What 6 hospitals in Nebraska charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.
Hospitals in Nebraska billed an average of $16,270 for level 2 intraocular procedures, about 4.5 times the average medicare-allowed amount of $3,654. That payment is 7% below the U.S. average of $3,924.
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 22¢ 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 |
|---|---|---|---|---|
| Lincoln Surgical HospitalLincoln | 135 | $10,277 | $3,631 | $2,891 |
| The Nebraska Methodist HospitalOmaha | 104 | $17,347 | $3,664 | $2,918 |
| The Nebraska Medical CenterOmaha | 77 | $19,359 | $3,626 | $2,881 |
| Regional West Medical CenterScottsbluff | 66 | $23,537 | $3,752 | $2,986 |
| Mary Lanning Memorial HospitalHastings | 36 | $15,702 | $3,600 | $2,850 |
| Alegent Health Bergan Mercy Medical CenterOmaha | – | – | – | – |
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 | $3,600 |
|---|---|
| The Nebraska Medical CenterOmaha, NE | $3,626 |
| Lincoln Surgical HospitalLincoln, NE | $3,631 |
| The Nebraska Methodist HospitalOmaha, NE | $3,664 |
| Regional West Medical CenterScottsbluff, NE | $3,752 |
| Regional West Medical CenterScottsbluff, NE | $3,752 |
|---|---|
| The Nebraska Methodist HospitalOmaha, NE | $3,664 |
| Lincoln Surgical HospitalLincoln, NE | $3,631 |
| The Nebraska Medical CenterOmaha, NE | $3,626 |
| Mary Lanning Memorial HospitalHastings, NE | $3,600 |
In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 6 hospitals in Nebraska was billed at $16,270 on average, while the average medicare-allowed amount was $3,654, of which Medicare paid $2,907. 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 4.5 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.