Nebraska

What Medicare pays in Nebraska

Billed charges against Medicare allowed amounts in Nebraska, across the 245 procedures Medicare covers most often.

245Procedures
10,114,465Services covered
3.1xBilled vs allowed
#32Rank of 61

Providers here billed the most above the national figure for test for allergy using allergenic extract injected into skin. The average was $42.25 against a national $19.11. That is 2.2 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in Nebraska

ProcedureBilled hereAllowedGapvs national billed
Ground mileage, per statute mile$23.93$9.272.6x0.91x
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$277.38$105.002.6x1.01x
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$64.45$21.563.0x0.93x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$196.98$75.682.6x1.05x
Therapy procedure using functional activities$73.05$28.892.5x0.98x
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$67.95$25.312.7x0.94x
Insertion of needle into vein for collection of blood sample$14.23$8.081.8x0.65x
Therapy procedure using manual technique, each 15 minutes$61.35$19.523.1x0.90x
Chiropractic manipulative treatment, 3-4 spinal regions$58.17$36.941.6x0.96x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$188.19$71.092.6x0.93x
Destruction of precancer skin growth, 2-14 growths$19.80$5.623.5x0.90x
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's$36.96$14.902.5x0.85x
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$24.00$7.593.2x0.65x
Blood test, comprehensive group of blood chemicals$35.53$10.323.4x0.58x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$279.04$106.712.6x0.86x
Pathology examination of tissue using a microscope, intermediate complexity$161.33$42.303.8x0.87x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$32.69$7.514.4x0.73x
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$31.35$8.113.9x0.81x
Administration of influenza virus vaccine$35.03$26.981.3x0.86x
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$248.96$91.902.7x0.89x
X-ray of chest, 1 view$35.24$7.944.4x0.67x
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$397.44$141.902.8x0.97x
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$373.97$143.342.6x0.92x
Established patient complete exam of visual system$224.63$114.092.0x0.99x
Hemoglobin a1c level$41.05$9.464.3x0.71x
Admn sarscov2 vacc 1 dose$49.74$35.391.4x0.99x
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month$95.23$56.031.7x0.84x
X-ray of chest, 2 views$50.46$14.813.4x0.70x
Chiropractic manipulative treatment, 1-2 spinal regions$47.60$25.471.9x0.97x
Injection of drug or substance under skin or into muscle$53.20$12.714.2x0.96x
Screening mammography$172.78$48.623.6x0.70x
Imaging of retina$96.14$35.012.7x0.78x
Injection, fosaprepitant (focinvez), 1 mg$8.54$3.042.8x0.96x
Screening 3d breast mammography$109.36$27.584.0x0.79x
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$498.55$155.563.2x0.88x
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$260.13$93.082.8x0.98x
Ambulance service, basic life support, non-emergency transport, (bls)$1,098.01$266.204.1x0.98x
Blood test, lipids (cholesterol and triglycerides)$38.78$13.063.0x0.40x
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$122.73$47.102.6x1.04x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report$55.80$12.564.4x0.81x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

← All states  ·  All procedures