facebook tracking Pulmonary edema and respiratory failure cost in Nebraska: 15 hospitals compared (DRG 189)

Pulmonary edema and respiratory failure in Nebraska

What 15 hospitals in Nebraska charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.

DRG 189 Inpatient 2024 Medicare data
Average charge $45,525 Hospital list price billed
Average payment $11,127 Medicare + patient + other payers
Medicare paid $8,401 Average per stay
State rank #23 of 50 1 = lowest average payment

Hospitals in Nebraska billed an average of $45,525 for pulmonary edema and respiratory failure, about 4.1 times the average total payment of $11,127. That payment is 9% below the U.S. average of $12,197.

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 $11,127Billed $45,525

About 24¢ was paid for every $1 hospitals in Nebraska billed for this stay.

Nebraska hospitals: pulmonary edema and respiratory failure

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
Bryan Medical CenterLincoln 138 $47,770 $9,959 $7,861
The Nebraska Medical CenterOmaha 129 $52,800 $14,218 $9,714
The Nebraska Methodist HospitalOmaha 76 $43,234 $12,431 $7,863
Bellevue Medical CenterBellevue 68 $44,993 $8,290 $7,060
Mary Lanning Memorial HospitalHastings 47 $41,988 $10,392 $8,514
Regional West Medical CenterScottsbluff 36 $45,370 $10,992 $9,838
Great Plains Regional Medical CenterNorth Platte 31 $39,895 $9,863 $8,086
Alegent Health Bergan Mercy Medical CenterOmaha 27 $48,602 $13,013 $10,123
Fremont Area Medical CenterFremont 27 $42,042 $11,421 $10,514
Alegent Health Lakeside HospitalOmaha 23 $31,558 $8,650 $6,683
Saint Elizabeth Regional Medical CenterLincoln 21 $37,443 $8,981 $7,677
Alegent Health Immanuel Medical CenterOmaha 19 $52,361 $16,234 $8,144
Grand Island Regional Medical CenterGrand Island 19 $32,318 $8,257 $7,314
Kearney Regional Medical CenterKearney 15 $43,809 $8,089 $6,245
St Francis Medical CenterGrand Island 13 $42,209 $9,657 $8,321
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Lowest and highest payments in Nebraska

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Pulmonary edema and respiratory failure in other states

Questions

How much does pulmonary edema and respiratory failure cost in Nebraska?

In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 15 hospitals in Nebraska was billed at $45,525 on average, while the average total payment was $11,127, of which Medicare paid $8,401. 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 4.1 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.