Level 4 ENT Procedures in Nebraska
What 16 hospitals in Nebraska charged and were paid for level 4 ent procedures (APC 5164), from 2024 Medicare claims.
Average charge
$10,760
Hospital list price billed
Average allowed
$2,773
Medicare's payment + patient's share
Medicare paid
$2,205
Average per service
State rank
#20 of 48
1 = lowest average payment
Hospitals in Nebraska billed an average of $10,760 for level 4 ent procedures, about 3.9 times the average medicare-allowed amount of $2,773. That payment is about the same as the U.S. average of $2,798.
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 $2,773Billed $10,760
About 26¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 4 ent 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 | 61 | $7,699 | $2,706 | $2,149 |
| The Nebraska Methodist HospitalOmaha | 18 | $17,861 | $2,901 | $2,312 |
| Bryan Medical CenterLincoln | 14 | $14,967 | $2,901 | $2,312 |
| Good Samaritan HospitalKearney | – | – | – | – |
| Saint Elizabeth Regional Medical CenterLincoln | – | – | – | – |
| St Francis Medical CenterGrand Island | – | – | – | – |
| Mary Lanning Memorial HospitalHastings | – | – | – | – |
| Alegent Health Bergan Mercy Medical CenterOmaha | – | – | – | – |
| Regional West Medical CenterScottsbluff | – | – | – | – |
| Great Plains Regional Medical CenterNorth Platte | – | – | – | – |
| Alegent Health Midlands HospitalPapillion | – | – | – | – |
| Columbus Community HospitalColumbus | – | – | – | – |
| Alegent Health Lakeside HospitalOmaha | – | – | – | – |
| Bellevue Medical CenterBellevue | – | – | – | – |
| 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
| The Nebraska Medical CenterOmaha, NE | $2,706 |
|---|---|
| Bryan Medical CenterLincoln, NE | $2,901 |
| The Nebraska Methodist HospitalOmaha, NE | $2,901 |
Highest
| Bryan Medical CenterLincoln, NE | $2,901 |
|---|---|
| The Nebraska Methodist HospitalOmaha, NE | $2,901 |
| The Nebraska Medical CenterOmaha, NE | $2,706 |
Level 4 ENT Procedures in other states
Questions
How much does level 4 ent procedures cost in Nebraska?
In 2024 Medicare data, level 4 ent procedures (APC 5164) at 16 hospitals in Nebraska was billed at $10,760 on average, while the average medicare-allowed amount was $2,773, of which Medicare paid $2,205. 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 3.9 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.