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 South Carolina
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 28 hospitals
- $3,257
- Median hospital
- $3,265
- Lowest to highest
- $2,595–$3,601
- Medicare procedures
- 1,263
28 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 |
|---|---|---|---|---|---|
| Piedmont Medical Center | 23 | $2,595 | 30% below the national average | $1,888 | $34,007 |
| St Francis-Downtown | 33 | $3,050 | 17% below the national average | $2,382 | $25,249 |
| Roper St Francis Hospital-Berkeley Inc | 24 | $3,084 | 16% below the national average | $2,413 | $20,973 |
| Lexington Medical Center | 104 | $3,128 | 15% below the national average | $2,461 | $32,110 |
| Prisma Health Greenville Memorial Hospital | 30 | $3,135 | 15% below the national average | $2,480 | $29,393 |
| Tidelands Waccamaw Community Hospital | 28 | $3,172 | 14% below the national average | $2,508 | $15,409 |
| Tidelands Georgetown Memorial Hospital | 23 | $3,175 | 14% below the national average | $2,504 | $17,318 |
| Novant Health Hilton Head Medical Center | 69 | $3,188 | 14% below the national average | $2,510 | $51,778 |
| Bon Secours-St Francis Xavier Hospital | 62 | $3,204 | 13% below the national average | $2,536 | $22,156 |
| MUSC Medical Center | 130 | $3,233 | 12% below the national average | $2,568 | $37,909 |
| Prisma Health Baptist | 62 | $3,233 | 12% below the national average | $2,567 | $25,964 |
| Prisma Health Patewood Hospital | 165 | $3,256 | 12% below the national average | $2,588 | $26,808 |
| Conway Medical Center | 24 | $3,265 | 11% below the national average | $2,601 | $18,148 |
| Grand Strand Regional Medical Center | 31 | $3,265 | 11% below the national average | $2,601 | $54,050 |
| McLeod Loris Hospital | 29 | $3,265 | 11% below the national average | $2,601 | $25,864 |
| McLeod Regional Medical Center-Pee Dee | 37 | $3,265 | 11% below the national average | $2,601 | $29,337 |
| Prisma Health Tuomey Hospital | 20 | $3,265 | 11% below the national average | $2,601 | $26,117 |
| Prisma Health Baptist Parkridge | 19 | $3,275 | 11% below the national average | $2,610 | $27,011 |
| Prisma Health Richland Hospital | 20 | $3,275 | 11% below the national average | $2,610 | $26,608 |
| Prisma Health Baptist Easley Hospital | 16 | $3,288 | 11% below the national average | $2,620 | $24,059 |
| Mount Pleasant Hospital | 26 | $3,289 | 11% below the national average | $2,620 | $23,205 |
| Roper Hospital | 45 | $3,289 | 11% below the national average | $2,620 | $24,682 |
| Trident Medical Center | 33 | $3,289 | 11% below the national average | $2,620 | $48,834 |
| Pelham Medical Center | 16 | $3,314 | 10% below the national average | $2,641 | $25,713 |
| Anmed Health | 49 | $3,440 | About average | $2,729 | $24,680 |
| Beaufort County Memorial Hospital | 24 | $3,497 | About average | $2,786 | $14,207 |
| Self Regional Healthcare | 20 | $3,505 | About average | $2,792 | $17,859 |
| Spartanburg Medical Center | 101 | $3,601 | About average | $2,863 | $30,903 |
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.