Level 5 ENT Procedures in Nebraska
What 19 hospitals in Nebraska charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$25,593
Hospital list price billed
Average allowed
$5,115
Medicare's payment + patient's share
Medicare paid
$4,058
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $25,593 for level 5 ent procedures, about 5.0 times the average medicare-allowed amount of $5,115. That payment is 8% below the U.S. average of $5,586.
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 $5,115Billed $25,593
About 20¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 5 ent procedures
Every Nebraska hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| Alegent Health Bergan Mercy Medical CenterOmaha, NE | $4,877 |
|---|---|
| Bellevue Medical CenterBellevue, NE | $4,927 |
| The Nebraska Medical CenterOmaha, NE | $5,036 |
| Midwest Surgical Hospital LLCOmaha, NE | $5,094 |
| Bryan Medical CenterLincoln, NE | $5,166 |
Highest
| Columbus Community HospitalColumbus, NE | $5,404 |
|---|---|
| Good Samaritan HospitalKearney, NE | $5,303 |
| Saint Elizabeth Regional Medical CenterLincoln, NE | $5,229 |
| The Nebraska Methodist HospitalOmaha, NE | $5,204 |
| Bryan Medical CenterLincoln, NE | $5,166 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in Nebraska?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 19 hospitals in Nebraska was billed at $25,593 on average, while the average medicare-allowed amount was $5,115, of which Medicare paid $4,058. 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 5.0 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.