facebook tracking Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in Nebraska: 7 hospitals compared (DRG 391)

Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in Nebraska

What 7 hospitals in Nebraska charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391), from 2024 Medicare claims.

DRG 391 Inpatient 2024 Medicare data
Average charge $42,527 Hospital list price billed
Average payment $11,920 Medicare + patient + other payers
Medicare paid $8,972 Average per stay
State rank #24 of 46 1 = lowest average payment

Hospitals in Nebraska billed an average of $42,527 for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications, about 3.6 times the average total payment of $11,920. That payment is 7% below the U.S. average of $12,772.

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 $11,920Billed $42,527

About 28¢ 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: esophagitis, gastroenteritis and miscellaneous digestive disorders with major 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
The Nebraska Methodist HospitalOmaha 42 $32,689 $10,190 $8,222
Bryan Medical CenterLincoln 33 $26,823 $10,121 $8,310
The Nebraska Medical CenterOmaha 29 $53,614 $16,876 $9,819
Alegent Health Bergan Mercy Medical CenterOmaha 14 $59,089 $14,239 $10,797
Regional West Medical CenterScottsbluff 14 $49,665 $11,401 $10,143
Alegent Health Lakeside HospitalOmaha 13 $67,512 $12,375 $9,562
Bellevue Medical CenterBellevue 13 $38,929 $8,631 $7,375
Advertisement

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.

Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in other states

Questions

How much does esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391) at 7 hospitals in Nebraska was billed at $42,527 on average, while the average total payment was $11,920, of which Medicare paid $8,972. 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 3.6 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.