facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in Nebraska: 20 hospitals compared (APC 5341)

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Nebraska

What 20 hospitals in Nebraska charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.

APC 5341 Outpatient 2024 Medicare data
Average charge $18,048 Hospital list price billed
Average allowed $3,079 Medicare's payment + patient's share
Medicare paid $2,438 Average per service
State rank #20 of 49 1 = lowest average payment

Hospitals in Nebraska billed an average of $18,048 for level 1 abdominal/peritoneal/biliary and related procedures, about 5.9 times the average medicare-allowed amount of $3,079. That payment is 7% below the U.S. average of $3,323.

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 $3,079Billed $18,048

About 17¢ was paid for every $1 hospitals in Nebraska billed for this service.

Nebraska hospitals: level 1 abdominal/peritoneal/biliary and related procedures

Every Nebraska hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
The Nebraska Medical CenterOmaha 105 $15,819 $3,070 $2,436
The Nebraska Methodist HospitalOmaha 90 $16,365 $3,090 $2,455
Bellevue Medical CenterBellevue 73 $13,147 $2,812 $2,176
Bryan Medical CenterLincoln 71 $17,926 $3,118 $2,481
Regional West Medical CenterScottsbluff 57 $16,304 $3,193 $2,533
Grand Island Regional Medical CenterGrand Island 29 $16,396 $3,206 $2,554
Alegent Health Bergan Mercy Medical CenterOmaha 28 $28,731 $3,118 $2,480
Alegent Health Lakeside HospitalOmaha 26 $24,129 $3,022 $2,381
Kearney Regional Medical CenterKearney 22 $30,061 $2,981 $2,375
Mary Lanning Memorial HospitalHastings 18 $14,002 $3,133 $2,496
Great Plains Regional Medical CenterNorth Platte 18 $22,675 $3,358 $2,676
Lincoln Surgical HospitalLincoln 17 $10,329 $3,090 $2,443
Fremont Area Medical CenterFremont 16 $21,909 $3,088 $2,418
Good Samaritan HospitalKearney 14 $22,508 $3,133 $2,488
Faith Regional Health ServicesNorfolk 14 $13,353 $3,193 $2,544
Alegent Health Midlands HospitalPapillion 12 $38,026 $3,118 $2,471
Saint Elizabeth Regional Medical CenterLincoln – – – –
St Francis Medical CenterGrand Island – – – –
Alegent Health Immanuel Medical CenterOmaha – – – –
Columbus Community HospitalColumbus – – – –
Advertisement

Lowest and highest allowed amounts in Nebraska

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Questions

How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Nebraska?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 20 hospitals in Nebraska was billed at $18,048 on average, while the average medicare-allowed amount was $3,079, of which Medicare paid $2,438. 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 service in Nebraska, average charges were 5.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.