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 501–550. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Indiana University Health Bloomington Hospital | 27 | $3,443 | About average | $2,743 | $26,711 |
| Union Hospital Inc | 31 | $3,443 | About average | $2,743 | $27,922 |
| Witham Health Services | 16 | $3,443 | About average | $2,743 | $17,810 |
| IU Health West Hospital | 14 | $3,443 | About average | $2,730 | $36,345 |
| Hancock Regional Hospital | 19 | $3,443 | About average | $2,726 | $11,565 |
| White River Medical Center | 13 | $3,443 | About average | $2,744 | $12,996 |
| Hendrick Medical Center | 39 | $3,447 | About average | $2,732 | $42,465 |
| Lutheran Hospital Of Indiana | 14 | $3,448 | About average | $2,747 | $39,626 |
| Houston Methodist Hospital | 66 | $3,450 | About average | $2,726 | $38,859 |
| Trinity Health Muskegon Hospital | 20 | $3,451 | About average | $2,720 | $20,633 |
| Mary Lanning Healthcare | 13 | $3,451 | About average | $2,750 | $14,909 |
| CHI Health Good Samaritan | 19 | $3,451 | About average | $2,749 | $27,148 |
| AdventHealth Deland | 14 | $3,453 | About average | $2,751 | $32,467 |
| AdventHealth Heart Of Florida | 15 | $3,453 | About average | $2,751 | $70,511 |
| AdventHealth New Smyrna Beach | 20 | $3,453 | About average | $2,751 | $19,073 |
| AdventHealth Ocala | 39 | $3,453 | About average | $2,751 | $71,471 |
| AdventHealth Palm Coast | 23 | $3,453 | About average | $2,751 | $32,251 |
| AdventHealth Tampa | 22 | $3,453 | About average | $2,751 | $45,877 |
| AdventHealth Waterman | 26 | $3,453 | About average | $2,751 | $33,482 |
| AdventHealth Wesley Chapel | 18 | $3,453 | About average | $2,751 | $48,132 |
| Ascension Sacred Heart Bay | 15 | $3,453 | About average | $2,751 | $43,563 |
| Ascension St Vincent's Riverside | 17 | $3,453 | About average | $2,751 | $44,201 |
| Baptist Hospital Of Miami | 24 | $3,453 | About average | $2,751 | $45,096 |
| Baptist Medical Center Beaches | 22 | $3,453 | About average | $2,751 | $26,097 |
| Boca Raton Regional Hospital | 153 | $3,453 | About average | $2,751 | $37,814 |
| Cleveland Clinic Indian River Hospital | 73 | $3,453 | About average | $2,751 | $23,249 |
| Gulf Breeze Hospital | 28 | $3,453 | About average | $2,751 | $56,697 |
| Gulf Coast Medical Center Lee Health | 34 | $3,453 | About average | $2,751 | $40,662 |
| Halifax Health Medical Center | 26 | $3,453 | About average | $2,751 | $29,377 |
| HCA Florida Blake Hospital | 31 | $3,453 | About average | $2,751 | $54,820 |
| HCA Florida Gulf Coast Hospital | 13 | $3,453 | About average | $2,751 | $45,668 |
| HCA Florida JFK Hospital | 23 | $3,453 | About average | $2,751 | $80,296 |
| HCA Florida Oak Hill Hospital | 17 | $3,453 | About average | $2,751 | $105,203 |
| HCA Florida St Petersburg Hospital | 13 | $3,453 | About average | $2,751 | $110,321 |
| HCA Florida Trinity Hospital | 17 | $3,453 | About average | $2,751 | $101,981 |
| HCA Florida University Hospital | 12 | $3,453 | About average | $2,751 | $55,090 |
| Holmes Regional Medical Center | 43 | $3,453 | About average | $2,751 | $39,283 |
| Holy Cross Hospital | 41 | $3,453 | About average | $2,751 | $36,350 |
| Lakeland Regional Medical Center | 32 | $3,453 | About average | $2,751 | $35,445 |
| Marion Communtiy Hospital | 24 | $3,453 | About average | $2,751 | $78,981 |
| Memorial Hospital West | 14 | $3,453 | About average | $2,751 | $41,325 |
| Orlando Health-Health Central Hospital | 18 | $3,453 | About average | $2,751 | $50,341 |
| Oviedo Medical Center | 13 | $3,453 | About average | $2,751 | $82,307 |
| Sacred Heart Hospital | 23 | $3,453 | About average | $2,751 | $28,725 |
| Sarasota Memorial Hospital | 190 | $3,453 | About average | $2,751 | $28,677 |
| Sarasota Memorial Hospital - Venice | 44 | $3,453 | About average | $2,751 | $35,267 |
| Shands Jacksonville | 17 | $3,453 | About average | $2,751 | $36,892 |
| South Miami Hospital | 15 | $3,453 | About average | $2,751 | $40,525 |
| St Anthonys Hospital | 37 | $3,453 | About average | $2,751 | $21,631 |
| The Villages Regional Hospital | 28 | $3,453 | About average | $2,751 | $19,836 |
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.