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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 351–400. 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
Medical City WeatherfordWeatherford, TX · CCN 45020335$3,363About average$2,663$50,421
Methodist Richardson Medical CenterRichardson, TX · CCN 45053721$3,364About average$2,680$19,867
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009107$3,364About average$2,670$13,861
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013543$3,367About average$2,669$20,101
Intermountain Medical CenterMurray, UT · CCN 46001060$3,369About average$2,675$15,075
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 14018716$3,370About average$2,654$28,108
Baylor University Medical CenterDallas, TX · CCN 45002142$3,370About average$2,685$26,192
Cape Fear Valley Medical CenterFayetteville, NC · CCN 34002817$3,371About average$2,686$12,935
UNC Health NashRocky Mount, NC · CCN 34014714$3,371About average$2,686$17,853
Catawba Valley Medical CenterHickory, NC · CCN 34014320$3,371About average$2,686$17,623
The East Alabama Healthcare AuthorityOpelika, AL · CCN 01002922$3,372About average$2,687$10,090
Lovelace Women's HospitalAlbuquerque, NM · CCN 32001754$3,374About average$2,688$48,377
Presbyterian HospitalAlbuquerque, NM · CCN 32002142$3,374About average$2,688$18,887
Lovelace Westside HospitalAlbuquerque, NM · CCN 32007415$3,374About average$2,688$46,445
AdventHealth Daytona BeachDaytona Beach, FL · CCN 10006834$3,375About average$2,670$31,843
Peconic Bay Medical CenterRiverhead, NY · CCN 33010714$3,378About average$2,544$27,986
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 34011534$3,379About average$2,692$18,397
Atrium Health PinevilleCharlotte, NC · CCN 34009863$3,382About average$2,686$34,132
Sovah Health DanvilleDanville, VA · CCN 49007521$3,387About average$2,699$37,375
Dch Regional Medical CenterTuscaloosa, AL · CCN 01009233$3,387About average$2,682$13,209
Memorial Regional HospitalHollywood, FL · CCN 10003841$3,388About average$2,684$36,091
Emory Decatur HospitalDecatur, GA · CCN 11007619$3,389About average$2,670$15,720
Atrium Health ClevelandShelby, NC · CCN 34002114$3,389About average$2,700$33,460
Cleveland Clinic HospitalWeston, FL · CCN 10028944$3,390About average$2,688$23,269
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 45013754$3,390About average$2,689$27,216
Longview Regional Medical CenterLongview, TX · CCN 45070239$3,391About average$2,700$52,481
Kettering Health Main CampusKettering, OH · CCN 36007991$3,391About average$2,695$31,362
Christus Good Shepherd Medical CenterLongview, TX · CCN 45003214$3,391About average$2,693$33,157
St Luke's Regional Medical CenterBoise, ID · CCN 13000671$3,392About average$2,695$20,836
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 26019122$3,392About average$2,703$15,894
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 26016240$3,392About average$2,703$20,465
Mercy Hospital WashingtonWashington, MO · CCN 26005229$3,392About average$2,703$12,012
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020019$3,392About average$2,703$14,960
St Lukes HospitalChesterfield, MO · CCN 26017944$3,392About average$2,703$12,346
Mercy Hospital SouthSaint Louis, MO · CCN 26007739$3,392About average$2,702$12,288
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 46000429$3,393About average$2,699$15,276
Novant Health Medical Park HospitalWinston-Salem, NC · CCN 34014869$3,394About average$2,688$12,237
Ascension Providence Rochester HospitalRochester, MI · CCN 23025411$3,397About average$2,707$15,197
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 23027715$3,397About average$2,707$51,043
Trinity Health Oakland HospitalPontiac, MI · CCN 23002934$3,397About average$2,707$23,863
Beaumont Hospital, TroyTroy, MI · CCN 23026995$3,397About average$2,706$25,127
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 23013068$3,397About average$2,704$23,955
Ascension St Vincent EvansvilleEvansville, IN · CCN 15010051$3,398About average$2,707$27,894
Baptist Health FloydNew Albany, IN · CCN 15004425$3,398About average$2,707$32,319
Deaconess Hospital IncEvansville, IN · CCN 15008241$3,398About average$2,707$21,437
FHN Memorial HospitalFreeport, IL · CCN 14016012$3,398About average$2,707$21,365
The Women's HospitalNewburgh, IN · CCN 15014936$3,398About average$2,705$15,553
Indiana University Health Arnett HospitalLafayette, IN · CCN 15017312$3,398About average$2,707$29,881
Baxter HealthMountain Home, AR · CCN 04002747$3,398About average$2,696$11,702
Piedmont Fayette HospitalFayetteville, GA · CCN 11021541$3,400About average$2,681$38,646

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.