facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Nebraska: 7 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Nebraska

What 7 hospitals in Nebraska charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $50,321 Hospital list price billed
Average payment $13,013 Medicare + patient + other payers
Medicare paid $10,123 Average per stay
State rank #28 of 48 1 = lowest average payment

Hospitals in Nebraska billed an average of $50,321 for pulmonary embolism with major complications or acute cor pulmonale, about 3.9 times the average total payment of $13,013. That payment is 3% below the U.S. average of $13,466.

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 $13,013Billed $50,321

About 26¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 46 $38,552 $11,051 $8,752
The Nebraska Methodist HospitalOmaha 24 $34,314 $10,566 $8,810
The Nebraska Medical CenterOmaha 20 $103,828 $22,509 $17,250
Regional West Medical CenterScottsbluff 20 $47,928 $12,555 $11,175
Alegent Health Lakeside HospitalOmaha 20 $49,820 $11,662 $7,059
Great Plains Regional Medical CenterNorth Platte 14 $40,008 $13,447 $8,724
Good Samaritan HospitalKearney 12 $55,121 $12,116 $11,105
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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.

Lowest

The Nebraska Methodist HospitalOmaha, NE$10,566
Bryan Medical CenterLincoln, NE$11,051
Alegent Health Lakeside HospitalOmaha, NE$11,662
Good Samaritan HospitalKearney, NE$12,116
Regional West Medical CenterScottsbluff, NE$12,555

Highest

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Nebraska?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 7 hospitals in Nebraska was billed at $50,321 on average, while the average total payment was $13,013, of which Medicare paid $10,123. 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 3.9 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.