Level 1 Intraocular Procedures in Nebraska
What 7 hospitals in Nebraska charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
Average charge
$5,765
Hospital list price billed
Average allowed
$1,974
Medicare's payment + patient's share
Medicare paid
$1,570
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $5,765 for level 1 intraocular procedures, about 2.9 times the average medicare-allowed amount of $1,974. That payment is 11% below the U.S. average of $2,208.
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 $1,974Billed $5,765
About 34¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 1 intraocular 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 |
|---|---|---|---|---|
| Lincoln Surgical HospitalLincoln | 2,109 | $4,946 | $2,068 | $1,644 |
| The Nebraska Medical CenterOmaha | 508 | $11,343 | $2,068 | $1,641 |
| Columbus Community HospitalColumbus | 456 | $2,628 | $1,305 | $1,039 |
| Fremont Area Medical CenterFremont | 282 | $5,988 | $2,169 | $1,727 |
| The Nebraska Methodist HospitalOmaha | 46 | $11,400 | $2,100 | $1,673 |
| Mary Lanning Memorial HospitalHastings | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
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
| Columbus Community HospitalColumbus, NE | $1,305 |
|---|---|
| Lincoln Surgical HospitalLincoln, NE | $2,068 |
| The Nebraska Medical CenterOmaha, NE | $2,068 |
| The Nebraska Methodist HospitalOmaha, NE | $2,100 |
| Fremont Area Medical CenterFremont, NE | $2,169 |
Highest
| Fremont Area Medical CenterFremont, NE | $2,169 |
|---|---|
| The Nebraska Methodist HospitalOmaha, NE | $2,100 |
| The Nebraska Medical CenterOmaha, NE | $2,068 |
| Lincoln Surgical HospitalLincoln, NE | $2,068 |
| Columbus Community HospitalColumbus, NE | $1,305 |
Level 1 Intraocular Procedures in other states
Questions
How much does level 1 intraocular procedures cost in Nebraska?
In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 7 hospitals in Nebraska was billed at $5,765 on average, while the average medicare-allowed amount was $1,974, of which Medicare paid $1,570. 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 2.9 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.