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 751–800. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Kootenai Health | 24 | $3,623 | About average | $2,875 | $16,613 |
| AdventHealth Avista | 11 | $3,629 | About average | $2,891 | $24,626 |
| AdventHealth Parker | 13 | $3,629 | About average | $2,891 | $27,140 |
| Banner North Co Medical Center - Loveland Campus | 14 | $3,629 | About average | $2,891 | $22,210 |
| Boulder Community Health | 14 | $3,629 | About average | $2,891 | $48,700 |
| Centura Health-St Anthony Hospital | 20 | $3,629 | About average | $2,891 | $22,922 |
| Community Hospital | 19 | $3,629 | About average | $2,891 | $27,383 |
| HCA Healthone Rose | 17 | $3,629 | About average | $2,891 | $60,434 |
| Medical Center Of The Rockies | 24 | $3,629 | About average | $2,891 | $27,292 |
| Parkview Medical Center, Inc | 18 | $3,629 | About average | $2,891 | $53,124 |
| Poudre Valley Hospital | 26 | $3,629 | About average | $2,891 | $30,361 |
| Saint Joseph Hospital | 11 | $3,629 | About average | $2,891 | $27,326 |
| St Mary-Corwin Hospital | 12 | $3,629 | About average | $2,891 | $27,985 |
| Swedish Medical Center | 17 | $3,629 | About average | $2,891 | $60,702 |
| University Of Colorado Hospital Authority | 77 | $3,629 | About average | $2,891 | $31,660 |
| United Hospital Center, Inc | 29 | $3,632 | About average | $2,894 | $14,697 |
| Phelps County Regional Medical Center | 12 | $3,633 | About average | $2,895 | $37,932 |
| Reid Health | 13 | $3,639 | About average | $2,899 | $22,545 |
| UCHealth Greeley Hospital | 20 | $3,643 | About average | $2,902 | $23,140 |
| Allina United Hospital | 38 | $3,644 | About average | $2,903 | $16,862 |
| Lakeview Memorial Hospital | 15 | $3,644 | About average | $2,903 | $10,027 |
| Mercy Hospital | 37 | $3,644 | About average | $2,903 | $15,840 |
| Regions Hospital | 25 | $3,644 | About average | $2,903 | $12,469 |
| Park Nicollet Methodist Hospital | 56 | $3,644 | About average | $2,901 | $18,723 |
| Abbott Northwestern Hospital | 85 | $3,644 | About average | $2,901 | $18,334 |
| M Health Fairview Southdale Hospital | 22 | $3,644 | About average | $2,894 | $15,546 |
| Conemaugh Memorial Medical Center | 16 | $3,646 | About average | $2,905 | $19,440 |
| Indiana Regional Medical Center | 15 | $3,652 | About average | $2,910 | $24,033 |
| Marshfield Medical Center | 16 | $3,653 | About average | $2,910 | $15,104 |
| Cheshire Medical Center | 15 | $3,655 | About average | $2,912 | $20,257 |
| Exeter Hospital Inc | 24 | $3,655 | About average | $2,912 | $22,805 |
| Wentworth-Douglass Hospital | 41 | $3,655 | About average | $2,911 | $24,661 |
| Mayo Clinic Health System - Albert Lea And Austin | 16 | $3,656 | About average | $2,874 | $8,901 |
| Intermountain Health Cedar City Hospital | 12 | $3,657 | About average | $2,914 | $13,564 |
| St. George Regional Hospital | 48 | $3,657 | About average | $2,914 | $15,384 |
| Crozer Chester Medical Center | 31 | $3,663 | About average | $2,905 | $43,334 |
| Rush University Medical Center | 84 | $3,672 | About average | $2,919 | $22,863 |
| Portneuf Medical Center | 17 | $3,674 | About average | $2,927 | $33,981 |
| St Joseph Regional Medical Center | 14 | $3,674 | About average | $2,927 | $29,950 |
| St Lukes Magic Valley Medical Center | 13 | $3,674 | About average | $2,927 | $16,551 |
| Banner Gateway Medical Center | 129 | $3,677 | About average | $2,921 | $28,298 |
| Clara Maass Medical Center | 15 | $3,677 | About average | $2,845 | $19,185 |
| Doylestown Hospital | 11 | $3,677 | About average | $2,930 | $27,011 |
| Main Line Hospital Lankenau | 45 | $3,677 | About average | $2,930 | $20,496 |
| Paoli Hospital | 44 | $3,677 | About average | $2,930 | $18,795 |
| Chester County Hospital | 49 | $3,677 | About average | $2,929 | $24,384 |
| St Luke's Hospital - Grand View Campus | 23 | $3,677 | About average | $2,927 | $21,171 |
| Bryn Mawr Hospital | 60 | $3,677 | About average | $2,922 | $18,756 |
| HonorHealth Scottsdale Shea Medical Center | 146 | $3,680 | About average | $2,924 | $46,434 |
| Banner Del E. Webb Medical Center | 70 | $3,683 | About average | $2,926 | $24,651 |
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.