facebook tracking Level 4 Breast/Lymphatic Surgery and Related Procedures cost in New York: 47 hospitals compared (APC 5094)

Level 4 Breast/Lymphatic Surgery and Related Procedures in New York

What 47 hospitals in New York 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 $87,976 Hospital list price billed
Average allowed $19,850 Medicare's payment + patient's share
Medicare paid $18,217 Average per service
State rank #22 of 23 1 = lowest average payment

Hospitals in New York billed an average of $87,976 for level 4 breast/lymphatic surgery and related procedures, about 4.4 times the average medicare-allowed amount of $19,850. That payment is 16% 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 $19,850Billed $87,976

About 23¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 4 breast/lymphatic surgery and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mem Sloan-Kettering Cancer CtrNew York 58 $56,396 $20,004 $18,368
NYU Hospitals CenterNew York 28 $169,336 $19,793 $18,161
University HospitalStony Brook 16 $69,593 $19,634 $18,002
New York-Presbyterian HospitalNew York 14 $65,109 $20,003 $18,371
Huntington HospitalHuntington 11 $103,241 $19,307 $17,675
Buffalo General HospitalBuffalo – – – –
Albany Medical Center HospitalAlbany – – – –
Vassar Brothers Medical CenterPoughkeepsie – – – –
Mount Sinai HospitalNew York – – – –
Mount Sinai WestNew York – – – –
Northern Dutchess HospitalRhinebeck – – – –
New York Hospital Medical Center of QueensNew York – – – –
North Shore University HospitalManhasset – – – –
Lenox Hill HospitalNew York – – – –
Rochester General HospitalRochester – – – –
Garnet Health Medical CenterGoshen – – – –
Mary Imogene Bassett HospitalCooperstown – – – –
St Joseph's Hospital Health CenterSyracuse – – – –
Long Island Community HospitalPatchogue – – – –
Good Samaritan Hospital of SuffernSuffern – – – –
Northern Westchester HospitalMt Kisco – – – –
Highland HospitalRochester – – – –
Cortland Regional Medical Center, INCCortland – – – –
Glen Cove HospitalGlen Cove – – – –
St Francis Hospital, RoslynRoslyn – – – –
John T Mather Memorial Hospital of Port JeffersonPort Jefferson – – – –
Maimonides Medical CenterBrooklyn – – – –
Long Island Jewish Medical CenterNew Hyde Park – – – –
South Nassau Communities HospitalOceanside – – – –
Crouse HospitalSyracuse – – – –
Bellevue Hospital CenterNew York – – – –
Saratoga HospitalSaratoga Springs – – – –
Unity Hospital of RochesterRochester – – – –
Brookdale Hospital Medical CenterBrooklyn – – – –
Westchester Medical CenterValhalla – – – –
University Hospital S U N Y Health Science CenterSyracuse – – – –
Champlain Valley Physicians Hospital Medical CtrPlattsburgh – – – –
Mercy Medical CenterRockville Centre – – – –
Phelps Memorial Hospital AssnSleepy Hollow – – – –
Putnam Hospital CenterCarmel – – – –
Good Samaritan Hospital Medical CenterWest Islip – – – –
White Plains Hospital CtrWhite Plains – – – –
Plainview HospitalPlainview – – – –
St Joseph HospitalBethpage – – – –
Roswell Park Cancer InstituteBuffalo – – – –
St Barnabas HospitalBronx – – – –
St Catherine of Siena HospitalSmithtown – – – –
Level 4 Breast/Lymphatic Surgery and Related Procedures: all states All New York hospitals New York hospital finances
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Lowest and highest allowed amounts in New York

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

Huntington HospitalHuntington, NY$19,307
University HospitalStony Brook, NY$19,634
NYU Hospitals CenterNew York, NY$19,793
New York-Presbyterian HospitalNew York, NY$20,003
Mem Sloan-Kettering Cancer CtrNew York, NY$20,004

Highest

Mem Sloan-Kettering Cancer CtrNew York, NY$20,004
New York-Presbyterian HospitalNew York, NY$20,003
NYU Hospitals CenterNew York, NY$19,793
University HospitalStony Brook, NY$19,634
Huntington HospitalHuntington, NY$19,307

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

Arizona · $16,500 California · $21,610 Delaware · $17,641 Illinois · $16,689 Massachusetts · $18,881 Minnesota · $17,377 New Jersey · $19,036 South Dakota · $16,487

Questions

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

In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 47 hospitals in New York was billed at $87,976 on average, while the average medicare-allowed amount was $19,850, of which Medicare paid $18,217. 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 New York, average charges were 4.4 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.