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Outpatient procedure · APC 5091 · Surgery or procedure

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
$2,93079% of the payment
Average billed charge
$27,785
Hospitals reporting
1,18446,352 procedures

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.

Location
Specific hospitals up to 10

1,176 hospitals reported at least 11 Medicare procedures for this in 2024; showing 551–600. Download as CSV

Medicare payments per case for Level 1 Breast/Lymphatic Surgery and Related Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
UF Health Leesburg HospitalLeesburg, FL · CCN 10008431$3,453About average$2,751$22,962
UF Health Shands HospitalGainesville, FL · CCN 10011347$3,453About average$2,751$36,221
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044107$3,453About average$2,751$32,835
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088137$3,453About average$2,751$37,610
HCA Florida West HospitalPensacola, FL · CCN 10023123$3,453About average$2,750$89,824
HCA Florida North Florida HospitalGainesville, FL · CCN 10020441$3,453About average$2,749$97,397
Naples Community HospitalNaples, FL · CCN 10001876$3,453About average$2,748$39,152
Jupiter Medical CenterJupiter, FL · CCN 100253153$3,453About average$2,748$17,712
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 10032121$3,453About average$2,742$40,097
Cape Canaveral HospitalCocoa Beach, FL · CCN 10017716$3,453About average$2,739$38,456
Manatee Memorial HospitalBradenton, FL · CCN 10003513$3,453About average$2,736$58,709
Tallahassee Memorial HealthcareTallahassee, FL · CCN 10013527$3,453About average$2,724$30,178
Riverside Medical CenterKankakee, IL · CCN 14018622$3,455About average$2,725$30,261
UNC HospitalsChapel Hill, NC · CCN 340061133$3,460About average$2,752$17,158
Mainehealth Maine Medical CenterPortland, ME · CCN 20000971$3,461About average$2,733$17,497
West Allis Memorial HospitalWest Allis, WI · CCN 52013912$3,461About average$2,755$26,952
Dupont Hospital LLCFort Wayne, IN · CCN 15015016$3,461About average$2,757$52,842
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111166$3,465About average$2,761$58,046
Piedmont Hospital, IncAtlanta, GA · CCN 11008375$3,472About average$2,758$39,666
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 52003514$3,472About average$2,767$19,935
Community Memorial HospitalMenomonee Falls, WI · CCN 52010319$3,472About average$2,767$24,289
Mercy Health System CorpJanesville, WI · CCN 52006614$3,472About average$2,767$23,381
St Josephs Community Hospital West BendWest Bend, WI · CCN 52006311$3,472About average$2,767$23,300
Waukesha Memorial HospitalWaukesha, WI · CCN 52000832$3,472About average$2,767$28,090
Indiana University HealthIndianapolis, IN · CCN 15005637$3,473About average$2,767$32,590
Southern Ohio Medical CenterPortsmouth, OH · CCN 36000812$3,474About average$2,765$26,149
St Luke's Hospital - Anderson CampusEaston, PA · CCN 39032640$3,474About average$2,768$53,161
North Carolina Baptist HospitalWinston-Salem, NC · CCN 34004739$3,475About average$2,763$37,918
Atrium Health Floyd Medical CenterRome, GA · CCN 11005432$3,475About average$2,769$39,606
Aurora Medical Center - SummitSummit, WI · CCN 52020613$3,475About average$2,769$18,329
MercyOne Dubuque Medical CenterDubuque, IA · CCN 16006926$3,476About average$2,765$19,447
Penn State Health St. JosephReading, PA · CCN 39009621$3,476About average$2,769$47,855
Wellspan Ephrata Community HospitalEphrata, PA · CCN 39022532$3,476About average$2,769$22,997
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 11003546$3,476About average$2,757$36,247
Northside HospitalAtlanta, GA · CCN 110161151$3,477About average$2,766$29,425
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009136$3,481About average$2,770$23,032
Trinity Health Livingston HospitalHowell, MI · CCN 23006917$3,481About average$2,774$22,707
Reading HospitalWest Reading, PA · CCN 39004424$3,483About average$2,775$23,580
Salina Regional Health CenterSalina, KS · CCN 17001211$3,485About average$2,777$17,132
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 17002012$3,485About average$2,765$24,898
Saint Francis Medical CenterCape Girardeau, MO · CCN 26018329$3,487About average$2,778$21,224
Mercy Health - Lourdes HospitalPaducah, KY · CCN 18010225$3,488About average$2,766$22,636
Memorial Hermann Hospital SystemHouston, TX · CCN 45018463$3,490About average$2,771$30,252
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 43001672$3,495About average$2,768$25,786
Beaufort County Memorial HospitalBeaufort, SC · CCN 42006724$3,497About average$2,786$14,207
Cookeville Regional Medical CenterCookeville, TN · CCN 44005919$3,497About average$2,786$13,029
Vanderbilt Clarksville HospitalClarksville, TN · CCN 44003512$3,497About average$2,786$31,790
Inova Alexandria HospitalAlexandria, VA · CCN 49004037$3,497About average$2,771$20,369
Bon Secours St Marys HospitalRichmond, VA · CCN 49005960$3,500About average$2,784$21,544
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 04002630$3,501About average$2,790$21,031

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 42,760 procedures at 1,278 hospitals · 2021: 45,301 procedures at 1,261 hospitals · 2022: 44,625 procedures at 1,226 hospitals · 2023: 45,351 procedures at 1,191 hospitals · 2024: 46,352 procedures at 1,184 hospitals
View data as a table
National average payment and billed charge for Level 1 Breast/Lymphatic Surgery and Related Procedures
Year of careAverage paymentAverage 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
Average payment by state for Level 1 Breast/Lymphatic Surgery and Related Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont4115$1,751$1,218–$2,043
Alabama22584$3,114$3,044–$3,182
Louisiana18431$3,169$3,101–$3,229
Mississippi16435$3,173$3,113–$3,191
Tennessee23894$3,183$3,144–$3,284
West Virginia11320$3,207$3,102–$3,230
Arkansas13346$3,247$3,119–$3,267
Ohio511,821$3,250$3,243–$3,337
South Carolina281,263$3,257$3,185–$3,289
Oklahoma14500$3,261$3,228–$3,284
Kentucky17677$3,266$3,247–$3,301
Missouri301,011$3,289$3,206–$3,392
Kansas13417$3,311$3,315–$3,329
Iowa13411$3,338$3,273–$3,435
Georgia371,276$3,368$3,266–$3,537
Michigan381,316$3,370$3,321–$3,404
Florida703,443$3,379$3,442–$3,453
North Carolina341,510$3,383$3,317–$3,430
Virginia361,673$3,395$3,248–$3,506
Texas722,262$3,405$3,318–$3,441
Utah8301$3,416$3,339–$3,475
New Mexico8199$3,419$3,303–$3,431
Nebraska10365$3,425$3,435–$3,451
Maine6222$3,457$3,432–$3,581
Indiana30805$3,463$3,407–$3,517
Pennsylvania672,424$3,508$3,405–$3,677
Wisconsin26687$3,529$3,464–$3,585
Idaho8191$3,536$3,430–$3,674
South Dakota7246$3,563$3,539–$3,701
Illinois531,955$3,603$3,523–$3,622
North Dakota5213$3,615$3,574–$3,827
Colorado23558$3,624$3,629–$3,629
Montana8259$3,630$3,574–$3,745
Arizona241,201$3,717$3,682–$3,717
Wyoming575$3,731$3,753–$3,827
Minnesota16709$3,743$3,644–$3,800
New Hampshire10352$3,744$3,655–$3,776
Delaware4330$3,811$3,817–$3,827
Rhode Island6190$3,843$3,868–$3,868
District of Columbia4254$3,864$3,863–$3,900
Washington291,036$3,892$3,826–$3,927
Alaska382$3,957$3,822–$4,074
Nevada9269$3,997$3,805–$4,082
Oregon17526$4,027$3,917–$4,165
New Jersey361,473$4,070$3,986–$4,143
Massachusetts382,257$4,080$4,085–$4,094
New York583,824$4,207$4,041–$4,295
Connecticut17601$4,260$4,252–$4,293
Hawaii5147$4,353$4,320–$4,384
California843,896$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.