Level 1 ICD and Similar Procedures in Nebraska
What 13 hospitals in Nebraska charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$91,723
Hospital list price billed
Average allowed
$21,186
Medicare's payment + patient's share
Medicare paid
$19,554
Average per service
State rank
#19 of 34
1 = lowest average payment
Hospitals in Nebraska billed an average of $91,723 for level 1 icd and similar procedures, about 4.3 times the average medicare-allowed amount of $21,186. That payment is 6% below the U.S. average of $22,647.
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 $21,186Billed $91,723
About 23¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 1 icd and similar 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 |
|---|---|---|---|---|
| Bryan Medical CenterLincoln | 13 | $91,723 | $21,186 | $19,554 |
| Good Samaritan HospitalKearney | – | – | – | – |
| The Nebraska Medical CenterOmaha | – | – | – | – |
| Mary Lanning Memorial HospitalHastings | – | – | – | – |
| The Nebraska Methodist HospitalOmaha | – | – | – | – |
| Alegent Health Bergan Mercy Medical CenterOmaha | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
| Great Plains Regional Medical CenterNorth Platte | – | – | – | – |
| Fremont Area Medical CenterFremont | – | – | – | – |
| Nebraska Heart Hospital, LLCLincoln | – | – | – | – |
| Alegent Health Lakeside HospitalOmaha | – | – | – | – |
| Kearney Regional Medical CenterKearney | – | – | – | – |
| Grand Island Regional Medical CenterGrand Island | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Nebraska?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 13 hospitals in Nebraska was billed at $91,723 on average, while the average medicare-allowed amount was $21,186, of which Medicare paid $19,554. 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 4.3 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.