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
$12.2k
Average
$17.4k
Median
$14.6k
High
$34.6k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 2.6× 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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30 hospital rates
iThe hospitals that file a Optum 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 | Altru Hospital Grand Forks, ND facility · other · outpatient | 1 | $19.0k | $19.0k | — | — | 1–10 | $19.0k – $19.0k |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · other · outpatient | 1 | $19.0k | $19.0k | — | — | 1–10 | $19.0k – $19.0k |
| 3 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $17.3k | $17.3k | — | — | 1–10 | $17.3k – $17.3k |
| 4 | Keck Hospital of USC Los Angeles, CA facility · other · outpatient | 1 | $15.5k | $15.5k | — | — | 1–10 | $15.5k – $15.5k |
| 5 | Orlando Health, Inc. Orlando, FL other · outpatient | 1 | $17.7k | $17.7k | — | — | 1–10 | $17.7k – $17.7k |
| 6 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · other · outpatient | 1 | $32.8k | $32.8k | — | — | 1–10 | $32.8k – $32.8k |
| 7 | USC Verdugo Hills Hospital Glendale, CA facility · other · outpatient | 1 | $15.7k | $15.7k | — | — | 1–10 | $15.7k – $15.7k |
| 8 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 9 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
| 10 | Dupont Hospital LLC Wayne, IN facility · per diem · outpatient | 1 | $14.6k | $14.9k | $809 | 5% | — | $14.6k – $16.8k |
| 11 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 12 | IOM Health System LP Fort Wayne, IN facility · per diem · outpatient | 1 | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
| 13 | La Porte Hospital Company LLC La Porte, IN facility · per diem · outpatient | 1 | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
| 14 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · per diem · outpatient | 1 | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
| 15 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 1 | $34.6k | $34.6k | — | — | — | $34.6k – $34.6k |
| 16 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient | 1 | $34.6k | $34.6k | — | — | — | $34.6k – $34.6k |
| 17 | Metro Knoxville HMA LLC Powell, TN facility · per diem · outpatient | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 18 | Metro Knoxville HMA LLC Knoxville, TN facility · per diem · outpatient | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 19 | Naples HMA LLC Naples, FL facility · per diem · outpatient | 1 | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 20 | PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient | 1 | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 21 | RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient | 2 | $15.1k | $15.1k | $1.3k | 8% | — | $13.8k – $16.4k |
| 22 | RETREAT DOCTORS HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 23 | River Oaks Hospital LLC Flowood, MS facility · per diem · outpatient | 1 | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 24 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 25 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $34.6k | $34.6k | — | — | — | $34.6k – $34.6k |
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