Level 3 Lower GI Procedures in Nebraska
What 16 hospitals in Nebraska charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$15,233
Hospital list price billed
Average allowed
$2,441
Medicare's payment + patient's share
Medicare paid
$1,936
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $15,233 for level 3 lower gi procedures, about 6.2 times the average medicare-allowed amount of $2,441. That payment is 10% below the U.S. average of $2,703.
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 $2,441Billed $15,233
About 16¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 3 lower 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 | 113 | $12,761 | $2,442 | $1,933 |
| The Nebraska Medical CenterOmaha | 39 | $11,165 | $2,362 | $1,864 |
| Alegent Health Immanuel Medical CenterOmaha | 21 | $28,401 | $2,530 | $2,012 |
| Kearney Regional Medical CenterKearney | 19 | $21,064 | $2,419 | $1,934 |
| Bryan Medical CenterLincoln | 18 | $18,052 | $2,530 | $2,030 |
| Good Samaritan HospitalKearney | – | – | – | – |
| Saint Elizabeth Regional Medical CenterLincoln | – | – | – | – |
| Mary Lanning Memorial HospitalHastings | – | – | – | – |
| Alegent Health Bergan Mercy Medical CenterOmaha | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
| Great Plains Regional Medical CenterNorth Platte | – | – | – | – |
| Fremont Area Medical CenterFremont | – | – | – | – |
| Columbus Community HospitalColumbus | – | – | – | – |
| Faith Regional Health ServicesNorfolk | – | – | – | – |
| Alegent Health Lakeside HospitalOmaha | – | – | – | – |
| Grand Island Regional Medical CenterGrand Island | – | – | – | – |
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
| The Nebraska Medical CenterOmaha, NE | $2,362 |
|---|---|
| Kearney Regional Medical CenterKearney, NE | $2,419 |
| The Nebraska Methodist HospitalOmaha, NE | $2,442 |
| Bryan Medical CenterLincoln, NE | $2,530 |
| Alegent Health Immanuel Medical CenterOmaha, NE | $2,530 |
Highest
| Alegent Health Immanuel Medical CenterOmaha, NE | $2,530 |
|---|---|
| Bryan Medical CenterLincoln, NE | $2,530 |
| The Nebraska Methodist HospitalOmaha, NE | $2,442 |
| Kearney Regional Medical CenterKearney, NE | $2,419 |
| The Nebraska Medical CenterOmaha, NE | $2,362 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Nebraska?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 16 hospitals in Nebraska was billed at $15,233 on average, while the average medicare-allowed amount was $2,441, of which Medicare paid $1,936. 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 6.2 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.