Level 3 Extraocular, Repair, and Plastic Eye Procedures in Nebraska
What 12 hospitals in Nebraska charged and were paid for level 3 extraocular, repair, and plastic eye procedures (APC 5503), from 2024 Medicare claims.
Average charge
$8,256
Hospital list price billed
Average allowed
$2,048
Medicare's payment + patient's share
Medicare paid
$1,628
Average per service
State rank
#18 of 45
1 = lowest average payment
Hospitals in Nebraska billed an average of $8,256 for level 3 extraocular, repair, and plastic eye procedures, about 4.0 times the average medicare-allowed amount of $2,048. That payment is 9% below the U.S. average of $2,242.
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 $2,048Billed $8,256
About 25¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 3 extraocular, repair, and plastic eye 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 | 150 | $9,568 | $2,069 | $1,645 |
| Lincoln Surgical HospitalLincoln | 95 | $5,753 | $2,087 | $1,656 |
| Columbus Community HospitalColumbus | 17 | $3,104 | $1,600 | $1,275 |
| The Nebraska Methodist HospitalOmaha | 15 | $16,827 | $2,106 | $1,678 |
| Good Samaritan HospitalKearney | – | – | – | – |
| St Francis Medical CenterGrand Island | – | – | – | – |
| Alegent Health Bergan Mercy Medical CenterOmaha | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
| Great Plains Regional Medical CenterNorth Platte | – | – | – | – |
| Faith Regional Health ServicesNorfolk | – | – | – | – |
| Kearney Regional Medical CenterKearney | – | – | – | – |
| Boys Town Natl Research HospOmaha | – | – | – | – |
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
| Columbus Community HospitalColumbus, NE | $1,600 |
|---|---|
| The Nebraska Medical CenterOmaha, NE | $2,069 |
| Lincoln Surgical HospitalLincoln, NE | $2,087 |
| The Nebraska Methodist HospitalOmaha, NE | $2,106 |
Highest
| The Nebraska Methodist HospitalOmaha, NE | $2,106 |
|---|---|
| Lincoln Surgical HospitalLincoln, NE | $2,087 |
| The Nebraska Medical CenterOmaha, NE | $2,069 |
| Columbus Community HospitalColumbus, NE | $1,600 |
Level 3 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 3 extraocular, repair, and plastic eye procedures cost in Nebraska?
In 2024 Medicare data, level 3 extraocular, repair, and plastic eye procedures (APC 5503) at 12 hospitals in Nebraska was billed at $8,256 on average, while the average medicare-allowed amount was $2,048, of which Medicare paid $1,628. 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 4.0 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.