facebook tracking Level 2 Breast/Lymphatic Surgery and Related Procedures cost in Nebraska: 20 hospitals compared (APC 5092)

Level 2 Breast/Lymphatic Surgery and Related Procedures in Nebraska

What 20 hospitals in Nebraska charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.

APC 5092 Outpatient 2024 Medicare data
Average charge $34,978 Hospital list price billed
Average allowed $5,886 Medicare's payment + patient's share
Medicare paid $4,685 Average per service
State rank #22 of 49 1 = lowest average payment

Hospitals in Nebraska billed an average of $34,978 for level 2 breast/lymphatic surgery and related procedures, about 5.9 times the average medicare-allowed amount of $5,886. That payment is 6% below the U.S. average of $6,262.

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 $5,886Billed $34,978

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

Nebraska hospitals: level 2 breast/lymphatic surgery 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 Methodist HospitalOmaha 103 $26,161 $5,876 $4,682
Bryan Medical CenterLincoln 71 $36,844 $5,876 $4,682
The Nebraska Medical CenterOmaha 60 $27,675 $5,798 $4,604
Alegent Health Lakeside HospitalOmaha 47 $65,323 $5,777 $4,582
Bellevue Medical CenterBellevue 29 $24,987 $5,876 $4,682
Grand Island Regional Medical CenterGrand Island 26 $21,958 $6,042 $4,814
Saint Elizabeth Regional Medical CenterLincoln 21 $36,322 $5,823 $4,630
Mary Lanning Memorial HospitalHastings 17 $22,845 $5,905 $4,705
Great Plains Regional Medical CenterNorth Platte 17 $39,043 $6,330 $5,043
Columbus Community HospitalColumbus 15 $29,597 $6,018 $4,794
Regional West Medical CenterScottsbluff 14 $54,201 $6,018 $4,794
Faith Regional Health ServicesNorfolk 14 $38,229 $6,018 $4,794
Kearney Regional Medical CenterKearney 14 $55,767 $5,619 $4,477
Good Samaritan HospitalKearney – – – –
St Francis Medical CenterGrand Island – – – –
Alegent Health Bergan Mercy Medical CenterOmaha – – – –
Fremont Area Medical CenterFremont – – – –
Alegent Health Immanuel Medical CenterOmaha – – – –
Alegent Health Midlands HospitalPapillion – – – –
Lincoln Surgical HospitalLincoln – – – –
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.

Level 2 Breast/Lymphatic Surgery and Related Procedures in other states

Questions

How much does level 2 breast/lymphatic surgery and related procedures cost in Nebraska?

In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 20 hospitals in Nebraska was billed at $34,978 on average, while the average medicare-allowed amount was $5,886, of which Medicare paid $4,685. 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.