Level 3 Upper GI Procedures in Nebraska
What 15 hospitals in Nebraska charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$21,055
Hospital list price billed
Average allowed
$3,348
Medicare's payment + patient's share
Medicare paid
$2,651
Average per service
State rank
#14 of 48
1 = lowest average payment
Hospitals in Nebraska billed an average of $21,055 for level 3 upper gi procedures, about 6.3 times the average medicare-allowed amount of $3,348. That payment is 8% below the U.S. average of $3,633.
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 $3,348Billed $21,055
About 16¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 3 upper 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 | 50 | $16,218 | $3,272 | $2,585 |
| Bryan Medical CenterLincoln | 37 | $31,582 | $3,451 | $2,747 |
| The Nebraska Medical CenterOmaha | 30 | $15,964 | $3,210 | $2,514 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 21 | $24,980 | $3,320 | $2,627 |
| Faith Regional Health ServicesNorfolk | 18 | $18,340 | $3,534 | $2,826 |
| Good Samaritan HospitalKearney | 11 | $18,472 | $3,468 | $2,763 |
| Saint Elizabeth Regional Medical CenterLincoln | – | – | – | – |
| St Francis Medical CenterGrand Island | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
| Alegent Health Immanuel Medical CenterOmaha | – | – | – | – |
| Lincoln Surgical HospitalLincoln | – | – | – | – |
| Alegent Health Lakeside HospitalOmaha | – | – | – | – |
| Bellevue Medical CenterBellevue | – | – | – | – |
| Kearney Regional Medical CenterKearney | – | – | – | – |
| 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 | $3,210 |
|---|---|
| The Nebraska Methodist HospitalOmaha, NE | $3,272 |
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $3,320 |
| Bryan Medical CenterLincoln, NE | $3,451 |
| Good Samaritan HospitalKearney, NE | $3,468 |
Highest
| Faith Regional Health ServicesNorfolk, NE | $3,534 |
|---|---|
| Good Samaritan HospitalKearney, NE | $3,468 |
| Bryan Medical CenterLincoln, NE | $3,451 |
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $3,320 |
| The Nebraska Methodist HospitalOmaha, NE | $3,272 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Nebraska?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 15 hospitals in Nebraska was billed at $21,055 on average, while the average medicare-allowed amount was $3,348, of which Medicare paid $2,651. 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 6.3 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.