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 Virginia
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 36 hospitals
- $3,395
- Median hospital
- $3,317
- Lowest to highest
- $3,032–$3,748
- Medicare procedures
- 1,673
36 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 |
|---|---|---|---|---|---|
| Lewisgale Medical Center | 21 | $3,032 | 18% below the national average | $2,365 | $62,062 |
| Sentara Obici Hospital | 12 | $3,145 | 15% below the national average | $2,506 | $22,856 |
| Lewisgale Hospital Montgomery | 20 | $3,155 | 14% below the national average | $2,485 | $54,100 |
| Bon Secours Maryview Medical Center | 21 | $3,157 | 14% below the national average | $2,490 | $23,205 |
| Sentara Martha Jefferson Hospital | 56 | $3,173 | 14% below the national average | $2,498 | $14,886 |
| Carilion Medical Center | 58 | $3,206 | 13% below the national average | $2,539 | $33,325 |
| Medical College Of Virginia Hospitals | 74 | $3,218 | 13% below the national average | $2,544 | $44,176 |
| CJW Medical Center | 107 | $3,233 | 12% below the national average | $2,565 | $78,182 |
| Riverside Regional Medical Center | 41 | $3,234 | 12% below the national average | $2,565 | $15,263 |
| Henrico Doctors' Hospital | 49 | $3,252 | 12% below the national average | $2,573 | $73,779 |
| Sentara Leigh Hospital | 91 | $3,259 | 12% below the national average | $2,584 | $19,183 |
| Riverside Walter Reed Hospital | 11 | $3,282 | 11% below the national average | $2,615 | $13,428 |
| Sentara Williamsburg Regional Medical Center | 32 | $3,282 | 11% below the national average | $2,614 | $23,872 |
| Inova Mount Vernon Hospital | 11 | $3,315 | 10% below the national average | $2,589 | $18,174 |
| Bon Secours St Francis Medical Center | 38 | $3,316 | 10% below the national average | $2,642 | $17,428 |
| Bon Secours Southside Medical Center | 16 | $3,317 | 10% below the national average | $2,642 | $49,276 |
| Chesapeake General Hospital | 22 | $3,317 | 10% below the national average | $2,642 | $23,552 |
| Sentara Careplex Hospital | 46 | $3,317 | 10% below the national average | $2,642 | $24,703 |
| Sentara Norfolk General Hospital | 35 | $3,317 | 10% below the national average | $2,642 | $33,493 |
| Sentara Princess Anne Hospital | 35 | $3,317 | 10% below the national average | $2,642 | $21,470 |
| John Randolph Medical Center | 11 | $3,317 | 10% below the national average | $2,641 | $62,073 |
| Sovah Health Danville | 21 | $3,387 | About average | $2,699 | $37,375 |
| Bon Secours Memorial Regional Medical Center | 33 | $3,415 | About average | $2,704 | $22,165 |
| University Of Virginia Medical Center | 136 | $3,481 | About average | $2,770 | $23,032 |
| Inova Alexandria Hospital | 37 | $3,497 | About average | $2,771 | $20,369 |
| Bon Secours St Marys Hospital | 60 | $3,500 | About average | $2,784 | $21,544 |
| Inova Fairfax Hospital | 165 | $3,505 | About average | $2,778 | $21,023 |
| Inova Loudoun Hospital | 42 | $3,507 | About average | $2,780 | $16,489 |
| Centra Health - Lynchburg Gen Hospital | 73 | $3,514 | About average | $2,800 | $24,367 |
| Riverside Shore Memorial Hospital | 13 | $3,514 | About average | $2,798 | $16,485 |
| Inova Fair Oaks Hospital | 73 | $3,535 | About average | $2,809 | $14,963 |
| Virginia Hospital Center | 26 | $3,574 | About average | $2,848 | $21,152 |
| Uva Health Haymarket Medical Center | 16 | $3,604 | About average | $2,872 | $23,924 |
| Augusta Health | 40 | $3,611 | About average | $2,862 | $21,998 |
| Winchester Medical Center | 105 | $3,692 | About average | $2,930 | $15,738 |
| Sentara RMH Medical Center | 26 | $3,748 | About average | $2,987 | $16,274 |
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.