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 301–350. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mount Carmel St Ann's | 29 | $3,322 | About average | $2,622 | $26,903 |
| Moses H. Cone The Memorial Hospital | 110 | $3,322 | About average | $2,625 | $14,744 |
| Henry Ford Health Hospital | 46 | $3,322 | About average | $2,645 | $14,162 |
| Baylor St Lukes Medical Center | 22 | $3,326 | About average | $2,624 | $31,979 |
| Merit Health Natchez | 28 | $3,328 | About average | $2,631 | $40,965 |
| ProMedica Toledo Hospital | 69 | $3,328 | About average | $2,632 | $30,690 |
| Mount Sinai Medical Center Of Florida, Inc | 17 | $3,329 | About average | $2,620 | $28,166 |
| AdventHealth Shawnee Mission | 25 | $3,329 | About average | $2,652 | $45,767 |
| Saint Luke's East Hospital | 30 | $3,329 | About average | $2,652 | $38,194 |
| Saint Luke's South Hospital | 22 | $3,329 | About average | $2,652 | $23,424 |
| Saint Lukes North Hospital | 14 | $3,329 | About average | $2,652 | $31,541 |
| St Lukes Hospital Of Kansas City | 17 | $3,329 | About average | $2,652 | $30,344 |
| University Of Kansas Health System Olathe Hospital | 12 | $3,329 | About average | $2,652 | $15,522 |
| Menorah Medical Center | 15 | $3,329 | About average | $2,648 | $40,520 |
| Stormont Vail Hospital | 40 | $3,329 | About average | $2,648 | $17,367 |
| University Of Kansas Health System - St Francis Campus | 25 | $3,329 | About average | $2,645 | $20,772 |
| Christian Hospital Northeast | 20 | $3,332 | About average | $2,655 | $23,950 |
| Missouri Baptist Medical Center | 50 | $3,332 | About average | $2,655 | $18,307 |
| SSM Health Saint Louis University Hospital | 25 | $3,332 | About average | $2,655 | $28,504 |
| SSM Health St Mary's Hospital - St Louis | 19 | $3,332 | About average | $2,655 | $17,117 |
| SSM Health DePaul Hospital St Louis | 15 | $3,332 | About average | $2,655 | $16,781 |
| Mercy Hospital St Louis | 82 | $3,335 | About average | $2,637 | $14,447 |
| St Josephs Hospital | 46 | $3,336 | About average | $2,631 | $24,003 |
| Spectrum Health | 86 | $3,336 | About average | $2,658 | $16,967 |
| Adena Regional Medical Center | 16 | $3,337 | About average | $2,658 | $27,156 |
| Miami Valley Hospital | 65 | $3,337 | About average | $2,658 | $29,877 |
| OhioHealth Mansfield Hospital | 18 | $3,337 | About average | $2,658 | $31,663 |
| Marion General Hospital | 16 | $3,337 | About average | $2,647 | $33,110 |
| Bellevue Medical Center | 28 | $3,337 | About average | $2,639 | $13,608 |
| Bronson Battle Creek Hospital | 54 | $3,337 | About average | $2,658 | $8,603 |
| St Mary's Hospital | 41 | $3,340 | About average | $2,634 | $27,748 |
| Dublin Methodist Hospital | 40 | $3,341 | About average | $2,648 | $37,399 |
| Carolinas Medical Center/Behavioral Health | 91 | $3,346 | About average | $2,653 | $33,991 |
| Christus Southeast Texas- St Elizabeth | 15 | $3,347 | About average | $2,628 | $21,203 |
| Riverside Methodist Hospital | 44 | $3,347 | About average | $2,652 | $38,481 |
| Shannon Medical Center | 29 | $3,348 | About average | $2,628 | $16,721 |
| Memorial Hospital | 33 | $3,353 | About average | $2,633 | $20,600 |
| Corewell Health Wayne Hospital | 11 | $3,353 | About average | $2,672 | $27,768 |
| Beaumont Hospital - Grosse Pointe | 16 | $3,354 | About average | $2,660 | $22,906 |
| Baylor Scott & White Medical Center Pflugerville | 11 | $3,355 | About average | $2,673 | $17,552 |
| Baylor Scott & White Medical Center - Round Rock | 32 | $3,355 | About average | $2,673 | $16,963 |
| North Austin Medical Center | 13 | $3,355 | About average | $2,673 | $49,628 |
| St David's Medical Center | 50 | $3,355 | About average | $2,673 | $45,273 |
| St David's South Austin Medical Center | 23 | $3,355 | About average | $2,673 | $45,622 |
| Wellington Regional Medical Center | 25 | $3,357 | About average | $2,651 | $53,033 |
| Karmanos Cancer Center | 21 | $3,357 | About average | $2,675 | $28,302 |
| St Joe Mercy Hospital System Livonia | 15 | $3,357 | About average | $2,675 | $21,861 |
| Baptist Hospital | 30 | $3,361 | About average | $2,659 | $59,284 |
| Christus Spohn Hospital Corpus Christi | 43 | $3,362 | About average | $2,653 | $16,705 |
| Ascension St Vincent Carmel | 34 | $3,362 | About average | $2,662 | $52,459 |
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.