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Healthcare Pricing Data: LINCOLN, NE

4 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

4

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

4.5x

Across all procedures

vs National Average

-36%

Chargemaster rates

About This Data

LINCOLN, NE has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 4.5x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in LINCOLN is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $213,360 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$50,16434.3x
HEART FAILURE AND SHOCK WITH MCC291$32,52234.2x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$213,36025.1x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$193,83324.0x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$176,11924.1x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$157,81123.8x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$142,01624.5x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$141,52124.0x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$134,51723.4x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$127,26324.0x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$113,58024.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$113,09123.9x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$110,29423.8x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$109,67423.6x
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC229$102,42725.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$96,10725.3x
RENAL FAILURE WITH MCC682$89,36624.2x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$86,52423.9x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$82,24424.0x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$78,60227.3x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$78,41824.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$76,88727.8x
OTHER VASCULAR PROCEDURES WITH CC253$74,93424.8x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$74,34023.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$72,52223.9x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$68,80124.5x
RED BLOOD CELL DISORDERS WITH MCC811$64,44124.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$63,05724.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$61,76024.8x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$55,95124.1x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error