Level 3 Musculoskeletal Procedures in Nebraska
What 24 hospitals in Nebraska charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$14,561
Hospital list price billed
Average allowed
$2,813
Medicare's payment + patient's share
Medicare paid
$2,232
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $14,561 for level 3 musculoskeletal procedures, about 5.2 times the average medicare-allowed amount of $2,813. That payment is 6% below the U.S. average of $2,995.
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 $2,813Billed $14,561
About 19¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 3 musculoskeletal 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 |
|---|---|---|---|---|
| Nebraska Orthopaedic HospitalOmaha | 280 | $9,850 | $2,900 | $2,304 |
| The Nebraska Methodist HospitalOmaha | 113 | $14,922 | $2,891 | $2,303 |
| Midwest Surgical Hospital LLCOmaha | 113 | $11,130 | $2,852 | $2,255 |
| The Nebraska Medical CenterOmaha | 85 | $13,615 | $2,862 | $2,269 |
| Kearney Regional Medical CenterKearney | 76 | $12,518 | $1,835 | $1,462 |
| Lincoln Surgical HospitalLincoln | 73 | $9,540 | $2,827 | $2,237 |
| Alegent Health Lakeside HospitalOmaha | 66 | $27,670 | $2,849 | $2,245 |
| Bryan Medical CenterLincoln | 54 | $19,004 | $2,917 | $2,320 |
| Regional West Medical CenterScottsbluff | 51 | $19,179 | $2,987 | $2,372 |
| Fremont Area Medical CenterFremont | 51 | $10,550 | $2,992 | $2,376 |
| Alegent Health Immanuel Medical CenterOmaha | 43 | $23,628 | $2,809 | $2,211 |
| Columbus Community HospitalColumbus | 41 | $15,958 | $2,987 | $2,380 |
| Faith Regional Health ServicesNorfolk | 37 | $14,655 | $2,600 | $2,058 |
| Great Plains Regional Medical CenterNorth Platte | 33 | $21,791 | $2,856 | $2,276 |
| Mary Lanning Memorial HospitalHastings | 26 | $13,319 | $2,841 | $2,245 |
| Alegent Health Midlands HospitalPapillion | 20 | $29,684 | $2,917 | $2,323 |
| Bellevue Medical CenterBellevue | 19 | $12,988 | $2,794 | $2,202 |
| Saint Elizabeth Regional Medical CenterLincoln | 18 | $17,921 | $2,890 | $2,303 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 11 | $27,468 | $2,917 | $2,307 |
| Good Samaritan HospitalKearney | – | – | – | – |
| St Francis Medical CenterGrand Island | – | – | – | – |
| Nebraska Heart Hospital, LLCLincoln | – | – | – | – |
| Grand Island Regional Medical CenterGrand Island | – | – | – | – |
| 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
| Kearney Regional Medical CenterKearney, NE | $1,835 |
|---|---|
| Faith Regional Health ServicesNorfolk, NE | $2,600 |
| Bellevue Medical CenterBellevue, NE | $2,794 |
| Alegent Health Immanuel Medical CenterOmaha, NE | $2,809 |
| Lincoln Surgical HospitalLincoln, NE | $2,827 |
Highest
| Fremont Area Medical CenterFremont, NE | $2,992 |
|---|---|
| Regional West Medical CenterScottsbluff, NE | $2,987 |
| Columbus Community HospitalColumbus, NE | $2,987 |
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $2,917 |
| Bryan Medical CenterLincoln, NE | $2,917 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Nebraska?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 24 hospitals in Nebraska was billed at $14,561 on average, while the average medicare-allowed amount was $2,813, of which Medicare paid $2,232. 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.