Level 5 Musculoskeletal Procedures in Nebraska
What 24 hospitals in Nebraska charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$46,105
Hospital list price billed
Average allowed
$11,799
Medicare's payment + patient's share
Medicare paid
$10,166
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in Nebraska billed an average of $46,105 for level 5 musculoskeletal procedures, about 3.9 times the average medicare-allowed amount of $11,799. That payment is 5% below the U.S. average of $12,402.
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 $11,799Billed $46,105
About 26¢ was paid for every $1 hospitals in Nebraska billed for this service.
Nebraska hospitals: level 5 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 | 1,025 | $42,506 | $11,789 | $10,156 |
| Lincoln Surgical HospitalLincoln | 949 | $33,172 | $11,652 | $10,018 |
| Midwest Surgical Hospital LLCOmaha | 476 | $52,451 | $11,738 | $10,101 |
| Bellevue Medical CenterBellevue | 293 | $44,266 | $11,495 | $9,863 |
| Faith Regional Health ServicesNorfolk | 229 | $52,254 | $12,036 | $10,404 |
| The Nebraska Methodist HospitalOmaha | 227 | $42,401 | $11,754 | $10,122 |
| Great Plains Regional Medical CenterNorth Platte | 219 | $59,637 | $12,570 | $10,944 |
| Bryan Medical CenterLincoln | 214 | $49,549 | $11,749 | $10,115 |
| Good Samaritan HospitalKearney | 168 | $50,215 | $11,901 | $10,268 |
| Grand Island Regional Medical CenterGrand Island | 165 | $42,134 | $12,178 | $10,546 |
| Alegent Health Lakeside HospitalOmaha | 149 | $59,970 | $11,775 | $10,142 |
| Saint Elizabeth Regional Medical CenterLincoln | 115 | $38,465 | $11,571 | $9,931 |
| The Nebraska Medical CenterOmaha | 112 | $42,432 | $11,570 | $9,938 |
| Kearney Regional Medical CenterKearney | 100 | $68,712 | $11,229 | $9,597 |
| Fremont Area Medical CenterFremont | 96 | $62,727 | $12,298 | $10,666 |
| Regional West Medical CenterScottsbluff | 87 | $77,503 | $12,128 | $10,492 |
| Mary Lanning Memorial HospitalHastings | 83 | $40,077 | $11,530 | $9,897 |
| Columbus Community HospitalColumbus | 83 | $48,615 | $12,128 | $10,495 |
| Alegent Health Immanuel Medical CenterOmaha | 67 | $51,859 | $11,844 | $10,210 |
| Nebraska Spine Hospital, LLCOmaha | 36 | $96,117 | $11,844 | $10,212 |
| St Francis Medical CenterGrand Island | 34 | $43,780 | $12,178 | $10,546 |
| Alegent Health Bergan Mercy Medical CenterOmaha | – | – | – | – |
| Alegent Health Midlands HospitalPapillion | – | – | – | – |
| 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
| Kearney Regional Medical CenterKearney, NE | $11,229 |
|---|---|
| Bellevue Medical CenterBellevue, NE | $11,495 |
| Mary Lanning Memorial HospitalHastings, NE | $11,530 |
| The Nebraska Medical CenterOmaha, NE | $11,570 |
| Saint Elizabeth Regional Medical CenterLincoln, NE | $11,571 |
Highest
| Great Plains Regional Medical CenterNorth Platte, NE | $12,570 |
|---|---|
| Fremont Area Medical CenterFremont, NE | $12,298 |
| St Francis Medical CenterGrand Island, NE | $12,178 |
| Grand Island Regional Medical CenterGrand Island, NE | $12,178 |
| Regional West Medical CenterScottsbluff, NE | $12,128 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Nebraska?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 24 hospitals in Nebraska was billed at $46,105 on average, while the average medicare-allowed amount was $11,799, of which Medicare paid $10,166. 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.