Level 3 Breast/Lymphatic Surgery and Related Procedures in Nebraska
What 11 hospitals in Nebraska charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.
Average charge
$40,908
Hospital list price billed
Average allowed
$7,869
Medicare's payment + patient's share
Medicare paid
$6,237
Average per service
State rank
#5 of 31
1 = lowest average payment
Hospitals in Nebraska billed an average of $40,908 for level 3 breast/lymphatic surgery and related procedures, about 5.2 times the average medicare-allowed amount of $7,869. That payment is 14% below the U.S. average of $9,171.
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 $7,869Billed $40,908
About 19¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 3 breast/lymphatic surgery and related 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 | 11 | $40,908 | $7,869 | $6,237 |
| Bryan Medical CenterLincoln | – | – | – | – |
| The Nebraska Medical CenterOmaha | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
| Alegent Health Immanuel Medical CenterOmaha | – | – | – | – |
| Faith Regional Health ServicesNorfolk | – | – | – | – |
| Lincoln Surgical HospitalLincoln | – | – | – | – |
| Alegent Health Lakeside HospitalOmaha | – | – | – | – |
| Bellevue Medical CenterBellevue | – | – | – | – |
| Kearney Regional Medical CenterKearney | – | – | – | – |
| Grand Island Regional Medical CenterGrand Island | – | – | – | – |
Level 3 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 3 breast/lymphatic surgery and related procedures cost in Nebraska?
In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 11 hospitals in Nebraska was billed at $40,908 on average, while the average medicare-allowed amount was $7,869, of which Medicare paid $6,237. 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 5.2 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.