facebook tracking Level 2 Pacemaker and Similar Procedures cost in Nebraska: 18 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Nebraska

What 18 hospitals in Nebraska charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.

APC 5222 Outpatient 2024 Medicare data
Average charge $32,993 Hospital list price billed
Average allowed $7,615 Medicare's payment + patient's share
Medicare paid $6,056 Average per service
State rank #21 of 48 1 = lowest average payment

Hospitals in Nebraska billed an average of $32,993 for level 2 pacemaker and similar procedures, about 4.3 times the average medicare-allowed amount of $7,615. That payment is 6% below the U.S. average of $8,088.

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 $7,615Billed $32,993

About 23¢ was paid for every $1 hospitals in Nebraska billed for this service.

Nebraska hospitals: level 2 pacemaker and similar 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 Medical CenterOmaha 54 $40,303 $7,656 $6,094
Bryan Medical CenterLincoln 50 $29,348 $7,655 $6,099
Alegent Health Bergan Mercy Medical CenterOmaha 42 $29,359 $7,412 $5,845
The Nebraska Methodist HospitalOmaha 28 $38,868 $7,655 $6,099
Kearney Regional Medical CenterKearney 27 $35,137 $7,320 $5,827
Great Plains Regional Medical CenterNorth Platte 24 $27,213 $8,111 $6,479
Nebraska Heart Hospital, LLCLincoln 24 $27,012 $7,586 $6,036
Good Samaritan HospitalKearney – – – –
St Francis Medical CenterGrand Island – – – –
Mary Lanning Memorial HospitalHastings – – – –
Regional West Medical CenterScottsbluff – – – –
Fremont Area Medical CenterFremont – – – –
Alegent Health Immanuel Medical CenterOmaha – – – –
Columbus Community HospitalColumbus – – – –
Faith Regional Health ServicesNorfolk – – – –
Alegent Health Lakeside HospitalOmaha – – – –
Bellevue Medical CenterBellevue – – – –
Grand Island Regional Medical CenterGrand Island – – – –
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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 Pacemaker and Similar Procedures in other states

Questions

How much does level 2 pacemaker and similar procedures cost in Nebraska?

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 18 hospitals in Nebraska was billed at $32,993 on average, while the average medicare-allowed amount was $7,615, of which Medicare paid $6,056. 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 4.3 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.