Level 3 Pacemaker and Similar Procedures in Nebraska
What 18 hospitals in Nebraska charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$39,457
Hospital list price billed
Average allowed
$9,598
Medicare's payment + patient's share
Medicare paid
$7,964
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $39,457 for level 3 pacemaker and similar procedures, about 4.1 times the average medicare-allowed amount of $9,598. That payment is 6% below the U.S. average of $10,202.
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 $9,598Billed $39,457
About 24¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 3 pacemaker and similar 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 |
|---|---|---|---|---|
| Bryan Medical CenterLincoln | 256 | $42,999 | $9,616 | $7,984 |
| Nebraska Heart Hospital, LLCLincoln | 104 | $28,249 | $9,453 | $7,819 |
| The Nebraska Medical CenterOmaha | 68 | $53,511 | $9,498 | $7,863 |
| Kearney Regional Medical CenterKearney | 65 | $37,917 | $9,161 | $7,531 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 51 | $45,777 | $9,616 | $7,976 |
| Faith Regional Health ServicesNorfolk | 43 | $35,923 | $9,846 | $8,214 |
| The Nebraska Methodist HospitalOmaha | 42 | $41,551 | $9,616 | $7,984 |
| Good Samaritan HospitalKearney | 33 | $25,898 | $9,662 | $8,030 |
| St Francis Medical CenterGrand Island | 30 | $26,510 | $9,887 | $8,247 |
| Great Plains Regional Medical CenterNorth Platte | 30 | $46,598 | $9,774 | $8,142 |
| Mary Lanning Memorial HospitalHastings | 21 | $25,436 | $9,662 | $8,025 |
| Regional West Medical CenterScottsbluff | 20 | $31,375 | $9,846 | $8,208 |
| Fremont Area Medical CenterFremont | 18 | $52,546 | $9,984 | $8,352 |
| Alegent Health Lakeside HospitalOmaha | 15 | $42,457 | $9,616 | $7,984 |
| Grand Island Regional Medical CenterGrand Island | 13 | $34,986 | $9,887 | $8,255 |
| Alegent Health Immanuel Medical CenterOmaha | – | – | – | – |
| Columbus Community HospitalColumbus | – | – | – | – |
| Bellevue Medical CenterBellevue | – | – | – | – |
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 | $9,161 |
|---|---|
| Nebraska Heart Hospital, LLCLincoln, NE | $9,453 |
| The Nebraska Medical CenterOmaha, NE | $9,498 |
| Bryan Medical CenterLincoln, NE | $9,616 |
| The Nebraska Methodist HospitalOmaha, NE | $9,616 |
Highest
| Fremont Area Medical CenterFremont, NE | $9,984 |
|---|---|
| St Francis Medical CenterGrand Island, NE | $9,887 |
| Grand Island Regional Medical CenterGrand Island, NE | $9,887 |
| Regional West Medical CenterScottsbluff, NE | $9,846 |
| Faith Regional Health ServicesNorfolk, NE | $9,846 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Nebraska?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 18 hospitals in Nebraska was billed at $39,457 on average, while the average medicare-allowed amount was $9,598, of which Medicare paid $7,964. 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 4.1 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.