APC 5094
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Level 4 Breast/Lymphatic Surgery and Related Procedures
Low
$2.6k
Average
$19.3k
Median
$20.4k
High
$51.2k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
111 hospitals; the 90th percentile is 2.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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112 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Oakwood Healthcare Inc Dearborn, MI facility · other · outpatient | 2 | $15.7k | $15.7k | $6.4k | 41% | 2–20 | $9.3k – $22.2k |
| 2 | Swedish Health Services Redmond, WA other · outpatient | 2 | $19.6k | $19.6k | $10.3k | 52% | 2–20 | $9.4k – $29.9k |
| 3 | Corewell Health Blodgett Hospital East Grand Rapids, MI facility · other · outpatient | 1 | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 4 | Corewell Health Butterworth Hospital Grand Rapids, MI facility · other · outpatient | 1 | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 5 | Corewell Health Farmington Hills Hospital Farmington Hills, MI facility · other · outpatient | 1 | $9.4k | $9.4k | — | — | 1–10 | $9.4k – $9.4k |
| 6 | Corewell Helen Devos Childrens Hospital Grand Rapids, MI facility · other · outpatient | 1 | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 7 | Edward Hospital Plainfield, IL other · outpatient | 1 | $11.5k | $11.5k | — | — | 1–10 | $11.5k – $11.5k |
| 8 | Grant Medical Center Columbus, OH other · outpatient | 1 | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 9 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 1 | $34.0k | $34.0k | — | — | 1–10 | $34.0k – $34.0k |
| 10 | Legacy Good Samaritan Medical Center Portland, OR other · outpatient | 1 | $8.3k | $8.3k | — | — | 1–10 | $8.3k – $8.3k |
| 11 | Legacy Mount Hood Medical Center Gresham, OR other · outpatient | 1 | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 12 | Legacy Salmon Creek Medical Center Vancouver, WA other · outpatient | 1 | $8.8k | $8.8k | — | — | 1–10 | $8.8k – $8.8k |
| 13 | MUSC Medical Center Charleston, SC facility · other · outpatient | 1 | $17.8k | $17.8k | — | — | 1–10 | $17.8k – $17.8k |
| 14 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 1 | $9.6k | $9.6k | — | — | 1–10 | $9.6k – $9.6k |
| 15 | Marion General Hospital Marion, OH other · outpatient | 1 | $8.7k | $8.7k | — | — | 1–10 | $8.7k – $8.7k |
| 16 | Metrohealth System Parma, OH facility · other · outpatient | 1 | $25.1k | $25.1k | — | — | 1–10 | $25.1k – $25.1k |
| 17 | OSF Saint Francis Medical Center Peoria, IL other · outpatient | 1 | $18.8k | $18.8k | — | — | 1–10 | $18.8k – $18.8k |
| 18 | Oakwood Healthcare Inc Trenton, MI facility · other · outpatient | 1 | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
| 19 | Orlando Health Wiregrass Ranch Hospital LUTZ, FL other · outpatient | 1 | $49.3k | $49.3k | — | — | 1–10 | $49.3k – $49.3k |
| 20 | Orlando Health, Inc. Saint Cloud, FL other · outpatient | 1 | $49.3k | $49.3k | — | — | 1–10 | $49.3k – $49.3k |
| 21 | Orlando Health, Inc. Orlando, FL other · outpatient | 1 | $51.2k | $51.2k | — | — | 1–10 | $51.2k – $51.2k |
| 22 | Providence Health And Services - Washington Everett, WA other · outpatient | 1 | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 23 | Providence Health And Services - Washington Spokane, WA other · outpatient | 1 | $9.2k | $9.2k | — | — | 1–10 | $9.2k – $9.2k |
| 24 | Providence Health System - Southern California San Pedro, CA other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 25 | Roswell Park Cancer Institute Buffalo, NY other · outpatient | 1 | $22.8k | $22.8k | — | — | 1–10 | $22.8k – $22.8k |
← Payers reporting APC 5094 · Snapshot 20261111T120946Z-9134e7f7