Level 1 Breast/Lymphatic Surgery and Related Procedures
In 2024, Medicare and patients paid an average of $3,688 per procedure at 1,184 hospitals. Half of hospitals averaged between $3,320 and $3,848.
Also known as: Lumpectomy, mastectomy, breast surgery
National figures, 2024
- Average payment per case
- $3,688
- Typical range (middle half of hospitals)
- $3,320–$3,848
- Medicare’s share
- $2,930
- Average billed charge
- $27,785
- Hospitals reporting
- 1,184
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
1,176 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Central Maine Medical Center | 28 | $3,423 | About average | $2,700 | $19,438 |
| Southeast Georgia Health System- Brunswick Campus | 52 | $3,424 | About average | $2,713 | $10,900 |
| Morton Plant Hospital | 67 | $3,424 | About average | $2,722 | $24,275 |
| Atrium Health Lincoln | 15 | $3,425 | About average | $2,729 | $26,469 |
| Novant Health Matthews Medical Center | 26 | $3,425 | About average | $2,729 | $20,551 |
| UPMC Lititz | 17 | $3,426 | About average | $2,730 | $20,956 |
| Marshfield Medical Center - Eau Claire | 13 | $3,426 | About average | $2,725 | $14,084 |
| Ascension St Vincent Hospital | 20 | $3,426 | About average | $2,730 | $35,533 |
| St Marys Hospital Medical Center | 15 | $3,428 | About average | $2,731 | $26,174 |
| Baylor Scott & White Medical Center - Temple | 55 | $3,428 | About average | $2,721 | $17,852 |
| Baylor Scott And White Medical Center Uptown | 31 | $3,430 | About average | $2,733 | $17,112 |
| Baylor Scott & White Medical Center At Irving | 17 | $3,430 | About average | $2,733 | $23,334 |
| Baylor Scott & White Medical Center - Frisco | 15 | $3,430 | About average | $2,733 | $20,889 |
| Eastern Idaho Regional Medical Center | 12 | $3,430 | About average | $2,733 | $33,622 |
| North Central Surgical Center LLP | 28 | $3,430 | About average | $2,733 | $19,100 |
| Texas Health Hospital Frisco | 14 | $3,430 | About average | $2,733 | $16,106 |
| Texas Health Presbyterian Hospital Rockwall | 15 | $3,430 | About average | $2,733 | $19,465 |
| Texas Health Presbyterian Hospital Dallas | 75 | $3,430 | About average | $2,732 | $19,648 |
| Medical City Plano | 19 | $3,430 | About average | $2,732 | $65,199 |
| Medical City Dallas Hospital | 22 | $3,430 | About average | $2,731 | $75,278 |
| St Luke's Nampa Medical Center | 11 | $3,430 | About average | $2,727 | $18,109 |
| Ascension Providence | 28 | $3,432 | About average | $2,734 | $25,257 |
| Duke Health Raleigh Hospital | 17 | $3,432 | About average | $2,734 | $21,147 |
| WakeMed, Cary Hospital | 23 | $3,432 | About average | $2,734 | $30,065 |
| Aurora BayCare Medical Center | 13 | $3,432 | About average | $2,734 | $20,005 |
| Indiana University Health North Hospital | 35 | $3,433 | About average | $2,730 | $27,938 |
| Methodist Jennie Edmundson | 19 | $3,435 | About average | $2,737 | $15,548 |
| Bryan Medical Center | 37 | $3,435 | About average | $2,737 | $17,369 |
| The Nebraska Medical Center | 57 | $3,435 | About average | $2,736 | $19,344 |
| CHI Health Lakeside | 50 | $3,435 | About average | $2,735 | $34,512 |
| The Nebraska Methodist Hospital | 88 | $3,435 | About average | $2,734 | $16,796 |
| Thedacare Regional Medical Center - Appleton Inc | 20 | $3,435 | About average | $2,734 | $13,819 |
| Mayo Clinic | 172 | $3,437 | About average | $2,735 | $23,079 |
| Penn Highlands Dubois | 25 | $3,439 | About average | $2,716 | $12,480 |
| Anmed Health | 49 | $3,440 | About average | $2,729 | $24,680 |
| AdventHealth Orlando | 179 | $3,441 | About average | $2,738 | $35,777 |
| Medical City Denton | 12 | $3,441 | About average | $2,742 | $54,452 |
| Medical City Lewisville | 18 | $3,441 | About average | $2,742 | $68,280 |
| Methodist Mansfield Medical Center | 11 | $3,441 | About average | $2,742 | $16,052 |
| Methodist Southlake Medical Center | 12 | $3,441 | About average | $2,742 | $20,004 |
| Texas Health Harris Methodist Hospital Southlake | 17 | $3,441 | About average | $2,742 | $14,832 |
| Texas Health Harris Methodist Hospital Southwest F | 27 | $3,441 | About average | $2,742 | $18,320 |
| Texas Health Harris Methodist Hurst-Euless-Bedford | 23 | $3,441 | About average | $2,742 | $16,167 |
| Texas Health Presbyterian Hospital Denton | 19 | $3,441 | About average | $2,742 | $21,933 |
| Texas Health Presbyterian Hospital Flower Mound | 11 | $3,441 | About average | $2,742 | $19,834 |
| Texas Health Arlington Memorial Hospital | 15 | $3,441 | About average | $2,738 | $18,795 |
| Texas Health Huguley Hospital Fort Worth South | 11 | $3,442 | About average | $2,722 | $27,685 |
| Community Hospital North | 11 | $3,443 | About average | $2,743 | $29,196 |
| Community Hospital Of Anderson And Madison County | 21 | $3,443 | About average | $2,743 | $23,895 |
| Hendricks Regional Health | 18 | $3,443 | About average | $2,743 | $32,230 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $3,050 | $22K |
| 2021 | $3,208 | $23K |
| 2022 | $3,243 | $24K |
| 2023 | $3,449 | $26K |
| 2024 | $3,688 | $28K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 50 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 4 | 115 | $1,751 | $1,218–$2,043 |
| Alabama | 22 | 584 | $3,114 | $3,044–$3,182 |
| Louisiana | 18 | 431 | $3,169 | $3,101–$3,229 |
| Mississippi | 16 | 435 | $3,173 | $3,113–$3,191 |
| Tennessee | 23 | 894 | $3,183 | $3,144–$3,284 |
| West Virginia | 11 | 320 | $3,207 | $3,102–$3,230 |
| Arkansas | 13 | 346 | $3,247 | $3,119–$3,267 |
| Ohio | 51 | 1,821 | $3,250 | $3,243–$3,337 |
| South Carolina | 28 | 1,263 | $3,257 | $3,185–$3,289 |
| Oklahoma | 14 | 500 | $3,261 | $3,228–$3,284 |
| Kentucky | 17 | 677 | $3,266 | $3,247–$3,301 |
| Missouri | 30 | 1,011 | $3,289 | $3,206–$3,392 |
| Kansas | 13 | 417 | $3,311 | $3,315–$3,329 |
| Iowa | 13 | 411 | $3,338 | $3,273–$3,435 |
| Georgia | 37 | 1,276 | $3,368 | $3,266–$3,537 |
| Michigan | 38 | 1,316 | $3,370 | $3,321–$3,404 |
| Florida | 70 | 3,443 | $3,379 | $3,442–$3,453 |
| North Carolina | 34 | 1,510 | $3,383 | $3,317–$3,430 |
| Virginia | 36 | 1,673 | $3,395 | $3,248–$3,506 |
| Texas | 72 | 2,262 | $3,405 | $3,318–$3,441 |
| Utah | 8 | 301 | $3,416 | $3,339–$3,475 |
| New Mexico | 8 | 199 | $3,419 | $3,303–$3,431 |
| Nebraska | 10 | 365 | $3,425 | $3,435–$3,451 |
| Maine | 6 | 222 | $3,457 | $3,432–$3,581 |
| Indiana | 30 | 805 | $3,463 | $3,407–$3,517 |
| Pennsylvania | 67 | 2,424 | $3,508 | $3,405–$3,677 |
| Wisconsin | 26 | 687 | $3,529 | $3,464–$3,585 |
| Idaho | 8 | 191 | $3,536 | $3,430–$3,674 |
| South Dakota | 7 | 246 | $3,563 | $3,539–$3,701 |
| Illinois | 53 | 1,955 | $3,603 | $3,523–$3,622 |
| North Dakota | 5 | 213 | $3,615 | $3,574–$3,827 |
| Colorado | 23 | 558 | $3,624 | $3,629–$3,629 |
| Montana | 8 | 259 | $3,630 | $3,574–$3,745 |
| Arizona | 24 | 1,201 | $3,717 | $3,682–$3,717 |
| Wyoming | 5 | 75 | $3,731 | $3,753–$3,827 |
| Minnesota | 16 | 709 | $3,743 | $3,644–$3,800 |
| New Hampshire | 10 | 352 | $3,744 | $3,655–$3,776 |
| Delaware | 4 | 330 | $3,811 | $3,817–$3,827 |
| Rhode Island | 6 | 190 | $3,843 | $3,868–$3,868 |
| District of Columbia | 4 | 254 | $3,864 | $3,863–$3,900 |
| Washington | 29 | 1,036 | $3,892 | $3,826–$3,927 |
| Alaska | 3 | 82 | $3,957 | $3,822–$4,074 |
| Nevada | 9 | 269 | $3,997 | $3,805–$4,082 |
| Oregon | 17 | 526 | $4,027 | $3,917–$4,165 |
| New Jersey | 36 | 1,473 | $4,070 | $3,986–$4,143 |
| Massachusetts | 38 | 2,257 | $4,080 | $4,085–$4,094 |
| New York | 58 | 3,824 | $4,207 | $4,041–$4,295 |
| Connecticut | 17 | 601 | $4,260 | $4,252–$4,293 |
| Hawaii | 5 | 147 | $4,353 | $4,320–$4,384 |
| California | 84 | 3,896 | $4,851 | $4,686–$4,924 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.