Level 1 Breast/lymphatic Surgery and Related Procedures — what U.S. hospitals charge
APC 5091 · Hospital outpatient visit · 1,184 U.S. hospitals publish a price
Cheapest quarter
under $17,528
Typical charge
$23,849
Dearest quarter
over $32,617
Actually paid
$3,625
The middle U.S. hospital bills $23,849 for Level 1 Breast/lymphatic Surgery and Related Procedures. The dearest hospitals charge about 3.5x what the cheapest do for the same coded work. Medicare actually paid about $3,625 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 1 Breast/lymphatic Surgery and Related Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Massachusetts | 38 | $12,422 | $8,003 – $47,180 |
| Rhode Island | 6 | $13,173 | $9,634 – $17,101 |
| Arkansas | 13 | $13,677 | $4,900 – $26,765 |
| North Dakota | 5 | $13,726 | $9,223 – $18,964 |
| Vermont | 4 | $14,570 | $11,326 – $18,696 |
| Alabama | 22 | $15,174 | $6,594 – $119,156 |
| Utah | 8 | $15,176 | $11,515 – $27,939 |
| Montana | 8 | $15,521 | $7,491 – $32,860 |
| Minnesota | 16 | $15,693 | $7,262 – $25,645 |
| Wyoming | 5 | $17,693 | $11,809 – $24,639 |
| Hawaii | 5 | $17,856 | $12,863 – $28,258 |
| Iowa | 13 | $18,033 | $11,204 – $38,104 |
| Delaware | 4 | $18,081 | $10,309 – $25,849 |
| Oregon | 17 | $18,111 | $15,284 – $38,627 |
| Nebraska | 10 | $18,356 | $13,608 – $34,512 |
| Mississippi | 16 | $18,456 | $9,677 – $53,342 |
| Kansas | 13 | $19,026 | $6,386 – $45,767 |
| Maine | 6 | $19,230 | $16,219 – $21,851 |
| Missouri | 30 | $19,267 | $11,727 – $38,194 |
| South Dakota | 7 | $19,297 | $10,323 – $25,786 |
| Idaho | 8 | $19,473 | $15,330 – $33,981 |
| Tennessee | 23 | $19,728 | $7,659 – $46,288 |
| North Carolina | 34 | $19,839 | $11,836 – $37,918 |
| Connecticut | 17 | $20,642 | $12,056 – $39,682 |
| Michigan | 38 | $21,247 | $8,603 – $51,043 |
| West Virginia | 11 | $21,417 | $12,127 – $33,420 |
| New York | 58 | $22,315 | $10,312 – $79,303 |
| Washington | 29 | $22,492 | $11,598 – $71,215 |
| Virginia | 36 | $22,511 | $13,429 – $78,182 |
| Wisconsin | 26 | $22,622 | $12,388 – $33,457 |
| New Jersey | 36 | $22,629 | $14,624 – $81,902 |
| Kentucky | 17 | $22,636 | $12,763 – $33,944 |
| Illinois | 53 | $24,397 | $9,055 – $53,221 |
| New Hampshire | 10 | $24,421 | $18,417 – $58,304 |
| Louisiana | 18 | $25,008 | $4,865 – $70,323 |
| Texas | 72 | $25,653 | $12,120 – $80,059 |
| Oklahoma | 14 | $25,710 | $11,373 – $54,393 |
| Ohio | 51 | $25,792 | $7,915 – $40,374 |
| South Carolina | 28 | $25,914 | $14,207 – $54,050 |
| Pennsylvania | 67 | $26,299 | $10,144 – $62,824 |
| New Mexico | 8 | $27,176 | $13,141 – $53,557 |
| Indiana | 30 | $27,302 | $11,565 – $52,842 |
| Arizona | 24 | $27,598 | $14,565 – $65,421 |
| Colorado | 23 | $27,735 | $22,107 – $60,702 |
| Georgia | 37 | $29,071 | $10,900 – $44,421 |
| Alaska | 3 | $33,333 | $25,662 – $54,230 |
| District of Columbia | 4 | $33,818 | $22,818 – $53,836 |
| California | 84 | $34,306 | $17,637 – $126,246 |
| Florida | 70 | $39,690 | $17,712 – $110,321 |
| Nevada | 9 | $52,860 | $19,836 – $74,243 |
Where Level 1 Breast/lymphatic Surgery and Related Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Physicians Medical Center
Houma, LA |
$4,865 | $3,169 |
|
Arkansas Surgical Hospital
No Little Rock, AR |
$4,900 | $3,267 |
|
Nmc Health
Newton, KS |
$6,386 | $3,254 |
|
Usa Health Hca Providence Hospital, Llc
Mobile, AL |
$6,594 | $3,160 |
|
Mobile Infirmary Medical Center
Mobile, AL |
$7,153 | $3,074 |
|
Sanford Bemidji Medical Center
Bemidji, MN |
$7,262 | $3,800 |
|
Billings Clinic Hospital
Billings, MT |
$7,491 | $3,540 |
|
Marshall Medical Centers
Boaz, AL |
$7,628 | $2,985 |
|
Parkwest Medical Center
Knoxville, TN |
$7,659 | $3,144 |
|
Wooster Community Hospital
Wooster, OH |
$7,915 | $3,261 |
|
Beth Israel Deaconess Hospital - Needham
Needham, MA |
$8,003 | $4,094 |
|
Milford Regional Medical Center
Milford, MA |
$8,232 | $4,076 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Desert Regional Medical Center
Palm Springs, CA |
$126,246 | $4,686 |
|
Grandview Medical Center
Birmingham, AL |
$119,156 | $2,876 |
|
Hca Florida St Petersburg Hospital
Saint Petersburg, FL |
$110,321 | $3,453 |
|
Hca Florida Oak Hill Hospital
Brooksville, FL |
$105,203 | $3,453 |
|
Hca Florida Trinity Hospital
Trinity, FL |
$101,981 | $3,453 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$97,397 | $3,453 |
|
Stanford Health Care
Stanford, CA |
$94,623 | $5,328 |
|
Hca Florida West Hospital
Pensacola, FL |
$89,824 | $3,453 |
|
Tampa General Hospital
Tampa, FL |
$84,998 | $3,406 |
|
Good Samaritan Hospital
San Jose, CA |
$84,195 | $5,368 |
|
Oviedo Medical Center
Oviedo, FL |
$82,307 | $3,453 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$81,902 | $3,991 |
Questions people ask
What do U.S. hospitals charge for Level 1 Breast/lymphatic Surgery and Related Procedures?
Across 1,184 U.S. hospitals, the middle charge for Level 1 Breast/lymphatic Surgery and Related Procedures is $23,849. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $17,528 and the dearest quarter over $32,617.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 1 Breast/lymphatic Surgery and Related Procedures, the hospitals in the dearest tenth charge about 3.5x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $3,625 is roughly what Medicare actually paid per case, against an average charge of $27,785. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5091: “Level 1 Breast/Lymphatic Surgery and Related Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.