Level 4 Breast/Lymphatic Surgery and Related Procedures in Wisconsin
What 21 hospitals in Wisconsin charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.
Average charge
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Hospital list price billed
Average allowed
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Medicare's payment + patient's share
Medicare paid
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Average per service
Volume
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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.
Wisconsin hospitals: level 4 breast/lymphatic surgery and related procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | – | – | – | – |
| Waukesha Memorial HospitalWaukesha | – | – | – | – |
| St Elizabeth HsptlAppleton | – | – | – | – |
| Froedtert SouthKenosha | – | – | – | – |
| Aspirus Wausau HospitalWausau | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Marshfield Medical CenterMarshfield | – | – | – | – |
| Bellin Memorial HsptlGreen Bay | – | – | – | – |
| St Josephs Com Hsptl West BendWest Bend | – | – | – | – |
| Luther Hospital Mayo Health SystemEau Claire | – | – | – | – |
| St Mary's HospitalMadison | – | – | – | – |
| Gundersen Luth Med CtrLa Crosse | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| University of Wi Hospitals & Clinics AuthorityMadison | – | – | – | – |
| Aurora St Lukes Medical CenterMilwaukee | – | – | – | – |
| Aurora West Allis Medical CenterWest Allis | – | – | – | – |
| Froedtert Mem Lutheran HsptlMilwaukee | – | – | – | – |
| Aurora Med Ctr KenoshaKenosha | – | – | – | – |
| Aurora Baycare Med CtrGreen Bay | – | – | – | – |
| Aurora Medical CenterSummit | – | – | – | – |
| Aurora Medical CenterGrafton | – | – | – | – |
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 Wisconsin?
In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 21 hospitals in Wisconsin 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.