Level 3 Excision/Biopsy/Incision and Drainage in Nebraska
What 23 hospitals in Nebraska charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$13,785
Hospital list price billed
Average allowed
$2,459
Medicare's payment + patient's share
Medicare paid
$1,954
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $13,785 for level 3 excision/biopsy/incision and drainage, about 5.6 times the average medicare-allowed amount of $2,459. That payment is 9% below the U.S. average of $2,697.
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 $2,459Billed $13,785
About 18¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 3 excision/biopsy/incision and drainage
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 | 395 | $11,523 | $2,376 | $1,887 |
| The Nebraska Methodist HospitalOmaha | 110 | $13,124 | $2,542 | $2,021 |
| Great Plains Regional Medical CenterNorth Platte | 68 | $15,438 | $2,718 | $2,165 |
| Bryan Medical CenterLincoln | 66 | $12,614 | $2,374 | $1,885 |
| Regional West Medical CenterScottsbluff | 50 | $16,850 | $2,622 | $2,085 |
| Mary Lanning Memorial HospitalHastings | 37 | $21,106 | $2,197 | $1,751 |
| Bellevue Medical CenterBellevue | 36 | $12,445 | $2,418 | $1,927 |
| Alegent Health Lakeside HospitalOmaha | 33 | $22,052 | $2,561 | $2,033 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 30 | $23,484 | $2,561 | $2,037 |
| Nebraska Orthopaedic HospitalOmaha | 25 | $7,375 | $2,479 | $1,958 |
| Kearney Regional Medical CenterKearney | 22 | $16,866 | $2,360 | $1,862 |
| St Francis Medical CenterGrand Island | 18 | $14,664 | $2,633 | $2,098 |
| Fremont Area Medical CenterFremont | 18 | $14,602 | $2,659 | $2,118 |
| Alegent Health Immanuel Medical CenterOmaha | 18 | $18,130 | $2,561 | $2,030 |
| Good Samaritan HospitalKearney | 17 | $20,236 | $2,573 | $2,050 |
| Grand Island Regional Medical CenterGrand Island | 15 | $11,486 | $2,633 | $2,098 |
| Midwest Surgical Hospital LLCOmaha | 14 | $6,666 | $2,232 | $1,749 |
| Saint Elizabeth Regional Medical CenterLincoln | – | – | – | – |
| Alegent Health Midlands HospitalPapillion | – | – | – | – |
| Columbus Community HospitalColumbus | – | – | – | – |
| Faith Regional Health ServicesNorfolk | – | – | – | – |
| Lincoln Surgical HospitalLincoln | – | – | – | – |
| Nebraska Heart Hospital, LLCLincoln | – | – | – | – |
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
| Mary Lanning Memorial HospitalHastings, NE | $2,197 |
|---|---|
| Midwest Surgical Hospital LLCOmaha, NE | $2,232 |
| Kearney Regional Medical CenterKearney, NE | $2,360 |
| Bryan Medical CenterLincoln, NE | $2,374 |
| The Nebraska Medical CenterOmaha, NE | $2,376 |
Highest
| Great Plains Regional Medical CenterNorth Platte, NE | $2,718 |
|---|---|
| Fremont Area Medical CenterFremont, NE | $2,659 |
| St Francis Medical CenterGrand Island, NE | $2,633 |
| Grand Island Regional Medical CenterGrand Island, NE | $2,633 |
| Regional West Medical CenterScottsbluff, NE | $2,622 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in Nebraska?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 23 hospitals in Nebraska was billed at $13,785 on average, while the average medicare-allowed amount was $2,459, of which Medicare paid $1,954. 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 5.6 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.