Heart valve replacement through a catheter (TAVR), with major complications in Nebraska
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$144,102typical hospital bill
$48,991typical amount paid
$42,541–$54,418range paid across 4 hospitals
Nebraska hospitals billed Medicare a typical $144,102 for this stay in 2024, about 2.9 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 | |
|---|---|---|---|---|---|
| Chi Health Nebraska Heart | Lincoln | 41 | $135,336 | $42,541 | |
| Bryan Medical Center | Lincoln | 25 | $152,868 | $45,516 | |
| The Nebraska Medical Center | Omaha | 36 | $232,335 | $52,465 | |
| Chi Health Bergan Mercy | Omaha | 43 | $120,027 | $54,418 |
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.