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

Hospitals in Michigan

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.

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Average payment across these 38 hospitals: $3,370National $3,688 · Michigan $3,370
Median hospital: $3,397
Lowest to highest: $3,047–$3,584
Medicare procedures: 1,316

38 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 1 Breast/Lymphatic Surgery and Related Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Edward W Sparrow HospitalLansing, MI · CCN 230230	29	$3,047	17% below the national average	$2,372	$22,938
Holland HospitalHolland, MI · CCN 230072	16	$3,179	14% below the national average	$2,504	$13,431
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	26	$3,254	12% below the national average	$2,572	$13,051
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	117	$3,255	12% below the national average	$2,592	$23,985
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	32	$3,270	11% below the national average	$2,588	$27,322
McLaren Greater LansingLansing, MI · CCN 230167	22	$3,280	11% below the national average	$2,584	$15,474
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	96	$3,306	10% below the national average	$2,628	$10,460
Borgess Medical CenterKalamazoo, MI · CCN 230117	20	$3,321	About average	$2,646	$25,663
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	27	$3,321	About average	$2,644	$18,941
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	29	$3,321	About average	$2,639	$24,857
Henry Ford Health HospitalDetroit, MI · CCN 230053	46	$3,322	About average	$2,645	$14,162
Spectrum HealthGrand Rapids, MI · CCN 230038	86	$3,336	About average	$2,658	$16,967
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	54	$3,337	About average	$2,658	$8,603
Corewell Health Wayne HospitalWayne, MI · CCN 230142	11	$3,353	About average	$2,672	$27,768
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	16	$3,354	About average	$2,660	$22,906
Karmanos Cancer CenterDetroit, MI · CCN 230297	21	$3,357	About average	$2,675	$28,302
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	15	$3,357	About average	$2,675	$21,861
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	11	$3,397	About average	$2,707	$15,197
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	15	$3,397	About average	$2,707	$51,043
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	34	$3,397	About average	$2,707	$23,863
Beaumont Hospital, TroyTroy, MI · CCN 230269	95	$3,397	About average	$2,706	$25,127
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	68	$3,397	About average	$2,704	$23,955
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	16	$3,402	About average	$2,674	$18,661
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	50	$3,404	About average	$2,712	$22,051
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	38	$3,404	About average	$2,712	$22,071
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	37	$3,404	About average	$2,712	$13,962
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	12	$3,404	About average	$2,712	$27,352
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	27	$3,404	About average	$2,712	$14,984
Henry Ford Allegiance HealthJackson, MI · CCN 230092	31	$3,404	About average	$2,708	$13,646
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	20	$3,451	About average	$2,720	$20,633
Trinity Health Livingston HospitalHowell, MI · CCN 230069	17	$3,481	About average	$2,774	$22,707
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	51	$3,526	About average	$2,809	$23,188
Munson Medical CenterTraverse City, MI · CCN 230097	18	$3,556	About average	$2,834	$12,002
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	17	$3,579	About average	$2,852	$10,969
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	27	$3,579	About average	$2,852	$15,337
McLaren Northern MichiganPetoskey, MI · CCN 230105	21	$3,579	About average	$2,852	$9,340
McLaren FlintFlint, MI · CCN 230141	34	$3,581	About average	$2,852	$18,346
Chelsea HospitalChelsea, MI · CCN 230259	14	$3,584	About average	$2,856	$23,120

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 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

Average payment by state for Level 1 Breast/Lymphatic Surgery and Related Procedures, 2024
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.