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 601–650. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Robert Packer Hospital | 20 | $3,501 | About average | $2,790 | $22,774 |
| Hays Medical Center | 21 | $3,502 | About average | $2,791 | $12,428 |
| Sanford USDMedical Center | 77 | $3,504 | About average | $2,792 | $19,645 |
| Self Regional Healthcare | 20 | $3,505 | About average | $2,792 | $17,859 |
| Inova Fairfax Hospital | 165 | $3,505 | About average | $2,778 | $21,023 |
| Banner North Colorado Medical Center | 16 | $3,506 | About average | $2,794 | $27,735 |
| Inova Loudoun Hospital | 42 | $3,507 | About average | $2,780 | $16,489 |
| Columbus Regional Hospital | 19 | $3,507 | About average | $2,784 | $15,604 |
| Wellspan York Hospital | 36 | $3,508 | About average | $2,777 | $17,446 |
| Intermountain Health Lutheran Hospital | 25 | $3,513 | About average | $2,775 | $28,371 |
| Centra Health - Lynchburg Gen Hospital | 73 | $3,514 | About average | $2,800 | $24,367 |
| Riverside Shore Memorial Hospital | 13 | $3,514 | About average | $2,798 | $16,485 |
| Stillwater Medical Center | 12 | $3,517 | About average | $2,802 | $19,870 |
| Regional West Medical Center | 20 | $3,517 | About average | $2,802 | $34,221 |
| Goshen Hospital | 40 | $3,520 | About average | $2,804 | $19,450 |
| Parkview Regional Medical Center | 73 | $3,520 | About average | $2,803 | $41,864 |
| Saint Joseph Regional Medical Center | 43 | $3,520 | About average | $2,802 | $18,136 |
| Southeast Iowa Regional Medical Center | 15 | $3,520 | About average | $2,805 | $17,288 |
| Carle Foundation Hospital | 28 | $3,523 | About average | $2,807 | $24,050 |
| Memorial Hospital Of Carbondale | 32 | $3,523 | About average | $2,807 | $53,221 |
| Saint Francis Medical Center | 28 | $3,523 | About average | $2,807 | $47,472 |
| Carle Bromenn Medical Center | 27 | $3,523 | About average | $2,807 | $11,613 |
| Genesis Medical Center | 13 | $3,523 | About average | $2,807 | $9,055 |
| St Joseph Medical Center | 18 | $3,523 | About average | $2,807 | $23,179 |
| Trinity Rock Island | 14 | $3,523 | About average | $2,807 | $17,693 |
| Carle Health Methodist Hospital | 44 | $3,523 | About average | $2,804 | $37,184 |
| CGH Medical Center | 18 | $3,523 | About average | $2,804 | $23,499 |
| Memorial Medical Center | 34 | $3,523 | About average | $2,803 | $23,594 |
| Decatur Memorial Hospital | 41 | $3,523 | About average | $2,793 | $19,857 |
| Trinity Health Ann Arbor Hospital | 51 | $3,526 | About average | $2,809 | $23,188 |
| Novant Health New Hanover Regional Medical Center | 85 | $3,526 | About average | $2,810 | $16,811 |
| Baptist Health Deaconess Madisonville | 12 | $3,527 | About average | $2,810 | $33,944 |
| Owensboro Health Regional Hospital | 22 | $3,527 | About average | $2,810 | $21,612 |
| University Of Wisconsin Hospitals & Clinics Authority | 106 | $3,532 | About average | $2,807 | $26,052 |
| Grand Island Regional Medical Center | 30 | $3,532 | About average | $2,814 | $14,323 |
| Thomas Jefferson University Hospital | 64 | $3,533 | About average | $2,815 | $31,173 |
| HCA Houston Healthcare Clear Lake | 20 | $3,534 | About average | $2,816 | $76,870 |
| Houston Methodist Sugarland Hospital | 36 | $3,534 | About average | $2,816 | $45,043 |
| Houston Methodist The Woodlands Hospital | 20 | $3,534 | About average | $2,816 | $45,704 |
| Houston Methodist West Hospital | 21 | $3,534 | About average | $2,816 | $37,717 |
| Houston Methodist Willowbrook Hospital | 20 | $3,534 | About average | $2,816 | $52,421 |
| Memorial Hermann Memorial City Hospital | 18 | $3,534 | About average | $2,816 | $36,810 |
| Memorial Hermann Sugar Land Hospital | 13 | $3,534 | About average | $2,816 | $35,582 |
| Inova Fair Oaks Hospital | 73 | $3,535 | About average | $2,809 | $14,963 |
| Catholic Medical Center | 16 | $3,537 | About average | $2,780 | $24,111 |
| Cheyenne Regional Medical Center | 21 | $3,537 | About average | $2,759 | $24,639 |
| Emory University Hospital Midtown | 17 | $3,537 | About average | $2,818 | $24,237 |
| Northside Hospital Cherokee | 46 | $3,537 | About average | $2,818 | $27,942 |
| Northside Hospital Duluth | 16 | $3,537 | About average | $2,818 | $22,900 |
| Northside Hospital Gwinnett | 12 | $3,537 | About 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
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.