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 401–450. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Northwest Health - Porter | 28 | $3,400 | About average | $2,709 | $33,157 |
| Wellstar North Fulton Medical Center | 13 | $3,401 | About average | $2,710 | $34,879 |
| Orlando Health | 54 | $3,402 | About average | $2,695 | $60,260 |
| University Of Iowa Hospital & Clinics | 58 | $3,402 | About average | $2,710 | $31,350 |
| Ascension Genesys Hospital | 16 | $3,402 | About average | $2,674 | $18,661 |
| Tanner Medical Center - Carrollton | 21 | $3,403 | About average | $2,684 | $23,323 |
| Ascension Providence Hospital, Southfield And Novi | 50 | $3,404 | About average | $2,712 | $22,051 |
| Henry Ford Health St John Hospital | 38 | $3,404 | About average | $2,712 | $22,071 |
| Henry Ford Health West Bloomfield Hospital | 37 | $3,404 | About average | $2,712 | $13,962 |
| Mercy St Vincent Medical Center | 29 | $3,404 | About average | $2,712 | $40,152 |
| Beaumont Hospital - Farmington Hills | 12 | $3,404 | About average | $2,712 | $27,352 |
| Wyandotte Hospital And Medical Center | 27 | $3,404 | About average | $2,712 | $14,984 |
| Henry Ford Allegiance Health | 31 | $3,404 | About average | $2,708 | $13,646 |
| Ahn Wexford Hospital | 25 | $3,405 | About average | $2,713 | $22,964 |
| Allegheny General Hospital | 12 | $3,405 | About average | $2,713 | $28,644 |
| Excela Health Westmoreland Regional Hospital | 16 | $3,405 | About average | $2,713 | $15,601 |
| Forbes Hospital | 17 | $3,405 | About average | $2,713 | $24,012 |
| Geisinger-Bloomsburg Hospital | 11 | $3,405 | About average | $2,713 | $44,514 |
| Jefferson Hospital | 25 | $3,405 | About average | $2,713 | $21,306 |
| Lehigh Valley Hospital - Dickson City | 26 | $3,405 | About average | $2,713 | $27,152 |
| Penn Highlands Mon Valley | 11 | $3,405 | About average | $2,713 | $17,215 |
| Regional Hospital Of Scranton | 21 | $3,405 | About average | $2,713 | $41,664 |
| UPMC Jameson | 12 | $3,405 | About average | $2,713 | $10,144 |
| UPMC Passavant | 27 | $3,405 | About average | $2,713 | $30,840 |
| UPMC Presbyterian Shadyside | 57 | $3,405 | About average | $2,713 | $56,627 |
| UPMC Williamsport | 30 | $3,405 | About average | $2,713 | $29,455 |
| Wellspan Evangelical Community Hospital | 13 | $3,405 | About average | $2,713 | $38,982 |
| West Penn Hospital | 27 | $3,405 | About average | $2,713 | $26,299 |
| Wilkes-Barre General Hospital | 17 | $3,405 | About average | $2,713 | $46,897 |
| Baptist Health Paducah | 33 | $3,405 | About average | $2,691 | $28,161 |
| Tampa General Hospital | 37 | $3,406 | About average | $2,709 | $84,998 |
| Houston Methodist Clear Lake Hospital | 22 | $3,406 | About average | $2,688 | $54,933 |
| Novant Health Ballantyne Medical Center | 11 | $3,407 | About average | $2,714 | $17,689 |
| Princeton Community Hospital Assn Inc | 21 | $3,409 | About average | $2,716 | $21,417 |
| Mount Carmel New Albany Surgical Hospital | 19 | $3,409 | About average | $2,716 | $19,351 |
| Fairfield Medical Center | 13 | $3,409 | About average | $2,709 | $25,792 |
| Phoebe Putney Memorial Hospital | 16 | $3,409 | About average | $2,680 | $31,337 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 85 | $3,410 | About average | $2,717 | $18,891 |
| Physicians Regional Medical Center - Pine Ridge | 67 | $3,412 | About average | $2,704 | $67,792 |
| Rex Hospital | 149 | $3,413 | About average | $2,716 | $11,836 |
| American Fork Hospital | 16 | $3,415 | About average | $2,721 | $15,452 |
| Bon Secours Memorial Regional Medical Center | 33 | $3,415 | About average | $2,704 | $22,165 |
| Penn State Health Hampden Medical Center | 20 | $3,416 | About average | $2,721 | $37,120 |
| UPMC Pinnacle Hospitals | 57 | $3,416 | About average | $2,718 | $22,680 |
| Piedmont Athens Regional Medical Center | 27 | $3,417 | About average | $2,723 | $40,469 |
| Jackson-Madison County General Hospital | 79 | $3,418 | About average | $2,721 | $19,728 |
| North Mississippi Medical Center | 62 | $3,418 | About average | $2,720 | $20,144 |
| Duke University Hospital | 153 | $3,420 | About average | $2,721 | $21,368 |
| Soin Medical Center | 17 | $3,421 | About average | $2,726 | $34,943 |
| University Of Texas Medical Branch Galveston | 19 | $3,423 | About average | $2,727 | $31,107 |
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.