Level 1 Breast/Lymphatic Surgery and Related Procedures in Nebraska
What 20 hospitals in Nebraska charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$20,976
Hospital list price billed
Average allowed
$3,425
Medicare's payment + patient's share
Medicare paid
$2,725
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $20,976 for level 1 breast/lymphatic surgery and related procedures, about 6.1 times the average medicare-allowed amount of $3,425. That payment is 7% below the U.S. average of $3,688.
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 $3,425Billed $20,976
About 16¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 1 breast/lymphatic surgery and related procedures
Every Nebraska hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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.
Lowest
| Kearney Regional Medical CenterKearney, NE | $3,170 |
|---|---|
| Bellevue Medical CenterBellevue, NE | $3,337 |
| Bryan Medical CenterLincoln, NE | $3,435 |
| The Nebraska Medical CenterOmaha, NE | $3,435 |
| The Nebraska Methodist HospitalOmaha, NE | $3,435 |
Highest
| Grand Island Regional Medical CenterGrand Island, NE | $3,532 |
|---|---|
| Regional West Medical CenterScottsbluff, NE | $3,517 |
| Good Samaritan HospitalKearney, NE | $3,451 |
| Mary Lanning Memorial HospitalHastings, NE | $3,451 |
| The Nebraska Methodist HospitalOmaha, NE | $3,435 |
Level 1 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 1 breast/lymphatic surgery and related procedures cost in Nebraska?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 20 hospitals in Nebraska was billed at $20,976 on average, while the average medicare-allowed amount was $3,425, of which Medicare paid $2,725. 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 6.1 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.