Pleural effusion with complications in Nebraska
What 1 hospital in Nebraska charged and were paid for a Medicare hospital stay for pleural effusion with complications (DRG 187), from 2024 Medicare claims.
Average charge
$28,449
Hospital list price billed
Average payment
$7,816
Medicare + patient + other payers
Medicare paid
$6,457
Average per stay
Volume
11
Medicare hospital stays
Hospitals in Nebraska billed an average of $28,449 for pleural effusion with complications, about 3.6 times the average total payment of $7,816. That payment is 26% below the U.S. average of $10,572.
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 $7,816Billed $28,449
About 27¢ was paid for every $1 hospitals in Nebraska billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Nebraska:
Nebraska hospitals: pleural effusion with 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 Methodist HospitalOmaha | 11 | $28,449 | $7,816 | $6,457 |
Pleural effusion with complications in other states
Questions
How much does pleural effusion with complications cost in Nebraska?
In 2024 Medicare data, a hospital stay for pleural effusion with complications (DRG 187) at 1 hospital in Nebraska was billed at $28,449 on average, while the average total payment was $7,816, of which Medicare paid $6,457. 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 3.6 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.