Level 4 Musculoskeletal Procedures in Nebraska
What 24 hospitals in Nebraska charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$29,688
Hospital list price billed
Average allowed
$6,401
Medicare's payment + patient's share
Medicare paid
$5,086
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $29,688 for level 4 musculoskeletal procedures, about 4.6 times the average medicare-allowed amount of $6,401. That payment is 5% below the U.S. average of $6,708.
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 $6,401Billed $29,688
About 22¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 4 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 | 354 | $20,447 | $6,396 | $5,084 |
| Midwest Surgical Hospital LLCOmaha | 239 | $30,394 | $6,134 | $4,858 |
| Lincoln Surgical HospitalLincoln | 196 | $20,182 | $6,310 | $5,010 |
| Bryan Medical CenterLincoln | 145 | $31,895 | $6,411 | $5,101 |
| The Nebraska Methodist HospitalOmaha | 127 | $29,703 | $6,447 | $5,132 |
| Great Plains Regional Medical CenterNorth Platte | 116 | $44,453 | $6,944 | $5,533 |
| The Nebraska Medical CenterOmaha | 97 | $26,669 | $6,235 | $4,936 |
| Alegent Health Lakeside HospitalOmaha | 84 | $45,892 | $6,385 | $5,071 |
| Kearney Regional Medical CenterKearney | 73 | $36,110 | $6,164 | $4,911 |
| Faith Regional Health ServicesNorfolk | 61 | $38,063 | $6,602 | $5,260 |
| Regional West Medical CenterScottsbluff | 58 | $38,306 | $6,602 | $5,259 |
| St Francis Medical CenterGrand Island | 53 | $25,688 | $6,629 | $5,274 |
| Alegent Health Immanuel Medical CenterOmaha | 52 | $35,295 | $6,250 | $4,938 |
| Columbus Community HospitalColumbus | 42 | $36,667 | $6,602 | $5,260 |
| Nebraska Spine Hospital, LLCOmaha | 42 | $17,846 | $6,446 | $5,136 |
| Fremont Area Medical CenterFremont | 39 | $30,339 | $6,694 | $5,334 |
| Saint Elizabeth Regional Medical CenterLincoln | 33 | $34,027 | $6,388 | $5,084 |
| Grand Island Regional Medical CenterGrand Island | 30 | $25,704 | $6,453 | $5,105 |
| Mary Lanning Memorial HospitalHastings | 29 | $21,198 | $6,478 | $5,161 |
| Bellevue Medical CenterBellevue | 29 | $24,425 | $6,446 | $5,136 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 21 | $53,090 | $6,202 | $4,892 |
| Good Samaritan HospitalKearney | 19 | $36,060 | $6,217 | $4,878 |
| Alegent Health Midlands HospitalPapillion | 13 | $48,554 | $6,447 | $5,130 |
| 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
| Midwest Surgical Hospital LLCOmaha, NE | $6,134 |
|---|---|
| Kearney Regional Medical CenterKearney, NE | $6,164 |
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $6,202 |
| Good Samaritan HospitalKearney, NE | $6,217 |
| The Nebraska Medical CenterOmaha, NE | $6,235 |
Highest
| Great Plains Regional Medical CenterNorth Platte, NE | $6,944 |
|---|---|
| Fremont Area Medical CenterFremont, NE | $6,694 |
| St Francis Medical CenterGrand Island, NE | $6,629 |
| Regional West Medical CenterScottsbluff, NE | $6,602 |
| Columbus Community HospitalColumbus, NE | $6,602 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Nebraska?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 24 hospitals in Nebraska was billed at $29,688 on average, while the average medicare-allowed amount was $6,401, of which Medicare paid $5,086. 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 4.6 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.