Other circulatory system operating room procedures in Nebraska
What 1 hospital in Nebraska charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$111,377
Hospital list price billed
Average payment
$32,238
Medicare + patient + other payers
Medicare paid
$24,276
Average per stay
Volume
18
Medicare hospital stays
Hospitals in Nebraska billed an average of $111,377 for other circulatory system operating room procedures, about 3.5 times the average total payment of $32,238. That payment is 9% below the U.S. average of $35,518.
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 $32,238Billed $111,377
About 29¢ was paid for every $1 hospitals in Nebraska billed for this stay.
Nebraska hospitals: other circulatory system operating room procedures
Every Nebraska hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| The Nebraska Medical CenterOmaha | 18 | $111,377 | $32,238 | $24,276 |
Other circulatory system operating room procedures in other states
Questions
How much does other circulatory system operating room procedures cost in Nebraska?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 1 hospital in Nebraska was billed at $111,377 on average, while the average total payment was $32,238, of which Medicare paid $24,276. 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 stay in Nebraska, average charges were 3.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.