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 801–850. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mayo Clinic Hospital | 170 | $3,683 | About average | $2,927 | $19,717 |
| Saint Alphonsus Regional Medical Center | 29 | $3,689 | About average | $2,940 | $15,330 |
| Winchester Medical Center | 105 | $3,692 | About average | $2,930 | $15,738 |
| Lehigh Valley Hospital | 119 | $3,693 | About average | $2,936 | $25,928 |
| MercyOne North Iowa Medical Center | 23 | $3,695 | About average | $2,944 | $38,104 |
| Virginia Mason Medical Center | 50 | $3,696 | About average | $2,920 | $24,850 |
| Flagler Hospital | 30 | $3,698 | About average | $2,939 | $19,634 |
| Jefferson Health- Northeast | 20 | $3,701 | About average | $2,948 | $18,845 |
| Riddle Memorial Hospital | 35 | $3,703 | About average | $2,951 | $20,581 |
| Temple Health - Chestnut Hill Hospital | 18 | $3,703 | About average | $2,951 | $58,635 |
| Jefferson Einstein Philadelphia Hospital | 46 | $3,703 | About average | $2,950 | $12,223 |
| Elliot Hospital | 25 | $3,705 | About average | $2,948 | $25,941 |
| Alexian Brothers Medical Center 1 | 24 | $3,707 | About average | $2,954 | $22,670 |
| Loyola University Medical Center | 46 | $3,707 | About average | $2,954 | $23,830 |
| Northwestern Medicine Kishwaukee Hospital | 22 | $3,707 | About average | $2,954 | $33,521 |
| Northwestern Memorial Hospital | 169 | $3,707 | About average | $2,954 | $42,823 |
| Saint Anthony Medical Center | 11 | $3,707 | About average | $2,954 | $29,953 |
| St Alexius Medical Center | 20 | $3,707 | About average | $2,954 | $25,649 |
| University Of Illinois Hospital And Clinics | 13 | $3,707 | About average | $2,954 | $25,259 |
| Uw Health | 23 | $3,707 | About average | $2,954 | $47,811 |
| Alaska Regional Hospital | 14 | $3,710 | About average | $2,925 | $54,229 |
| Abrazo Central Campus | 15 | $3,717 | About average | $2,961 | $51,210 |
| Banner Estrella Medical Center | 12 | $3,717 | About average | $2,961 | $26,638 |
| Banner Thunderbird Medical Center | 30 | $3,717 | About average | $2,961 | $23,656 |
| Chandler Regional Medical Center | 56 | $3,717 | About average | $2,961 | $31,465 |
| City Of Hope Cancer Center Phoenix | 28 | $3,717 | About average | $2,961 | $26,497 |
| HonorHealth Deer Valley Medical Center | 23 | $3,717 | About average | $2,961 | $44,976 |
| Kingman Regional Medical Center | 15 | $3,717 | About average | $2,961 | $48,627 |
| Banner - University Medical Center Tucson Campus | 130 | $3,717 | About average | $2,959 | $15,094 |
| Northwest Medical Center | 30 | $3,717 | About average | $2,955 | $44,675 |
| Banner Desert Medical Center | 27 | $3,717 | About average | $2,954 | $29,397 |
| St Josephs Hospital And Medical Center | 14 | $3,717 | About average | $2,954 | $26,898 |
| Banner - University Medical Center Phoenix | 21 | $3,717 | About average | $2,952 | $29,106 |
| St Joseph's Hospital | 21 | $3,717 | About average | $2,952 | $65,421 |
| St Lukes Hospital | 56 | $3,718 | About average | $2,962 | $47,105 |
| Southern NH Medical Center | 24 | $3,722 | About average | $2,966 | $24,986 |
| Copley Memorial Hospital | 20 | $3,724 | About average | $2,967 | $21,845 |
| Northwestern Medicine Delnor Community Hospital | 36 | $3,724 | About average | $2,967 | $31,455 |
| University Medical Center | 26 | $3,731 | About average | $2,892 | $52,859 |
| Logan Health Medical Center | 35 | $3,742 | About average | $2,962 | $16,287 |
| Maine General Medical Center | 13 | $3,742 | About average | $2,982 | $21,851 |
| Sentara RMH Medical Center | 26 | $3,748 | About average | $2,987 | $16,274 |
| MedStar Georgetown University Hospital | 61 | $3,750 | About average | $2,955 | $34,939 |
| Saint Peter's University Hospital | 11 | $3,751 | About average | $2,929 | $36,677 |
| St Peters Health | 23 | $3,753 | About average | $2,990 | $14,952 |
| Sheridan Memorial Hospital | 15 | $3,753 | About average | $2,978 | $15,128 |
| Asante Ashland Community Hospital | 26 | $3,761 | About average | $2,996 | $17,854 |
| Asante Three Rivers Medical Center | 40 | $3,761 | About average | $2,996 | $17,050 |
| John T Mather Memorial Hospital Of Port Jefferson | 42 | $3,773 | About average | $2,907 | $22,986 |
| St Anthonys Memorial Hospital | 14 | $3,773 | About average | $3,006 | $36,075 |
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.