Pneumonia, with major complications in Nebraska
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$40,204typical hospital bill
$11,267typical amount paid
$8,808–$15,205range paid across 16 hospitals
Nebraska hospitals billed Medicare a typical $40,204 for this stay in 2024, about 3.6 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 | 41 | $36,146 | $8,808 | |
| Chi Health Lakeside | Omaha | 19 | $33,238 | $8,966 | |
| Grand Island Regional Medical Center | Grand Island | 19 | $33,806 | $9,168 | |
| Kearney Regional Medical Center | Kearney | 38 | $37,937 | $9,244 | |
| Chi Health St. Elizabeth | Lincoln | 11 | $39,964 | $9,639 | |
| Bryan Medical Center | Lincoln | 82 | $37,359 | $9,716 | |
| The Nebraska Methodist Hospital | Omaha | 118 | $37,214 | $10,093 | |
| Mary Lanning Healthcare | Hastings | 21 | $49,187 | $11,076 | |
| Great Plains Health | North Platte | 73 | $54,945 | $11,459 | |
| Faith Health | Norfolk | 32 | $40,725 | $11,668 | |
| Regional West Medical Center | Scottsbluff | 33 | $47,406 | $11,787 | |
| Chi Health Immanuel | Omaha | 25 | $34,560 | $12,126 | |
| Chi Health Good Samaritan | Kearney | 23 | $43,472 | $12,465 | |
| Chi Health Bergan Mercy | Omaha | 27 | $40,444 | $13,520 | |
| Methodist Fremont Health | Fremont | 22 | $44,213 | $14,511 | |
| The Nebraska Medical Center | Omaha | 44 | $48,667 | $15,205 |
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.