facebook tracking Level 5 Urology and Related Services cost in Nebraska: 20 hospitals compared (APC 5375)

Level 5 Urology and Related Services in Nebraska

What 20 hospitals in Nebraska charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.

APC 5375 Outpatient 2024 Medicare data
Average charge $25,424 Hospital list price billed
Average allowed $4,663 Medicare's payment + patient's share
Medicare paid $3,709 Average per service
State rank #22 of 49 1 = lowest average payment

Hospitals in Nebraska billed an average of $25,424 for level 5 urology and related services, about 5.5 times the average medicare-allowed amount of $4,663. That payment is 5% below the U.S. average of $4,934.

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 $4,663Billed $25,424

About 18¢ was paid for every $1 hospitals in Nebraska billed for this service.

Nebraska hospitals: level 5 urology and related services

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 Methodist HospitalOmaha 276 $20,035 $4,636 $3,685
Bryan Medical CenterLincoln 227 $20,196 $4,631 $3,681
The Nebraska Medical CenterOmaha 184 $22,575 $4,642 $3,695
Alegent Health Bergan Mercy Medical CenterOmaha 149 $52,121 $4,588 $3,638
Lincoln Surgical HospitalLincoln 98 $11,971 $4,620 $3,681
Regional West Medical CenterScottsbluff 62 $30,117 $4,775 $3,804
Great Plains Regional Medical CenterNorth Platte 57 $21,172 $5,023 $4,002
Alegent Health Lakeside HospitalOmaha 50 $41,712 $4,663 $3,712
Columbus Community HospitalColumbus 40 $27,553 $4,715 $3,757
Faith Regional Health ServicesNorfolk 31 $25,989 $4,775 $3,804
Mary Lanning Memorial HospitalHastings 24 $14,963 $4,685 $3,733
Kearney Regional Medical CenterKearney 24 $22,583 $4,458 $3,552
Fremont Area Medical CenterFremont 22 $20,220 $4,842 $3,858
Good Samaritan HospitalKearney 21 $25,385 $4,685 $3,733
Saint Elizabeth Regional Medical CenterLincoln 21 $25,048 $4,620 $3,681
St Francis Medical CenterGrand Island 13 $22,224 $4,794 $3,820
Boys Town Natl Research HospOmaha 12 $30,189 $4,663 $3,715
Alegent Health Immanuel Medical CenterOmaha – – – –
Bellevue Medical CenterBellevue – – – –
Grand Island Regional Medical CenterGrand Island – – – –
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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.

Level 5 Urology and Related Services in other states

Questions

How much does level 5 urology and related services cost in Nebraska?

In 2024 Medicare data, level 5 urology and related services (APC 5375) at 20 hospitals in Nebraska was billed at $25,424 on average, while the average medicare-allowed amount was $4,663, of which Medicare paid $3,709. 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 5.5 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.