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 651–700. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Piedmont Mountainside Hospital Inc | 14 | $3,537 | About average | $2,818 | $31,624 |
| Piedmont Newnan Hospital, Inc | 12 | $3,537 | About average | $2,818 | $44,421 |
| Piedmont Newton Hospital | 12 | $3,537 | About average | $2,818 | $30,005 |
| Southeastern Regional Medical Center, Inc | 14 | $3,537 | About average | $2,818 | $29,071 |
| Wellstar Cobb Medical Center | 34 | $3,537 | About average | $2,818 | $33,504 |
| Wellstar Paulding Medical Center | 26 | $3,537 | About average | $2,818 | $29,084 |
| Northside Hospital Forsyth | 32 | $3,538 | About average | $2,814 | $26,164 |
| Jackson County Memorial Hospital Authority | 11 | $3,539 | About average | $2,820 | $13,121 |
| Billings Clinic Hospital | 63 | $3,540 | About average | $2,820 | $7,491 |
| Advocate Good Samaritan Hospital | 37 | $3,541 | About average | $2,805 | $21,645 |
| UCH-Memorial Health System | 68 | $3,544 | About average | $2,803 | $26,746 |
| Lancaster General Hospital | 96 | $3,546 | About average | $2,825 | $24,385 |
| NorthShore University HealthSystem - Evanston Hospital | 186 | $3,548 | About average | $2,823 | $16,763 |
| Essentia Health Duluth | 31 | $3,548 | About average | $2,827 | $16,458 |
| Carolina East Medical Center | 27 | $3,553 | About average | $2,830 | $16,266 |
| Onslow Memorial Hospital | 11 | $3,553 | About average | $2,830 | $21,912 |
| Sentara Albemarle Medical Center | 11 | $3,553 | About average | $2,830 | $27,134 |
| Concord Hospital | 36 | $3,555 | About average | $2,816 | $18,417 |
| Munson Medical Center | 18 | $3,556 | About average | $2,834 | $12,002 |
| Carteret General Hospital | 18 | $3,557 | About average | $2,834 | $12,015 |
| Milton S Hershey Medical Center | 60 | $3,558 | About average | $2,833 | $41,724 |
| Mercy Gilbert Medical Center | 14 | $3,558 | About average | $2,803 | $33,985 |
| United Regional Health Care System | 19 | $3,558 | About average | $2,835 | $12,120 |
| SSM Health St Mary's Hospital - Madison | 17 | $3,558 | About average | $2,824 | $17,351 |
| Gundersen Lutheran Medical Center | 67 | $3,559 | About average | $2,836 | $18,850 |
| Elmhurst Memorial Hospital | 49 | $3,560 | About average | $2,818 | $25,424 |
| Centura Health-Penrose St Francis Health Services | 38 | $3,565 | About average | $2,827 | $36,321 |
| Advocate Christ Hospital & Medical Center | 54 | $3,566 | About average | $2,830 | $22,921 |
| UCHealth Highlands Ranch Hospital | 48 | $3,568 | About average | $2,831 | $22,107 |
| Lehigh Valley Hospital - Pocono | 20 | $3,570 | About average | $2,814 | $27,226 |
| Genesis Hospital | 26 | $3,573 | About average | $2,847 | $15,657 |
| Community Medical Center | 28 | $3,574 | About average | $2,847 | $32,860 |
| Intermountain Health St Vincent Regional Hospital | 25 | $3,574 | About average | $2,847 | $15,590 |
| Same Day Surgery Center LLC | 33 | $3,574 | About average | $2,847 | $12,269 |
| Avera St Lukes | 18 | $3,574 | About average | $2,847 | $16,470 |
| Benefis Hospitals Inc | 22 | $3,574 | About average | $2,847 | $15,453 |
| Dunes Surgical Hospital | 13 | $3,574 | About average | $2,847 | $19,297 |
| Essentia Health | 23 | $3,574 | About average | $2,847 | $15,377 |
| Sanford Medical Center Fargo | 82 | $3,574 | About average | $2,844 | $13,726 |
| St. Patrick Hospital | 37 | $3,574 | About average | $2,842 | $15,335 |
| Sanford Medical Center Bismarck | 73 | $3,574 | About average | $2,842 | $9,879 |
| Virginia Hospital Center | 26 | $3,574 | About average | $2,848 | $21,152 |
| Holy Redeemer Hospital And Medical Center | 32 | $3,576 | About average | $2,849 | $13,633 |
| Jefferson Einstein Montgomery Hospital | 46 | $3,576 | About average | $2,846 | $13,002 |
| Phoenixville Hospital | 29 | $3,579 | About average | $2,831 | $30,818 |
| Mymichigan Medical Center Alpena | 17 | $3,579 | About average | $2,852 | $10,969 |
| Mymichigan Medical Center Midland | 27 | $3,579 | About average | $2,852 | $15,337 |
| McLaren Northern Michigan | 21 | $3,579 | About average | $2,852 | $9,340 |
| McLaren Flint | 34 | $3,581 | About average | $2,852 | $18,346 |
| Monmouth Medical Center | 35 | $3,581 | About average | $2,759 | $17,036 |
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.