Pneumonia, with complications in Nebraska
MS-DRG 194: Simple pneumonia and pleurisy with cc
$28,287typical hospital bill
$6,664typical amount paid
$5,821–$8,972range paid across 7 hospitals
Nebraska hospitals billed Medicare a typical $28,287 for this stay in 2024, about 4.2 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Bellevue Medical Center | Bellevue | 30 | $26,665 | $5,821 | |
| Great Plains Health | North Platte | 22 | $31,614 | $6,326 | |
| The Nebraska Methodist Hospital | Omaha | 70 | $22,253 | $6,619 | |
| Bryan Medical Center | Lincoln | 37 | $28,287 | $6,664 | |
| Regional West Medical Center | Scottsbluff | 11 | $45,871 | $7,340 | |
| Methodist Fremont Health | Fremont | 24 | $29,800 | $7,661 | |
| The Nebraska Medical Center | Omaha | 38 | $25,835 | $8,972 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.