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Outpatient procedure · APC 5091 · Surgery or procedure

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
$2,93079% of the payment
Average billed charge
$27,785
Hospitals reporting
1,18446,352 procedures

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.

Location
Specific hospitals up to 10

1,176 hospitals reported at least 11 Medicare procedures for this in 2024; showing 851–900. Download as CSV

Medicare payments per case for Level 1 Breast/Lymphatic Surgery and Related Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Blessing HospitalQuincy, IL · CCN 14001516$3,773About average$3,005$34,053
Mountainview HospitalLas Vegas, NV · CCN 29003920$3,784About average$2,954$58,113
Providence Newberg Medical CenterNewberg, OR · CCN 38003715$3,787About average$2,974$15,535
St Mary Medical CenterLanghorne, PA · CCN 39025818$3,788About average$3,018$27,668
Parkland Medical CenterDerry, NH · CCN 30001720$3,794About average$3,023$58,304
Portsmouth Regional HospitalPortsmouth, NH · CCN 30002926$3,794About average$3,023$33,252
Christiana HospitalNewark, DE · CCN 080001177$3,796About average$3,019$13,544
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 50005480$3,798About average$3,020$20,774
Sanford Bemidji Medical CenterBemidji, MN · CCN 24010033$3,800About average$3,027$7,261
Grand Itasca Clinic And HospitalGrand Rapids, MN · CCN 24006418$3,800About average$3,024$13,724
Wellspan Chambersburg HospitalChambersburg, PA · CCN 39015113$3,803About average$3,030$23,240
Shore Medical CenterSomers Point, NJ · CCN 31004717$3,803About average$2,992$29,603
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 50005135$3,804About average$3,013$30,958
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 29004523$3,805About average$2,975$43,959
Beebe Medical CenterLewes, DE · CCN 08000787$3,824About average$3,045$25,849
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 08000611$3,825About average$3,036$10,309
Deaconess Medical CenterSpokane, WA · CCN 50004422$3,826About average$3,048$21,032
Kadlec Regional Medical CenterRichland, WA · CCN 50005826$3,826About average$3,048$20,360
Multicare Valley HospitalSpokane Valley, WA · CCN 50011912$3,826About average$3,048$17,365
Providence Holy Family HospitalSpokane, WA · CCN 50007725$3,826About average$3,048$26,467
University Of Washington Medical CenterSeattle, WA · CCN 500008150$3,826About average$3,047$20,740
Altru HospitalGrand Forks, ND · CCN 35001923$3,827About average$3,049$9,223
Banner Wyoming Medical CenterCasper, WY · CCN 53001213$3,827About average$3,049$22,428
Bozeman Health Deaconess HospitalBozeman, MT · CCN 27005726$3,827About average$3,049$17,481
Memorial Hospital Sweetwater CountyRock Springs, WY · CCN 53001111$3,827About average$3,049$11,809
Prairie Lakes Healthcare System, IncWatertown, SD · CCN 43000512$3,827About average$3,049$10,323
St Johns Medical CenterJackson, WY · CCN 53001515$3,827About average$3,049$17,693
Trinity HospitalsMinot, ND · CCN 35000612$3,827About average$3,049$18,964
Monument Health Rapid City HospitalRapid City, SD · CCN 43007721$3,827About average$3,049$19,460
Bayhealth Medical Center, Kent CampusDover, DE · CCN 08000455$3,834About average$3,055$22,618
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 39022318$3,840About average$3,060$57,070
Pennsylvania HospitalPhiladelphia, PA · CCN 390226116$3,840About average$3,060$29,575
Mount Nittany Medical CenterState College, PA · CCN 39026813$3,846About average$3,065$29,509
Island HospitalAnacortes, WA · CCN 50000714$3,854About average$3,071$18,681
Providence St Peter HospitalOlympia, WA · CCN 50002443$3,854About average$3,071$21,262
Skagit Valley HospitalMount Vernon, WA · CCN 50000321$3,854About average$3,071$21,820
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 32000218$3,860About average$3,075$31,346
Providence St Vincent Medical CenterPortland, OR · CCN 38000423$3,861About average$3,048$15,660
Rhode Island HospitalProvidence, RI · CCN 41000782$3,868About average$3,082$13,662
The Miriam HospitalProvidence, RI · CCN 41001222$3,868About average$3,082$10,649
Women & Infants Hospital Of Rhode IslandProvidence, RI · CCN 41001038$3,868About average$3,082$12,684
Newport HospitalNewport, RI · CCN 41000616$3,868About average$3,082$9,634
Westerly HospitalWesterly, RI · CCN 41001313$3,868About average$3,082$17,101
Virtua Mount Holly HospitalMount Holly, NJ · CCN 31005726$3,871About average$3,050$40,712
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 24003632$3,873About average$3,086$18,380
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003125$3,874About average$3,087$24,181
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 50015026$3,877About average$3,064$18,160
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 50003015$3,880About average$3,047$30,593
Mercy Regional Medical CenterDurango, CO · CCN 06001325$3,886About average$3,096$31,353
Vail Health HospitalVail, CO · CCN 06009614$3,886About average$3,096$26,442

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

  • Average payment
  • Average billed charge
2020: 42,760 procedures at 1,278 hospitals · 2021: 45,301 procedures at 1,261 hospitals · 2022: 44,625 procedures at 1,226 hospitals · 2023: 45,351 procedures at 1,191 hospitals · 2024: 46,352 procedures at 1,184 hospitals
View data as a table
National average payment and billed charge for Level 1 Breast/Lymphatic Surgery and Related Procedures
Year of careAverage paymentAverage 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
Average payment by state for Level 1 Breast/Lymphatic Surgery and Related Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont4115$1,751$1,218–$2,043
Alabama22584$3,114$3,044–$3,182
Louisiana18431$3,169$3,101–$3,229
Mississippi16435$3,173$3,113–$3,191
Tennessee23894$3,183$3,144–$3,284
West Virginia11320$3,207$3,102–$3,230
Arkansas13346$3,247$3,119–$3,267
Ohio511,821$3,250$3,243–$3,337
South Carolina281,263$3,257$3,185–$3,289
Oklahoma14500$3,261$3,228–$3,284
Kentucky17677$3,266$3,247–$3,301
Missouri301,011$3,289$3,206–$3,392
Kansas13417$3,311$3,315–$3,329
Iowa13411$3,338$3,273–$3,435
Georgia371,276$3,368$3,266–$3,537
Michigan381,316$3,370$3,321–$3,404
Florida703,443$3,379$3,442–$3,453
North Carolina341,510$3,383$3,317–$3,430
Virginia361,673$3,395$3,248–$3,506
Texas722,262$3,405$3,318–$3,441
Utah8301$3,416$3,339–$3,475
New Mexico8199$3,419$3,303–$3,431
Nebraska10365$3,425$3,435–$3,451
Maine6222$3,457$3,432–$3,581
Indiana30805$3,463$3,407–$3,517
Pennsylvania672,424$3,508$3,405–$3,677
Wisconsin26687$3,529$3,464–$3,585
Idaho8191$3,536$3,430–$3,674
South Dakota7246$3,563$3,539–$3,701
Illinois531,955$3,603$3,523–$3,622
North Dakota5213$3,615$3,574–$3,827
Colorado23558$3,624$3,629–$3,629
Montana8259$3,630$3,574–$3,745
Arizona241,201$3,717$3,682–$3,717
Wyoming575$3,731$3,753–$3,827
Minnesota16709$3,743$3,644–$3,800
New Hampshire10352$3,744$3,655–$3,776
Delaware4330$3,811$3,817–$3,827
Rhode Island6190$3,843$3,868–$3,868
District of Columbia4254$3,864$3,863–$3,900
Washington291,036$3,892$3,826–$3,927
Alaska382$3,957$3,822–$4,074
Nevada9269$3,997$3,805–$4,082
Oregon17526$4,027$3,917–$4,165
New Jersey361,473$4,070$3,986–$4,143
Massachusetts382,257$4,080$4,085–$4,094
New York583,824$4,207$4,041–$4,295
Connecticut17601$4,260$4,252–$4,293
Hawaii5147$4,353$4,320–$4,384
California843,896$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.