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
Hospitals in Missouri
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.
- Average payment across these 30 hospitals
- $3,289
- Median hospital
- $3,330
- Lowest to highest
- $2,507–$3,633
- Medicare procedures
- 1,011
30 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| SSM St Joseph Health Center | 19 | $2,507 | 32% below the national average | $1,980 | $13,586 |
| Mercy Hospital Joplin | 20 | $3,103 | 16% below the national average | $2,452 | $11,727 |
| SSM St Clare Health Center | 25 | $3,131 | 15% below the national average | $2,454 | $14,637 |
| Nkc Health | 25 | $3,156 | 14% below the national average | $2,493 | $19,848 |
| Boone Hospital Center | 39 | $3,177 | 14% below the national average | $2,518 | $18,685 |
| Cox Medical Centers | 71 | $3,205 | 13% below the national average | $2,552 | $22,581 |
| Mercy Hospital Springfield | 70 | $3,205 | 13% below the national average | $2,551 | $16,738 |
| Freeman Health System - Freeman West | 31 | $3,205 | 13% below the national average | $2,548 | $24,041 |
| University Of Missouri Health Care | 60 | $3,207 | 13% below the national average | $2,548 | $21,307 |
| Liberty Hospital | 14 | $3,253 | 12% below the national average | $2,576 | $27,302 |
| Mercy Hospital Southeast | 13 | $3,274 | 11% below the national average | $2,565 | $23,952 |
| Barnes Jewish Hospital | 88 | $3,285 | 11% below the national average | $2,605 | $24,408 |
| Saint Luke's East Hospital | 30 | $3,329 | About average | $2,652 | $38,194 |
| 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 |
| 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 |
| Barnes-Jewish St Peters Hospital | 22 | $3,392 | About average | $2,703 | $15,894 |
| Barnes-Jewish West County Hospital | 40 | $3,392 | About average | $2,703 | $20,465 |
| Mercy Hospital Washington | 29 | $3,392 | About average | $2,703 | $12,012 |
| SSM St Joseph Hospital West | 19 | $3,392 | About average | $2,703 | $14,960 |
| St Lukes Hospital | 44 | $3,392 | About average | $2,703 | $12,346 |
| Mercy Hospital South | 39 | $3,392 | About average | $2,702 | $12,288 |
| Saint Francis Medical Center | 29 | $3,487 | About average | $2,778 | $21,224 |
| Mosaic Life Care At St Joseph | 30 | $3,586 | About average | $2,857 | $14,413 |
| Phelps County Regional Medical Center | 12 | $3,633 | About average | $2,895 | $37,932 |
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.