facebook tracking Hip and femur procedures except major joint with major complications cost in Nebraska: 9 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Nebraska

What 9 hospitals in Nebraska charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $94,755 Hospital list price billed
Average payment $23,338 Medicare + patient + other payers
Medicare paid $20,034 Average per stay
State rank #17 of 46 1 = lowest average payment

Hospitals in Nebraska billed an average of $94,755 for hip and femur procedures except major joint with major complications, about 4.1 times the average total payment of $23,338. That payment is 11% below the U.S. average of $26,284.

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 $23,338Billed $94,755

About 25¢ was paid for every $1 hospitals in Nebraska billed for this stay.

Nebraska hospitals: hip and femur procedures except major joint 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
Bryan Medical CenterLincoln 66 $91,946 $21,192 $18,504
Alegent Health Bergan Mercy Medical CenterOmaha 30 $124,474 $27,480 $24,451
Good Samaritan HospitalKearney 20 $101,775 $20,750 $19,585
Saint Elizabeth Regional Medical CenterLincoln 20 $65,622 $19,668 $18,150
The Nebraska Medical CenterOmaha 19 $127,696 $37,458 $22,779
The Nebraska Methodist HospitalOmaha 14 $65,595 $21,583 $19,518
Kearney Regional Medical CenterKearney 14 $80,336 $17,651 $16,486
Alegent Health Lakeside HospitalOmaha 12 $95,109 $19,211 $17,554
Faith Regional Health ServicesNorfolk 11 $68,947 $25,884 $24,549
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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 major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 9 hospitals in Nebraska was billed at $94,755 on average, while the average total payment was $23,338, of which Medicare paid $20,034. 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 4.1 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.