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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 601–650. 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
Robert Packer HospitalSayre, PA · CCN 39007920$3,501About average$2,790$22,774
Hays Medical CenterHays, KS · CCN 17001321$3,502About average$2,791$12,428
Sanford USDMedical CenterSioux Falls, SD · CCN 43002777$3,504About average$2,792$19,645
Self Regional HealthcareGreenwood, SC · CCN 42007120$3,505About average$2,792$17,859
Inova Fairfax HospitalFalls Church, VA · CCN 490063165$3,505About average$2,778$21,023
Banner North Colorado Medical CenterGreeley, CO · CCN 06000116$3,506About average$2,794$27,735
Inova Loudoun HospitalLeesburg, VA · CCN 49004342$3,507About average$2,780$16,489
Columbus Regional HospitalColumbus, IN · CCN 15011219$3,507About average$2,784$15,604
Wellspan York HospitalYork, PA · CCN 39004636$3,508About average$2,777$17,446
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 06000925$3,513About average$2,775$28,371
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002173$3,514About average$2,800$24,367
Riverside Shore Memorial HospitalOnancock, VA · CCN 49003713$3,514About average$2,798$16,485
Stillwater Medical CenterStillwater, OK · CCN 37004912$3,517About average$2,802$19,870
Regional West Medical CenterScottsbluff, NE · CCN 28006120$3,517About average$2,802$34,221
Goshen HospitalGoshen, IN · CCN 15002640$3,520About average$2,804$19,450
Parkview Regional Medical CenterFort Wayne, IN · CCN 15002173$3,520About average$2,803$41,864
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 15001243$3,520About average$2,802$18,136
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 16005715$3,520About average$2,805$17,288
Carle Foundation HospitalUrbana, IL · CCN 14009128$3,523About average$2,807$24,050
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 14016432$3,523About average$2,807$53,221
Saint Francis Medical CenterPeoria, IL · CCN 14006728$3,523About average$2,807$47,472
Carle Bromenn Medical CenterNormal, IL · CCN 14012727$3,523About average$2,807$11,613
Genesis Medical CenterSilvis, IL · CCN 14027513$3,523About average$2,807$9,055
St Joseph Medical CenterBloomington, IL · CCN 14016218$3,523About average$2,807$23,179
Trinity Rock IslandRock Island, IL · CCN 14028014$3,523About average$2,807$17,693
Carle Health Methodist HospitalPeoria, IL · CCN 14020944$3,523About average$2,804$37,184
CGH Medical CenterSterling, IL · CCN 14004318$3,523About average$2,804$23,499
Memorial Medical CenterSpringfield, IL · CCN 14014834$3,523About average$2,803$23,594
Decatur Memorial HospitalDecatur, IL · CCN 14013541$3,523About average$2,793$19,857
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 23015651$3,526About average$2,809$23,188
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 34014185$3,526About average$2,810$16,811
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 18009312$3,527About average$2,810$33,944
Owensboro Health Regional HospitalOwensboro, KY · CCN 18003822$3,527About average$2,810$21,612
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098106$3,532About average$2,807$26,052
Grand Island Regional Medical CenterGrand Island, NE · CCN 28013930$3,532About average$2,814$14,323
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 39017464$3,533About average$2,815$31,173
HCA Houston Healthcare Clear LakeWebster, TX · CCN 45061720$3,534About average$2,816$76,870
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 45082036$3,534About average$2,816$45,043
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 67012220$3,534About average$2,816$45,704
Houston Methodist West HospitalHouston, TX · CCN 67007721$3,534About average$2,816$37,717
Houston Methodist Willowbrook HospitalHouston, TX · CCN 45084420$3,534About average$2,816$52,421
Memorial Hermann Memorial City HospitalHouston, TX · CCN 45061018$3,534About average$2,816$36,810
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 45084813$3,534About average$2,816$35,582
Inova Fair Oaks HospitalFairfax, VA · CCN 49010173$3,535About average$2,809$14,963
Catholic Medical CenterManchester, NH · CCN 30003416$3,537About average$2,780$24,111
Cheyenne Regional Medical CenterCheyenne, WY · CCN 53001421$3,537About average$2,759$24,639
Emory University Hospital MidtownAtlanta, GA · CCN 11007817$3,537About average$2,818$24,237
Northside Hospital CherokeeCanton, GA · CCN 11000846$3,537About average$2,818$27,942
Northside Hospital DuluthDuluth, GA · CCN 11025216$3,537About average$2,818$22,900
Northside Hospital GwinnettLawrenceville, GA · CCN 11008712$3,537About average$2,818$24,896

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.