4 Breast/Lymphatic Surgery and Related Procedures cost in Georgia: 30 hospitals compared (APC 5094)

Level 4 Breast/Lymphatic Surgery and Related Procedures in Georgia

What 30 hospitals in Georgia 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 $105,013 Hospital list price billed
Average allowed $15,586 Medicare's payment + patient's share
Medicare paid $13,954 Average per service
State rank #11 of 23 1 = lowest average payment

Hospitals in Georgia billed an average of $105,013 for level 4 breast/lymphatic surgery and related procedures, about 6.7 times the average medicare-allowed amount of $15,586. That payment is 9% 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 $15,586Billed $105,013

About 15¢ was paid for every $1 hospitals in Georgia billed for this service.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Northside HospitalAtlanta 20 $105,013 $15,586 $13,954
Hamilton Medical CenterDalton – – – –
Northside Hospital ForsythCumming – – – –
St Mary's HospitalAthens – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Emory University HospitalAtlanta – – – –
Tanner Medical Center - CarrolltonCarrollton – – – –
Candler HospitalSavannah – – – –
Southeast Georgia Reg Med CtrBrunswick – – – –
Piedmont Augusta HospitalAugusta – – – –
Northeast Georgia Medical Center, INCGainesville – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Wellstar Kennestone HospitalMarietta – – – –
Memorial Health Univ Med Cen, INCSavannah – – – –
Athens Regional Medical CenterAthens – – – –
Saint Joseph's Hosp of AtlantaAtlanta – – – –
Piedmont HospitalAtlanta – – – –
Colquitt Reg Medical CenterMoultrie – – – –
Atrium Health Navicent the Medical CenterMacon – – – –
Sgmc HealthValdosta – – – –
St Francis Hospital, INCColumbus – – – –
Wellstar Cobb HospitalAustell – – – –
Coliseum Medical CenterMacon – – – –
Henry Medical Center, INCStockbridge – – – –
Piedmont Columbus Regional NorthsideColumbus – – – –
Piedmont Fayette HospitalFayetteville – – – –
Piedmont Mountainside Hospital INCJasper – – – –
Piedmont Newnan Hospital, INCNewnan – – – –
Emory Johns Creek HospitalJohns Creek – – – –
Southeastern Regional Medical Center, INCNewnan – – – –
Level 4 Breast/Lymphatic Surgery and Related Procedures: all states All Georgia hospitals Georgia hospital finances
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Level 4 Breast/Lymphatic Surgery and Related Procedures in other states

Arkansas · $15,076 Florida · $15,930 Kansas · $15,416 Michigan · $16,268 Ohio · $15,288 Oklahoma · $15,153 Texas · $15,873 Virginia · $15,429

Questions

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

In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 30 hospitals in Georgia was billed at $105,013 on average, while the average medicare-allowed amount was $15,586, of which Medicare paid $13,954. 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 Georgia, 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.