Simple pneumonia and pleurisy with complications in Nebraska
What 7 hospitals in Nebraska charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$27,161
Hospital list price billed
Average payment
$7,022
Medicare + patient + other payers
Medicare paid
$5,228
Average per stay
State rank
#12 of 47
1 = lowest average payment
Hospitals in Nebraska billed an average of $27,161 for simple pneumonia and pleurisy with complications, about 3.9 times the average total payment of $7,022. That payment is 12% below the U.S. average of $7,941.
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 $7,022Billed $27,161
About 26¢ was paid for every $1 hospitals in Nebraska billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Nebraska:
Nebraska hospitals: simple pneumonia and pleurisy 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 | 70 | $22,253 | $6,619 | $4,736 |
| The Nebraska Medical CenterOmaha | 38 | $25,835 | $8,972 | $6,403 |
| Bryan Medical CenterLincoln | 37 | $28,287 | $6,664 | $4,995 |
| Bellevue Medical CenterBellevue | 30 | $26,665 | $5,821 | $4,204 |
| Fremont Area Medical CenterFremont | 24 | $29,800 | $7,660 | $6,131 |
| Great Plains Regional Medical CenterNorth Platte | 22 | $31,614 | $6,326 | $5,217 |
| Regional West Medical CenterScottsbluff | 11 | $45,871 | $7,340 | $5,935 |
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
| Bellevue Medical CenterBellevue, NE | $5,821 |
|---|---|
| Great Plains Regional Medical CenterNorth Platte, NE | $6,326 |
| The Nebraska Methodist HospitalOmaha, NE | $6,619 |
| Bryan Medical CenterLincoln, NE | $6,664 |
| Regional West Medical CenterScottsbluff, NE | $7,340 |
Highest
| The Nebraska Medical CenterOmaha, NE | $8,972 |
|---|---|
| Fremont Area Medical CenterFremont, NE | $7,660 |
| Regional West Medical CenterScottsbluff, NE | $7,340 |
| Bryan Medical CenterLincoln, NE | $6,664 |
| The Nebraska Methodist HospitalOmaha, NE | $6,619 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Nebraska?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 7 hospitals in Nebraska was billed at $27,161 on average, while the average total payment was $7,022, of which Medicare paid $5,228. 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.