Complex GI Procedures in Nebraska
What 13 hospitals in Nebraska charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$28,609
Hospital list price billed
Average allowed
$5,060
Medicare's payment + patient's share
Medicare paid
$4,021
Average per service
State rank
#23 of 48
1 = lowest average payment
Hospitals in Nebraska billed an average of $28,609 for complex gi procedures, about 5.7 times the average medicare-allowed amount of $5,060. That payment is 6% below the U.S. average of $5,364.
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 $5,060Billed $28,609
About 18¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: complex gi procedures
Every Nebraska hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| The Nebraska Medical CenterOmaha | 77 | $26,014 | $5,020 | $3,989 |
| The Nebraska Methodist HospitalOmaha | 41 | $24,675 | $5,136 | $4,092 |
| Bryan Medical CenterLincoln | 38 | $37,417 | $5,136 | $4,090 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 17 | $30,160 | $4,895 | $3,840 |
| Good Samaritan HospitalKearney | – | – | – | – |
| Saint Elizabeth Regional Medical CenterLincoln | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
| Alegent Health Immanuel Medical CenterOmaha | – | – | – | – |
| Columbus Community HospitalColumbus | – | – | – | – |
| Faith Regional Health ServicesNorfolk | – | – | – | – |
| Alegent Health Lakeside HospitalOmaha | – | – | – | – |
| Bellevue Medical CenterBellevue | – | – | – | – |
| Kearney Regional Medical CenterKearney | – | – | – | – |
Lowest and highest allowed amounts in Nebraska
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $4,895 |
|---|---|
| The Nebraska Medical CenterOmaha, NE | $5,020 |
| The Nebraska Methodist HospitalOmaha, NE | $5,136 |
| Bryan Medical CenterLincoln, NE | $5,136 |
Highest
| Bryan Medical CenterLincoln, NE | $5,136 |
|---|---|
| The Nebraska Methodist HospitalOmaha, NE | $5,136 |
| The Nebraska Medical CenterOmaha, NE | $5,020 |
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $4,895 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Nebraska?
In 2024 Medicare data, complex gi procedures (APC 5331) at 13 hospitals in Nebraska was billed at $28,609 on average, while the average medicare-allowed amount was $5,060, of which Medicare paid $4,021. 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 service in Nebraska, average charges were 5.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.