facebook tracking Hip and femur procedures except major joint with complications cost in Nebraska: 17 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Nebraska

What 17 hospitals in Nebraska charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $73,589 Hospital list price billed
Average payment $17,196 Medicare + patient + other payers
Medicare paid $14,586 Average per stay
State rank #24 of 50 1 = lowest average payment

Hospitals in Nebraska billed an average of $73,589 for hip and femur procedures except major joint with complications, about 4.3 times the average total payment of $17,196. That payment is 7% below the U.S. average of $18,473.

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 $17,196Billed $73,589

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

Nebraska hospitals: hip and femur procedures except major joint 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 111 $70,389 $15,788 $13,241
Alegent Health Bergan Mercy Medical CenterOmaha 59 $98,936 $19,723 $17,098
The Nebraska Medical CenterOmaha 48 $93,217 $23,830 $16,522
The Nebraska Methodist HospitalOmaha 46 $52,455 $15,897 $12,957
Regional West Medical CenterScottsbluff 36 $78,801 $19,791 $18,346
Saint Elizabeth Regional Medical CenterLincoln 34 $54,893 $14,809 $12,972
Good Samaritan HospitalKearney 30 $70,784 $15,205 $13,671
Alegent Health Lakeside HospitalOmaha 25 $73,459 $13,735 $12,222
Faith Regional Health ServicesNorfolk 23 $59,850 $20,809 $16,105
Great Plains Regional Medical CenterNorth Platte 22 $79,578 $15,928 $14,689
Kearney Regional Medical CenterKearney 21 $74,137 $13,112 $11,637
Bellevue Medical CenterBellevue 18 $62,050 $13,601 $12,059
Alegent Health Immanuel Medical CenterOmaha 16 $82,629 $14,804 $13,524
Fremont Area Medical CenterFremont 14 $74,865 $19,223 $17,824
Mary Lanning Memorial HospitalHastings 13 $60,598 $14,895 $13,273
Columbus Community HospitalColumbus 13 $72,117 $20,437 $18,933
St Francis Medical CenterGrand Island 12 $59,493 $15,174 $13,868
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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.

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 17 hospitals in Nebraska was billed at $73,589 on average, while the average total payment was $17,196, of which Medicare paid $14,586. 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 4.3 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.