Level 4 Pacemaker and Similar Procedures in Nebraska
What 12 hospitals in Nebraska charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$79,787
Hospital list price billed
Average allowed
$17,421
Medicare's payment + patient's share
Medicare paid
$15,789
Average per service
State rank
#17 of 47
1 = lowest average payment
Hospitals in Nebraska billed an average of $79,787 for level 4 pacemaker and similar procedures, about 4.6 times the average medicare-allowed amount of $17,421. That payment is 7% below the U.S. average of $18,685.
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 $17,421Billed $79,787
About 22¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 4 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 | 85 | $84,517 | $17,519 | $15,887 |
| Nebraska Heart Hospital, LLCLincoln | 31 | $52,232 | $17,361 | $15,729 |
| The Nebraska Medical CenterOmaha | 26 | $104,984 | $17,519 | $15,887 |
| Alegent Health Bergan Mercy Medical CenterOmaha | 24 | $74,112 | $17,519 | $15,887 |
| Kearney Regional Medical CenterKearney | 20 | $74,483 | $16,753 | $15,121 |
| The Nebraska Methodist HospitalOmaha | 19 | $81,859 | $17,519 | $15,887 |
| Great Plains Regional Medical CenterNorth Platte | – | – | – | – |
| Fremont Area Medical CenterFremont | – | – | – | – |
| Faith Regional Health ServicesNorfolk | – | – | – | – |
| Alegent Health Lakeside HospitalOmaha | – | – | – | – |
| Bellevue Medical CenterBellevue | – | – | – | – |
| 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
| Kearney Regional Medical CenterKearney, NE | $16,753 |
|---|---|
| Nebraska Heart Hospital, LLCLincoln, NE | $17,361 |
| Bryan Medical CenterLincoln, NE | $17,519 |
| The Nebraska Medical CenterOmaha, NE | $17,519 |
| The Nebraska Methodist HospitalOmaha, NE | $17,519 |
Highest
| Bryan Medical CenterLincoln, NE | $17,519 |
|---|---|
| The Nebraska Medical CenterOmaha, NE | $17,519 |
| The Nebraska Methodist HospitalOmaha, NE | $17,519 |
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $17,519 |
| Nebraska Heart Hospital, LLCLincoln, NE | $17,361 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Nebraska?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 12 hospitals in Nebraska was billed at $79,787 on average, while the average medicare-allowed amount was $17,421, of which Medicare paid $15,789. 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.