What 23 hospitals in Nebraska charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
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.
About 17¢ 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 |
|---|---|---|---|---|
| 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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Kearney Regional Medical CenterKearney, NE | $1,108 |
|---|---|
| The Nebraska Medical CenterOmaha, NE | $1,367 |
| Alegent Health Lakeside HospitalOmaha, NE | $1,378 |
| Alegent Health Immanuel Medical CenterOmaha, NE | $1,400 |
| Bellevue Medical CenterBellevue, NE | $1,407 |
| Great Plains Regional Medical CenterNorth Platte, NE | $1,560 |
|---|---|
| Fremont Area Medical CenterFremont, NE | $1,504 |
| Regional West Medical CenterScottsbluff, NE | $1,483 |
| Columbus Community HospitalColumbus, NE | $1,483 |
| Mary Lanning Memorial HospitalHastings, NE | $1,455 |
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.
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.