facebook tracking Level 4 Breast/Lymphatic Surgery and Related Procedures cost in North Carolina: 23 hospitals compared (APC 5094)

Level 4 Breast/Lymphatic Surgery and Related Procedures in North Carolina

What 23 hospitals in North Carolina 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 – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

North Carolina hospitals: level 4 breast/lymphatic surgery and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Carolinas Medical Center-NortheastConcord – – – –
Memorial Mission Hospital and Asheville Surgery CeAsheville – – – –
Wayne Memorial HospitalGoldsboro – – – –
Margaret R Pardee Mem HospitalHendersonville – – – –
Cape Fear Valley Medical CenterFayetteville – – – –
Duke University Medical CenterDurham – – – –
Caromont Regional Medical CenterGastonia – – – –
ECU Health Medical CenterGreenville – – – –
North Carolina Baptist HospitalWinston-Salem – – – –
Presbyterian HospitalCharlotte – – – –
UNC HospitalsChapel Hill – – – –
Moses H Cone Memorial Hospital, theGreensboro – – – –
Carolinas Medical Center/Behav HealthCharlotte – – – –
Rex HospitalRaleigh – – – –
Carolinas Medical Center-UnionMonroe – – – –
New Hanover Regional Medical CenterWilmington – – – –
Carteret General HospitalMorehead City – – – –
Catawba Valley Medical CenterHickory – – – –
Medical Park HospitalWinston-Salem – – – –
Brunswick Community HospitalSupply – – – –
Presbyterian Hospital HuntersvilleHuntersville – – – –
Novant Health Ballantyne Medical CenterCharlotte – – – –
Highsmith-Rainey Memorial HospFayetteville – – – –
Level 4 Breast/Lymphatic Surgery and Related Procedures: all states All North Carolina hospitals North Carolina hospital finances
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Level 4 Breast/Lymphatic Surgery and Related Procedures in other states

Arkansas · $15,076 Indiana · $14,054 Kentucky · $14,052 Louisiana · $14,872 Missouri · $13,594 Ohio · $15,288 Oklahoma · $15,153 Tennessee · $14,684

Questions

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

In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 23 hospitals in North Carolina was billed at – on average, while the average medicare-allowed amount was –. 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. 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.