Level 2 Breast/lymphatic Surgery and Related Procedures — what U.S. hospitals charge
APC 5092 · Hospital outpatient visit · 1,216 U.S. hospitals publish a price
Cheapest quarter
under $30,015
Typical charge
$39,506
Dearest quarter
over $54,870
Actually paid
$6,226
The middle U.S. hospital bills $39,506 for Level 2 Breast/lymphatic Surgery and Related Procedures. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $6,226 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 2 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 | 35 | $22,004 | $14,715 – $71,832 |
| Rhode Island | 3 | $23,513 | $22,626 – $33,280 |
| Arkansas | 14 | $24,865 | $8,387 – $62,265 |
| North Dakota | 5 | $25,724 | $19,567 – $32,689 |
| Montana | 8 | $26,049 | $13,598 – $54,981 |
| Minnesota | 23 | $26,582 | $16,103 – $45,634 |
| Utah | 10 | $26,799 | $21,550 – $53,837 |
| Wyoming | 6 | $27,837 | $15,397 – $38,988 |
| Vermont | 3 | $28,481 | $25,026 – $30,431 |
| Alabama | 20 | $28,869 | $12,738 – $182,105 |
| Mississippi | 19 | $29,040 | $13,444 – $111,400 |
| Missouri | 28 | $29,548 | $22,116 – $54,353 |
| Delaware | 4 | $29,671 | $15,584 – $42,893 |
| Maine | 5 | $30,493 | $23,834 – $41,866 |
| Tennessee | 28 | $30,654 | $10,839 – $65,965 |
| South Dakota | 9 | $30,970 | $14,212 – $42,788 |
| Michigan | 34 | $31,524 | $17,719 – $50,483 |
| Oregon | 18 | $31,787 | $26,124 – $62,748 |
| Idaho | 9 | $32,225 | $18,186 – $63,019 |
| Iowa | 15 | $32,357 | $19,502 – $55,802 |
| Connecticut | 15 | $32,731 | $26,062 – $62,215 |
| North Carolina | 32 | $32,851 | $20,457 – $69,764 |
| New Mexico | 8 | $32,909 | $20,048 – $73,470 |
| Kansas | 14 | $34,017 | $13,314 – $70,975 |
| New York | 55 | $34,039 | $13,609 – $119,302 |
| Wisconsin | 27 | $34,346 | $23,511 – $54,864 |
| Virginia | 37 | $35,004 | $18,903 – $121,480 |
| Louisiana | 17 | $35,834 | $21,019 – $107,743 |
| Oklahoma | 15 | $36,115 | $18,853 – $77,917 |
| Nebraska | 13 | $36,322 | $21,958 – $65,323 |
| Hawaii | 6 | $38,701 | $24,521 – $45,618 |
| West Virginia | 10 | $38,839 | $23,177 – $58,608 |
| Alaska | 4 | $38,959 | $19,477 – $83,373 |
| Kentucky | 22 | $39,578 | $23,147 – $69,496 |
| Ohio | 51 | $40,285 | $19,806 – $67,338 |
| New Jersey | 27 | $40,530 | $23,552 – $134,603 |
| South Carolina | 28 | $42,165 | $24,297 – $82,714 |
| Georgia | 38 | $43,270 | $20,024 – $67,853 |
| New Hampshire | 9 | $43,315 | $35,616 – $97,661 |
| Indiana | 30 | $43,700 | $24,218 – $108,273 |
| Washington | 27 | $44,523 | $22,924 – $95,811 |
| Illinois | 51 | $44,656 | $20,521 – $98,702 |
| Pennsylvania | 64 | $44,821 | $16,509 – $119,129 |
| District of Columbia | 4 | $45,556 | $37,847 – $98,483 |
| Texas | 87 | $45,919 | $24,208 – $202,190 |
| Colorado | 22 | $46,476 | $32,798 – $172,438 |
| Arizona | 26 | $48,702 | $24,089 – $109,544 |
| California | 101 | $60,744 | $19,371 – $247,337 |
| Florida | 71 | $63,583 | $31,271 – $272,432 |
| Nevada | 9 | $76,121 | $31,113 – $95,203 |
Where Level 2 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 |
|---|---|---|
|
Arkansas Surgical Hospital
No Little Rock, AR |
$8,387 | $5,521 |
|
Parkwest Medical Center
Knoxville, TN |
$10,839 | $5,179 |
|
Morristown Hamblen Hospital Association
Morristown, TN |
$12,479 | $5,378 |
|
Usa Health Hca Providence Hospital, Llc
Mobile, AL |
$12,738 | $5,407 |
|
Kansas Surgery & Recovery Center
Wichita, KS |
$13,314 | $5,513 |
|
Salina Surgical Hospital
Salina, KS |
$13,322 | $5,567 |
|
Fort Sanders Regional Medical Center
Knoxville, TN |
$13,430 | $5,378 |
|
South Central Reg Med Ctr
Laurel, MS |
$13,444 | $5,703 |
|
Thomas Hospital
Fairhope, AL |
$13,453 | $5,409 |
|
Billings Clinic Hospital
Billings, MT |
$13,598 | $5,877 |
|
Canton-Potsdam Hospital
Potsdam, NY |
$13,609 | $7,405 |
|
Mobile Infirmary Medical Center
Mobile, AL |
$13,910 | $5,407 |
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 |
|---|---|---|
|
Hca Florida Fawcett Hospital
Port Charlotte, FL |
$272,432 | $5,907 |
|
Northbay Medical Center
Fairfield, CA |
$247,337 | $9,377 |
|
The Hospitals Of Providence - Memorial Campus
El Paso, TX |
$202,190 | $5,658 |
|
Hca Florida St Petersburg Hospital
Saint Petersburg, FL |
$183,223 | $5,907 |
|
Grandview Medical Center
Birmingham, AL |
$182,105 | $5,438 |
|
Hca Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL |
$175,625 | $5,907 |
|
Hca Healthone Rose
Denver, CO |
$172,438 | $6,208 |
|
Good Samaritan Hospital
San Jose, CA |
$169,896 | $9,178 |
|
Desert Regional Medical Center
Palm Springs, CA |
$166,331 | $8,018 |
|
Hca Florida Trinity Hospital
Trinity, FL |
$164,299 | $5,907 |
|
Stanford Health Care
Stanford, CA |
$151,387 | $9,136 |
|
Sierra Medical Center
El Paso, TX |
$150,498 | $5,658 |
Questions people ask
What do U.S. hospitals charge for Level 2 Breast/lymphatic Surgery and Related Procedures?
Across 1,216 U.S. hospitals, the middle charge for Level 2 Breast/lymphatic Surgery and Related Procedures is $39,506. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $30,015 and the dearest quarter over $54,870.
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 2 Breast/lymphatic Surgery and Related Procedures, the hospitals in the dearest tenth charge about 3.3x 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. $6,226 is roughly what Medicare actually paid per case, against an average charge of $46,583. 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 5092: “Level 2 Breast/Lymphatic Surgery and Related Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.