facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Nebraska: 16 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Nebraska

What 16 hospitals in Nebraska charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $68,546 Hospital list price billed
Average payment $16,618 Medicare + patient + other payers
Medicare paid $14,310 Average per stay
State rank #15 of 50 1 = lowest average payment

Hospitals in Nebraska billed an average of $68,546 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.1 times the average total payment of $16,618. That payment is 9% below the U.S. average of $18,301.

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 $16,618Billed $68,546

About 24¢ 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: hip replacement with principal diagnosis of hip fracture 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 64 $65,307 $15,477 $13,415
Bellevue Medical CenterBellevue 39 $64,526 $14,030 $12,483
Alegent Health Lakeside HospitalOmaha 22 $71,017 $14,047 $12,628
Saint Elizabeth Regional Medical CenterLincoln 21 $55,554 $15,123 $13,553
Faith Regional Health ServicesNorfolk 21 $63,105 $18,619 $17,143
The Nebraska Methodist HospitalOmaha 19 $49,316 $16,084 $12,579
Alegent Health Bergan Mercy Medical CenterOmaha 17 $93,124 $21,646 $16,805
Great Plains Regional Medical CenterNorth Platte 17 $80,191 $16,257 $14,587
Good Samaritan HospitalKearney 16 $55,753 $15,553 $13,969
The Nebraska Medical CenterOmaha 15 $78,697 $21,206 $16,922
St Francis Medical CenterGrand Island 15 $59,708 $16,664 $12,695
Regional West Medical CenterScottsbluff 14 $98,817 $21,603 $16,534
Kearney Regional Medical CenterKearney 13 $79,796 $13,465 $11,958
Fremont Area Medical CenterFremont 12 $79,375 $19,521 $18,161
Mary Lanning Memorial HospitalHastings 11 $62,865 $15,133 $13,697
Columbus Community HospitalColumbus 11 $67,987 $21,241 $19,609
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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 replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 16 hospitals in Nebraska was billed at $68,546 on average, while the average total payment was $16,618, of which Medicare paid $14,310. 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.