facebook tracking Other musculoskeletal system and connective tissue operating room procedures without complications cost in Nebraska: 2 hospitals compared (DRG 517)

Other musculoskeletal system and connective tissue operating room procedures without complications in Nebraska

What 2 hospitals in Nebraska charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures without complications (DRG 517), from 2024 Medicare claims.

DRG 517 Inpatient 2024 Medicare data
Average charge $53,799 Hospital list price billed
Average payment $10,551 Medicare + patient + other payers
Medicare paid $8,921 Average per stay
Volume 23 Medicare hospital stays

Hospitals in Nebraska billed an average of $53,799 for other musculoskeletal system and connective tissue operating room procedures without complications, about 5.1 times the average total payment of $10,551. That payment is 25% below the U.S. average of $14,140.

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 $10,551Billed $53,799

About 20¢ was paid for every $1 hospitals in Nebraska billed for this stay.

Nebraska hospitals: other musculoskeletal system and connective tissue operating room procedures without complications

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
Midwest Surgical Hospital LLCOmaha 12 $56,963 $10,034 $8,402
Bryan Medical CenterLincoln 11 $50,347 $11,116 $9,488
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Other musculoskeletal system and connective tissue operating room procedures without complications in other states

Questions

How much does other musculoskeletal system and connective tissue operating room procedures without complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures without complications (DRG 517) at 2 hospitals in Nebraska was billed at $53,799 on average, while the average total payment was $10,551, of which Medicare paid $8,921. 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 5.1 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.