facebook tracking Pulmonary embolism without major complications cost in Nebraska: 5 hospitals compared (DRG 176)

Pulmonary embolism without major complications in Nebraska

What 5 hospitals in Nebraska charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.

DRG 176 Inpatient 2024 Medicare data
Average charge $27,077 Hospital list price billed
Average payment $7,650 Medicare + patient + other payers
Medicare paid $4,874 Average per stay
State rank #18 of 39 1 = lowest average payment

Hospitals in Nebraska billed an average of $27,077 for pulmonary embolism without major complications, about 3.5 times the average total payment of $7,650. That payment is 8% below the U.S. average of $8,294.

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 $7,650Billed $27,077

About 28¢ 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 without 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
Bryan Medical CenterLincoln 29 $27,779 $8,119 $4,546
The Nebraska Methodist HospitalOmaha 26 $18,095 $6,673 $4,369
The Nebraska Medical CenterOmaha 12 $29,777 $9,988 $6,103
Alegent Health Bergan Mercy Medical CenterOmaha 12 $34,638 $8,723 $6,140
Kearney Regional Medical CenterKearney 12 $34,582 $5,220 $4,268
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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 embolism without major complications in other states

Questions

How much does pulmonary embolism without major complications cost in Nebraska?

In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 5 hospitals in Nebraska was billed at $27,077 on average, while the average total payment was $7,650, of which Medicare paid $4,874. 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 3.5 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.