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 901–950. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Valley View Hospital Association | 11 | $3,886 | About average | $3,096 | $33,759 |
| Evergreenhealth Medical Center | 42 | $3,893 | About average | $3,102 | $13,608 |
| Providence Regional Medical Center Everett | 41 | $3,893 | About average | $3,102 | $19,764 |
| St Francis Community Hospital | 12 | $3,893 | About average | $3,102 | $71,215 |
| Swedish Issaquah | 25 | $3,893 | About average | $3,102 | $23,861 |
| Valley Medical Center | 22 | $3,893 | About average | $3,102 | $22,031 |
| Mayo Clinic Hospital Rochester | 193 | $3,894 | About average | $3,096 | $25,645 |
| George Washington University Hospital | 40 | $3,900 | About average | $3,107 | $53,836 |
| Sibley Memorial Hospital | 99 | $3,900 | About average | $3,106 | $22,818 |
| MedStar Washington Hospital Center | 54 | $3,900 | About average | $3,104 | $32,697 |
| PeaceHealth Southwest Medical Cente | 33 | $3,903 | About average | $3,090 | $28,840 |
| Robert Wood Johnson University Hospital - Somerset | 37 | $3,905 | About average | $3,091 | $27,350 |
| Mayo Clinic Health System - Mankato | 42 | $3,907 | About average | $3,113 | $12,092 |
| St Charles Medical Center - Bend | 87 | $3,917 | About average | $3,098 | $16,388 |
| Our Lady Of Lourdes Memorial Hospital, Inc | 27 | $3,922 | About average | $3,101 | $22,974 |
| St Joseph's Hospital Health Center | 54 | $3,922 | About average | $3,101 | $10,465 |
| Hackensack Meridian Mountainside Medical | 19 | $3,923 | About average | $3,086 | $14,624 |
| St Joseph Medical Center | 33 | $3,927 | About average | $3,129 | $56,929 |
| Capital Medical Center | 20 | $3,927 | About average | $3,129 | $34,910 |
| Tacoma General Allenmore Hospital | 73 | $3,927 | About average | $3,129 | $31,932 |
| St Anthony Hospital | 23 | $3,927 | About average | $3,127 | $48,537 |
| University Hospital S U N Y Health Science Center | 29 | $3,930 | About average | $3,109 | $27,755 |
| Providence Alaska Medical Center | 50 | $3,934 | About average | $3,135 | $25,662 |
| Baystate Franklin Medical Center | 21 | $3,938 | About average | $3,106 | $13,542 |
| Cooper University Hospital | 153 | $3,938 | About average | $3,134 | $22,275 |
| Yavapai Regional Medical Center | 71 | $3,953 | About average | $3,149 | $21,320 |
| Good Samaritan Regional Medical Center | 40 | $3,957 | About average | $3,153 | $16,113 |
| Saratoga Hospital | 39 | $3,959 | About average | $3,136 | $19,390 |
| Sacred Heart Medical Center - Riverbend | 15 | $3,965 | About average | $3,159 | $26,159 |
| Putnam Hospital Center | 26 | $3,965 | About average | $3,084 | $28,401 |
| Albany Medical Center Hospital | 47 | $3,973 | About average | $3,151 | $16,831 |
| Riverview Medical Center | 95 | $3,975 | About average | $3,148 | $16,174 |
| Winchester Hospital | 62 | $3,975 | About average | $3,156 | $10,381 |
| MelroseWakefield Healthcare | 28 | $3,977 | About average | $3,145 | $17,083 |
| Flagstaff Medical Center | 18 | $3,981 | About average | $3,172 | $14,641 |
| Yuma Regional Medical Center | 48 | $3,981 | About average | $3,172 | $26,648 |
| University Medical Center Of Princeton At Plainsboro | 59 | $3,989 | About average | $3,167 | $30,656 |
| AtlantiCare Regional Medical Center - City Campus | 24 | $3,991 | About average | $3,179 | $34,039 |
| Capital Health Medical Center - Hopewell | 24 | $3,991 | About average | $3,179 | $81,902 |
| Inspira Medical Center Vineland | 34 | $3,991 | About average | $3,179 | $25,713 |
| Community Medical Center | 38 | $3,991 | About average | $3,179 | $14,950 |
| Hunterdon Medical Center | 21 | $3,991 | About average | $3,179 | $19,730 |
| Inspira Medical Center Mullica Hill | 19 | $3,991 | About average | $3,179 | $28,740 |
| Jefferson Stratford Hospital | 49 | $3,991 | About average | $3,179 | $26,439 |
| Newton Medical Center | 11 | $3,991 | About average | $3,179 | $46,841 |
| Ocean Medical Center | 65 | $3,991 | About average | $3,179 | $17,645 |
| Robert Wood Johnson University Hospital At Hamilton | 13 | $3,991 | About average | $3,179 | $30,303 |
| West Jersey Hospital | 21 | $3,991 | About average | $3,179 | $35,339 |
| Adventist Health Portland | 16 | $4,000 | About average | $3,187 | $38,627 |
| Legacy Good Samaritan Medical Center | 42 | $4,000 | About average | $3,187 | $17,003 |
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.