facebook tracking Hip and femur procedures except major joint without complications cost in Nebraska: 2 hospitals compared (DRG 482)

Hip and femur procedures except major joint without complications in Nebraska

What 2 hospitals in Nebraska charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.

DRG 482 Inpatient 2024 Medicare data
Average charge $51,552 Hospital list price billed
Average payment $11,832 Medicare + patient + other payers
Medicare paid $10,116 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Nebraska billed an average of $51,552 for hip and femur procedures except major joint without complications, about 4.4 times the average total payment of $11,832. That payment is 17% below the U.S. average of $14,276.

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 $11,832Billed $51,552

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

Nebraska hospitals: hip and femur procedures except major joint without 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 17 $57,023 $11,823 $10,293
The Nebraska Methodist HospitalOmaha 12 $43,802 $11,844 $9,864
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Hip and femur procedures except major joint without complications in other states

Questions

How much does hip and femur procedures except major joint without complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 2 hospitals in Nebraska was billed at $51,552 on average, while the average total payment was $11,832, of which Medicare paid $10,116. 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 4.4 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.