facebook tracking Pancreas, liver and shunt procedures with major complications cost in Nebraska: 1 hospitals compared (DRG 405)

Pancreas, liver and shunt procedures with major complications in Nebraska

What 1 hospital in Nebraska charged and were paid for a Medicare hospital stay for pancreas, liver and shunt procedures with major complications (DRG 405), from 2024 Medicare claims.

DRG 405 Inpatient 2024 Medicare data
Average charge $186,476 Hospital list price billed
Average payment $57,448 Medicare + patient + other payers
Medicare paid $50,460 Average per stay
Volume 20 Medicare hospital stays

Hospitals in Nebraska billed an average of $186,476 for pancreas, liver and shunt procedures with major complications, about 3.2 times the average total payment of $57,448. That payment is 17% below the U.S. average of $68,850.

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 $57,448Billed $186,476

About 31¢ was paid for every $1 hospitals in Nebraska billed for this stay.

Nebraska hospitals: pancreas, liver and shunt procedures with major 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
The Nebraska Medical CenterOmaha 20 $186,476 $57,448 $50,460
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Pancreas, liver and shunt procedures with major complications in other states

Questions

How much does pancreas, liver and shunt procedures with major complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for pancreas, liver and shunt procedures with major complications (DRG 405) at 1 hospital in Nebraska was billed at $186,476 on average, while the average total payment was $57,448, of which Medicare paid $50,460. 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 3.2 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.