What 24 hospitals in Nebraska charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.
Hospitals in Nebraska billed an average of $8,849 for level 2 excision/biopsy/incision and drainage, about 6.3 times the average medicare-allowed amount of $1,404. That payment is 9% below the U.S. average of $1,539.
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.
About 16¢ was paid for every $1 hospitals in Nebraska billed for this service.
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 | 532 | $7,603 | $1,336 | $1,057 |
| Bryan Medical CenterLincoln | 397 | $9,333 | $1,320 | $1,047 |
| The Nebraska Methodist HospitalOmaha | 322 | $8,527 | $1,442 | $1,145 |
| Regional West Medical CenterScottsbluff | 176 | $10,314 | $1,483 | $1,169 |
| Alegent Health Lakeside HospitalOmaha | 173 | $9,267 | $1,438 | $1,132 |
| Great Plains Regional Medical CenterNorth Platte | 171 | $10,477 | $1,549 | $1,231 |
| Good Samaritan HospitalKearney | 147 | $9,821 | $1,452 | $1,147 |
| Kearney Regional Medical CenterKearney | 143 | $10,122 | $1,373 | $1,092 |
| Faith Regional Health ServicesNorfolk | 130 | $8,420 | $1,466 | $1,161 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 107 | $10,355 | $1,439 | $1,138 |
| Bellevue Medical CenterBellevue | 104 | $7,783 | $1,443 | $1,145 |
| St Francis Medical CenterGrand Island | 98 | $8,226 | $1,478 | $1,164 |
| Grand Island Regional Medical CenterGrand Island | 78 | $7,619 | $1,488 | $1,182 |
| Mary Lanning Memorial HospitalHastings | 74 | $6,882 | $909 | $724 |
| Fremont Area Medical CenterFremont | 74 | $10,428 | $1,501 | $1,192 |
| Saint Elizabeth Regional Medical CenterLincoln | 62 | $7,172 | $1,429 | $1,131 |
| Alegent Health Immanuel Medical CenterOmaha | 50 | $8,811 | $1,461 | $1,158 |
| Columbus Community HospitalColumbus | 47 | $8,354 | $1,496 | $1,192 |
| Nebraska Heart Hospital, LLCLincoln | 23 | $9,202 | $1,448 | $1,153 |
| Alegent Health Midlands HospitalPapillion | 14 | $9,526 | $1,461 | $1,164 |
| Nebraska Orthopaedic HospitalOmaha | 13 | $4,598 | $1,461 | $1,164 |
| Lincoln Surgical HospitalLincoln | – | – | – | – |
| Midwest Surgical Hospital LLCOmaha | – | – | – | – |
| Boys Town Natl Research HospOmaha | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mary Lanning Memorial HospitalHastings, NE | $909 |
|---|---|
| Bryan Medical CenterLincoln, NE | $1,320 |
| The Nebraska Medical CenterOmaha, NE | $1,336 |
| Kearney Regional Medical CenterKearney, NE | $1,373 |
| Saint Elizabeth Regional Medical CenterLincoln, NE | $1,429 |
| Great Plains Regional Medical CenterNorth Platte, NE | $1,549 |
|---|---|
| Fremont Area Medical CenterFremont, NE | $1,501 |
| Columbus Community HospitalColumbus, NE | $1,496 |
| Grand Island Regional Medical CenterGrand Island, NE | $1,488 |
| Regional West Medical CenterScottsbluff, NE | $1,483 |
In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 24 hospitals in Nebraska was billed at $8,849 on average, while the average medicare-allowed amount was $1,404, of which Medicare paid $1,113. Your own cost depends on your insurance, deductible and the hospital.
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 6.3 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.