facebook tracking Level 4 Breast/Lymphatic Surgery and Related Procedures cost in Pennsylvania: 43 hospitals compared (APC 5094)

Level 4 Breast/Lymphatic Surgery and Related Procedures in Pennsylvania

What 43 hospitals in Pennsylvania 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.

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

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

Hospital Services Avg charge Avg allowed Medicare paid
Geisinger-Community Medical CenterScranton – – – –
Geisinger Medical CenterDanville – – – –
Saint Vincent Health CenterErie – – – –
Temple University HospitalPhiladelphia – – – –
St Luke's Quakertown HospitalQuakertown – – – –
Reading Hospital and Med CtrWest Reading – – – –
Lewistown HospitalLewistown – – – –
St Luke's Hospital BethlehemBethlehem – – – –
Grand View HospitalSellersville – – – –
Hamot Medical CenterErie – – – –
UPMC Pinnacle HospitalsHarrisburg – – – –
UPMC LititzLititz – – – –
Altoona Regional Health SystemAltoona – – – –
Robert Packer HospitalSayre – – – –
Dubois Regional Medical CenterDubois – – – –
St Joseph Medical CenterReading – – – –
Holy Redeemer Hosp and Med CtrJenkintown – – – –
Lancaster General HospitalLancaster – – – –
UPMC MemorialYork – – – –
Hospital of the Univ of PaPhiladelphia – – – –
Magee Womens Hospital of UPMC Health SystemPittsburgh – – – –
Jefferson Health- NortheastPhiladelphia – – – –
Phoenixville HospitalPhoenixville – – – –
Lehigh Valley HospitalAllentown – – – –
Main Line Hospital Bryn Mawr CampusBryn Mawr – – – –
Albert Einstein Medical CenterPhiladelphia – – – –
UPMC Presbyterian ShadysidePittsburgh – – – –
Thomas Jefferson University HospitalPhiladelphia – – – –
Chester County HospitalWest Chester – – – –
Fox Chase Cancer CenterPhiladelphia – – – –
Doylestown HospitalDoylestown – – – –
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia – – – –
St Clair Memorial HospitalPittsburgh – – – –
Abington Memorial HospitalAbington – – – –
Milton S Hershey Medical CenterHershey – – – –
St Mary Medical CenterLanghorne – – – –
Jefferson Regional Medical CenterClairton – – – –
Mount Nittany Medical CenterState College – – – –
Geisinger Wyoming Vly Med CtrWilkes-Barre – – – –
St Luke's Hospital - Anderson CampusEaston – – – –
St Luke's Hospital - Monroe CampusStroudsburg – – – –
St Luke's Hospital - Carbon CampusLehighton – – – –
Penn State Health Hampden Medical CenterEnola – – – –
Level 4 Breast/Lymphatic Surgery and Related Procedures: all states All Pennsylvania hospitals Pennsylvania 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 Pennsylvania?

In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 43 hospitals in Pennsylvania 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.