facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Nebraska: 4 hospitals compared (DRG 563)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Nebraska

What 4 hospitals in Nebraska charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.

DRG 563 Inpatient 2024 Medicare data
Average charge $26,947 Hospital list price billed
Average payment $8,576 Medicare + patient + other payers
Medicare paid $5,901 Average per stay
State rank #30 of 39 1 = lowest average payment

Hospitals in Nebraska billed an average of $26,947 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 3.1 times the average total payment of $8,576. That payment is 2% below the U.S. average of $8,749.

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 $8,576Billed $26,947

About 32¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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
Bryan Medical CenterLincoln 31 $26,765 $7,815 $5,090
The Nebraska Methodist HospitalOmaha 17 $16,459 $6,956 $5,178
The Nebraska Medical CenterOmaha 13 $35,763 $11,159 $6,997
Alegent Health Bergan Mercy Medical CenterOmaha 13 $32,277 $9,926 $7,687
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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.

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 4 hospitals in Nebraska was billed at $26,947 on average, while the average total payment was $8,576, of which Medicare paid $5,901. 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 3.1 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.