Level 2 Upper GI Procedures in Nebraska
What 19 hospitals in Nebraska charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$10,109
Hospital list price billed
Average allowed
$1,699
Medicare's payment + patient's share
Medicare paid
$1,351
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $10,109 for level 2 upper gi procedures, about 5.9 times the average medicare-allowed amount of $1,699. That payment is 6% below the U.S. average of $1,815.
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 $1,699Billed $10,109
About 17¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 2 upper gi 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 Methodist HospitalOmaha | 395 | $6,959 | $1,697 | $1,349 |
| The Nebraska Medical CenterOmaha | 276 | $10,284 | $1,676 | $1,328 |
| Bryan Medical CenterLincoln | 273 | $12,931 | $1,705 | $1,352 |
| Faith Regional Health ServicesNorfolk | 183 | $11,156 | $1,724 | $1,384 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 92 | $13,898 | $1,700 | $1,354 |
| Alegent Health Lakeside HospitalOmaha | 76 | $9,868 | $1,715 | $1,364 |
| Good Samaritan HospitalKearney | 65 | $10,612 | $1,723 | $1,374 |
| Saint Elizabeth Regional Medical CenterLincoln | 49 | $12,336 | $1,615 | $1,267 |
| Columbus Community HospitalColumbus | 44 | $9,601 | $1,711 | $1,365 |
| Great Plains Regional Medical CenterNorth Platte | 32 | $7,685 | $1,847 | $1,480 |
| Bellevue Medical CenterBellevue | 27 | $7,062 | $1,613 | $1,265 |
| Regional West Medical CenterScottsbluff | 25 | $7,537 | $1,756 | $1,402 |
| Alegent Health Immanuel Medical CenterOmaha | 22 | $11,856 | $1,661 | $1,302 |
| Kearney Regional Medical CenterKearney | 19 | $15,166 | $1,571 | $1,238 |
| Grand Island Regional Medical CenterGrand Island | 19 | $5,594 | $1,763 | $1,397 |
| Mary Lanning Memorial HospitalHastings | 17 | $7,710 | $1,723 | $1,373 |
| St Francis Medical CenterGrand Island | – | – | – | – |
| Fremont Area Medical CenterFremont | – | – | – | – |
| Friend Community Healthcare SystemFriend | – | – | – | – |
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.
Lowest
| Kearney Regional Medical CenterKearney, NE | $1,571 |
|---|---|
| Bellevue Medical CenterBellevue, NE | $1,613 |
| Saint Elizabeth Regional Medical CenterLincoln, NE | $1,615 |
| Alegent Health Immanuel Medical CenterOmaha, NE | $1,661 |
| The Nebraska Medical CenterOmaha, NE | $1,676 |
Highest
| Great Plains Regional Medical CenterNorth Platte, NE | $1,847 |
|---|---|
| Grand Island Regional Medical CenterGrand Island, NE | $1,763 |
| Regional West Medical CenterScottsbluff, NE | $1,756 |
| Faith Regional Health ServicesNorfolk, NE | $1,724 |
| Mary Lanning Memorial HospitalHastings, NE | $1,723 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Nebraska?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 19 hospitals in Nebraska was billed at $10,109 on average, while the average medicare-allowed amount was $1,699, of which Medicare paid $1,351. 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.