facebook tracking Level 2 Musculoskeletal Procedures cost in Nebraska: 23 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Nebraska

What 23 hospitals in Nebraska charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $8,414 Hospital list price billed
Average allowed $1,424 Medicare's payment + patient's share
Medicare paid $1,127 Average per service
State rank #20 of 49 1 = lowest average payment

Hospitals in Nebraska billed an average of $8,414 for level 2 musculoskeletal procedures, about 5.9 times the average medicare-allowed amount of $1,424. That payment is 6% below the U.S. average of $1,511.

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 $1,424Billed $8,414

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

Nebraska hospitals: level 2 musculoskeletal 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
Nebraska Orthopaedic HospitalOmaha 144 $4,306 $1,442 $1,144
The Nebraska Methodist HospitalOmaha 128 $9,281 $1,448 $1,152
The Nebraska Medical CenterOmaha 98 $5,675 $1,367 $1,080
Midwest Surgical Hospital LLCOmaha 83 $6,879 $1,417 $1,113
Columbus Community HospitalColumbus 65 $12,637 $1,483 $1,182
Regional West Medical CenterScottsbluff 33 $10,527 $1,483 $1,176
Bryan Medical CenterLincoln 31 $9,296 $1,448 $1,145
Alegent Health Lakeside HospitalOmaha 31 $16,879 $1,378 $1,073
Bellevue Medical CenterBellevue 28 $6,360 $1,407 $1,106
Kearney Regional Medical CenterKearney 26 $6,278 $1,108 $882
Alegent Health Immanuel Medical CenterOmaha 24 $16,927 $1,400 $1,095
Fremont Area Medical CenterFremont 23 $8,831 $1,504 $1,198
Mary Lanning Memorial HospitalHastings 18 $7,744 $1,455 $1,160
Alegent Health Midlands HospitalPapillion 17 $17,143 $1,449 $1,135
Saint Elizabeth Regional Medical CenterLincoln 14 $9,312 $1,435 $1,140
Great Plains Regional Medical CenterNorth Platte 13 $7,873 $1,560 $1,243
Good Samaritan HospitalKearney – – – –
St Francis Medical CenterGrand Island – – – –
Alegent Health Bergan Mercy Medical CenterOmaha – – – –
Faith Regional Health ServicesNorfolk – – – –
Lincoln Surgical HospitalLincoln – – – –
Grand Island Regional Medical CenterGrand Island – – – –
Boys Town Natl Research HospOmaha – – – –
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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 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in Nebraska?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 23 hospitals in Nebraska was billed at $8,414 on average, while the average medicare-allowed amount was $1,424, of which Medicare paid $1,127. 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.