facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Nebraska: 2 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Nebraska

What 2 hospitals in Nebraska charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $116,167 Hospital list price billed
Average payment $26,498 Medicare + patient + other payers
Medicare paid $20,221 Average per stay
Volume 22 Medicare hospital stays

Hospitals in Nebraska billed an average of $116,167 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 4.4 times the average total payment of $26,498. That payment is 40% above the U.S. average of $18,910.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $26,498Billed $116,167

About 23¢ was paid for every $1 hospitals in Nebraska billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Nebraska:

Nebraska hospitals: amputation of lower limb for endocrine, nutritional and metabolic disorders with complications

Every Nebraska hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Bryan Medical CenterLincoln 11 $50,494 $15,548 $10,876
The Nebraska Medical CenterOmaha 11 $181,840 $37,449 $29,565
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Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 2 hospitals in Nebraska was billed at $116,167 on average, while the average total payment was $26,498, of which Medicare paid $20,221. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Nebraska, average charges were 4.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.