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 701–750. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Aurora St Lukes Medical Center | 26 | $3,581 | About average | $2,852 | $32,083 |
| York Hospital | 28 | $3,581 | About average | $2,853 | $19,022 |
| Northern Light Mercy Hospital | 18 | $3,581 | About average | $2,853 | $16,219 |
| HonorHealth Scottsdale Osborn Medical Center | 18 | $3,582 | About average | $2,825 | $46,784 |
| Silver Cross Hospital And Medical Centers | 79 | $3,582 | About average | $2,846 | $14,164 |
| Chelsea Hospital | 14 | $3,584 | About average | $2,856 | $23,120 |
| Aurora Medical Center Kenosha | 21 | $3,585 | About average | $2,856 | $29,939 |
| Aurora Memorial Hospital Burlington | 16 | $3,585 | About average | $2,856 | $21,778 |
| Franciscan Health Crown Point | 14 | $3,585 | About average | $2,856 | $16,613 |
| Franciscan Health Munster | 12 | $3,585 | About average | $2,856 | $25,170 |
| Froedtert South Inc. | 12 | $3,585 | About average | $2,856 | $19,164 |
| St Mary Medical Center Inc | 21 | $3,585 | About average | $2,853 | $20,806 |
| Community Hospital | 50 | $3,585 | About average | $2,853 | $21,347 |
| Mosaic Life Care At St Joseph | 30 | $3,586 | About average | $2,857 | $14,413 |
| Ascension Columbia St Marys Hospital Milwaukee | 32 | $3,587 | About average | $2,858 | $27,700 |
| Ascension All Saints Hospital | 12 | $3,587 | About average | $2,858 | $22,293 |
| Froedtert Memorial Lutheran Hospital | 51 | $3,587 | About average | $2,858 | $33,457 |
| Mayo Clinic Health System-Franciscan Medical Center Inc | 46 | $3,591 | About average | $2,860 | $12,388 |
| Tucson Medical Center | 66 | $3,595 | About average | $2,837 | $14,565 |
| Northwestern Lake Forest Hospital | 85 | $3,597 | About average | $2,866 | $31,347 |
| Advocate Condell Medical Center | 11 | $3,597 | About average | $2,866 | $25,868 |
| Advocate Good Shepherd Hospital | 41 | $3,597 | About average | $2,864 | $16,958 |
| Spartanburg Medical Center | 101 | $3,601 | About average | $2,863 | $30,903 |
| Presbyterian Santa Fe Medical Center | 23 | $3,604 | About average | $2,866 | $15,925 |
| Uva Health Haymarket Medical Center | 16 | $3,604 | About average | $2,872 | $23,924 |
| St Luke's Hospital - Monroe Campus | 17 | $3,611 | About average | $2,877 | $46,628 |
| Augusta Health | 40 | $3,611 | About average | $2,862 | $21,998 |
| Wellspan Good Samaritan Hospital | 43 | $3,614 | About average | $2,880 | $17,752 |
| Banner Baywood Medical Center | 29 | $3,615 | About average | $2,859 | $24,563 |
| Kent County Memorial Hospital | 19 | $3,615 | About average | $2,854 | $14,354 |
| Mayo Clinic Health System Eau Claire Hospital | 50 | $3,616 | About average | $2,881 | $13,379 |
| Mayo Clinic Health System In Red Wing | 25 | $3,616 | About average | $2,881 | $8,891 |
| St Lukes Hospital | 41 | $3,616 | About average | $2,880 | $17,836 |
| Advocate Sherman Hospital | 28 | $3,618 | About average | $2,861 | $27,389 |
| Advocate Lutheran General Hospital | 41 | $3,619 | About average | $2,883 | $19,266 |
| Northwest Community Hospital 1 | 44 | $3,619 | About average | $2,883 | $16,749 |
| Northwestern Medicine Central Dupage Hospital | 42 | $3,619 | About average | $2,883 | $36,738 |
| Northwestern Medicine MCHenry | 37 | $3,619 | About average | $2,883 | $33,637 |
| Rush Oak Park Hospital | 41 | $3,619 | About average | $2,883 | $16,167 |
| Advocate Trinity Hospital | 11 | $3,619 | About average | $2,883 | $21,486 |
| Amita Health Resurrection Medical Center | 13 | $3,619 | About average | $2,883 | $33,629 |
| Franciscan Health Olympia & Chicago Heights | 14 | $3,619 | About average | $2,883 | $24,914 |
| John H Stroger Jr Hospital | 12 | $3,619 | About average | $2,883 | $28,636 |
| Palos Community Hospital | 20 | $3,619 | About average | $2,883 | $43,225 |
| Saint Joseph Medical Center | 22 | $3,619 | About average | $2,883 | $22,560 |
| Swedish Hospital | 14 | $3,619 | About average | $2,883 | $22,040 |
| Edward Hospital | 78 | $3,619 | About average | $2,882 | $24,397 |
| Uchicago Medicine AdventHealth Hinsdale | 31 | $3,619 | About average | $2,882 | $23,213 |
| Advocate Illinois Masonic Medical Center | 18 | $3,619 | About average | $2,874 | $26,188 |
| The University Of Chicago Medical Center | 69 | $3,622 | About average | $2,868 | $48,440 |
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.