Level 4 Breast/Lymphatic Surgery and Related Procedures in Minnesota
What 21 hospitals in Minnesota charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.
Average charge
$72,255
Hospital list price billed
Average allowed
$17,377
Medicare's payment + patient's share
Medicare paid
$15,745
Average per service
State rank
#18 of 23
1 = lowest average payment
Hospitals in Minnesota billed an average of $72,255 for level 4 breast/lymphatic surgery and related procedures, about 4.2 times the average medicare-allowed amount of $17,377. That payment is 1% above 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 $17,377Billed $72,255
About 24¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 4 breast/lymphatic surgery and related procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Minnesota
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
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $16,809 |
|---|---|
| Mercy HospitalCoon Rapids, MN | $16,809 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $18,112 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $18,112 |
|---|---|
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $16,809 |
| Mercy HospitalCoon Rapids, MN | $16,809 |
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 Minnesota?
In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 21 hospitals in Minnesota was billed at $72,255 on average, while the average medicare-allowed amount was $17,377, of which Medicare paid $15,745. 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 Minnesota, 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.