Level 3 Breast/lymphatic Surgery and Related Procedures — what U.S. hospitals charge
APC 5093 · Hospital outpatient visit · 108 U.S. hospitals publish a price
Cheapest quarter
under $44,625
Typical charge
$67,260
Dearest quarter
over $93,348
Actually paid
$9,145
The middle U.S. hospital bills $67,260 for Level 3 Breast/lymphatic Surgery and Related Procedures. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $9,145 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 3 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 | 3 | $31,569 | $18,596 – $56,808 |
| Ohio | 4 | $43,183 | $21,010 – $57,325 |
| Tennessee | 3 | $43,754 | $27,323 – $59,637 |
| Virginia | 4 | $43,800 | $35,651 – $257,676 |
| Missouri | 4 | $50,844 | $24,395 – $67,036 |
| New York | 7 | $55,135 | $28,555 – $126,483 |
| Texas | 10 | $68,772 | $22,638 – $184,515 |
| Georgia | 5 | $70,297 | $55,873 – $123,030 |
| California | 16 | $83,506 | $43,676 – $177,334 |
| Florida | 15 | $86,523 | $38,313 – $135,769 |
| North Carolina | 4 | $97,687 | $45,467 – $169,062 |
| Colorado | 3 | $111,600 | $44,036 – $117,728 |
| Arizona | 4 | $150,025 | $39,643 – $164,560 |
Where Level 3 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 |
|---|---|---|
|
Beth Israel Deaconess Medical Center
Boston, MA |
$18,596 | $9,420 |
|
Christiana Hospital
Newark, DE |
$18,912 | $9,452 |
|
Bethesda North
Cincinnati, OH |
$21,010 | $8,197 |
|
North Central Surgical Center Llp
Dallas, TX |
$22,638 | $8,481 |
|
Cox Medical Centers
Springfield, MO |
$24,395 | $7,926 |
|
Baptist Memorial Hospital
Memphis, TN |
$27,323 | $7,254 |
|
Memorial Hospital For Cancer And Allied Diseases
New York, NY |
$28,555 | $10,716 |
|
University Of Texas M D Anderson Cancer Center
Houston, TX |
$31,161 | $8,738 |
|
Brigham And Women Faulkner Hospital
Jamaica Plain, MA |
$31,569 | $10,115 |
|
Mount Sinai Hospital
New York, NY |
$35,022 | $10,716 |
|
University Of Virginia Medical Center
Charlottesville, VA |
$35,651 | $8,068 |
|
Mary Hitchcock Memorial Hospital
Lebanon, NH |
$37,455 | $9,624 |
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 |
|---|---|---|
|
Cjw Medical Center
Richmond, VA |
$257,676 | $8,116 |
|
Baptist Health Brookwood Hospital
Birmingham, AL |
$190,526 | $6,824 |
|
St David's Medical Center
Austin, TX |
$184,515 | $8,296 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$177,334 | $11,575 |
|
Memorial Mission Hospital And Asheville Surgery Ce
Asheville, NC |
$169,062 | $8,202 |
|
Honorhealth Scottsdale Osborn Medical Center
Scottsdale, AZ |
$164,560 | $9,187 |
|
Honorhealth Scottsdale Shea Medical Center
Scottsdale, AZ |
$157,251 | $9,187 |
|
Baptist Health Hardin
Elizabethtown, KY |
$152,603 | $8,121 |
|
Methodist Hospital
San Antonio, TX |
$151,076 | $8,179 |
|
Chandler Regional Medical Center
Chandler, AZ |
$142,798 | $9,187 |
|
Sarasota Memorial Hospital
Sarasota, FL |
$135,769 | $8,537 |
|
Scripps Memorial Hospital La Jolla
La Jolla, CA |
$134,017 | $11,575 |
Questions people ask
What do U.S. hospitals charge for Level 3 Breast/lymphatic Surgery and Related Procedures?
Across 108 U.S. hospitals, the middle charge for Level 3 Breast/lymphatic Surgery and Related Procedures is $67,260. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $44,625 and the dearest quarter over $93,348.
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 3 Breast/lymphatic Surgery and Related Procedures, the hospitals in the dearest tenth charge about 3.6x 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. $9,145 is roughly what Medicare actually paid per case, against an average charge of $76,154. 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 5093: “Level 3 Breast/Lymphatic Surgery and Related Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.