facebook tracking ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Nebraska: 3 hospitals compared (DRG 003)

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Nebraska

What 3 hospitals in Nebraska charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.

DRG 003 Inpatient 2024 Medicare data
Average charge $610,395 Hospital list price billed
Average payment $173,496 Medicare + patient + other payers
Medicare paid $150,692 Average per stay
State rank #6 of 29 1 = lowest average payment

Hospitals in Nebraska billed an average of $610,395 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 3.5 times the average total payment of $173,496. That payment is 30% below the U.S. average of $246,178.

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 $173,496Billed $610,395

About 28¢ was paid for every $1 hospitals in Nebraska billed for this stay.

Nebraska hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec

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
The Nebraska Medical CenterOmaha 31 $718,562 $200,281 $172,679
Bryan Medical CenterLincoln 14 $450,569 $114,636 $95,561
Alegent Health Bergan Mercy Medical CenterOmaha 14 $530,708 $173,047 $157,139
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Lowest and highest payments in Nebraska

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states

Questions

How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Nebraska?

In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 3 hospitals in Nebraska was billed at $610,395 on average, while the average total payment was $173,496, of which Medicare paid $150,692. 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 3.5 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.