Level 4 Breast/Lymphatic Surgery and Related Procedures in Louisiana
What 15 hospitals in Louisiana charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.
Average charge
$62,474
Hospital list price billed
Average allowed
$14,872
Medicare's payment + patient's share
Medicare paid
$13,239
Average per service
State rank
#5 of 23
1 = lowest average payment
Hospitals in Louisiana billed an average of $62,474 for level 4 breast/lymphatic surgery and related procedures, about 4.2 times the average medicare-allowed amount of $14,872. That payment is 13% 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 $14,872Billed $62,474
About 24¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: level 4 breast/lymphatic surgery and related procedures
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Woman's HospitalBaton Rouge | 15 | $62,474 | $14,872 | $13,239 |
| Lafayette General Medical CenterLafayette | – | – | – | – |
| Thibodaux Regional Medical CenterThibodaux | – | – | – | – |
| Terrebonne General Medical CenterHouma | – | – | – | – |
| North Oaks Medical CenterHammond | – | – | – | – |
| Ochsner Foundation HospitalNew Orleans | – | – | – | – |
| Slidell Memorial HospitalSlidell | – | – | – | – |
| CHRISTUS Schumpert Health SystemShreveport | – | – | – | – |
| St Tammany Parish HospitalCovington | – | – | – | – |
| Lake Charles Memorial HospitalLake Charles | – | – | – | – |
| Willis Knighton Medical CenterShreveport | – | – | – | – |
| Tulane Medical CenterNew Orleans | – | – | – | – |
| Ochsner Medical Center-Baton RougeBaton Rouge | – | – | – | – |
| Park Place Surgical HospitalLafayette | – | – | – | – |
| AvalaCovington | – | – | – | – |
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 Louisiana?
In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 15 hospitals in Louisiana was billed at $62,474 on average, while the average medicare-allowed amount was $14,872, of which Medicare paid $13,239. 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 Louisiana, average charges were 4.2 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.