Bryan Medical Center: charges and Medicare payments

Bryan Medical Center reported 7,799 Medicare inpatient stays across 196 DRGs in 2024. Across them it charged 3.9 times what it was paid — mid-range in Nebraska, number 11 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 878 stays at an average charge of $53,594, 41% below the national average. It also billed 5,639 outpatient services, charging 6.38 times what Medicare paid.

1Medicare inpatient stays 7,799
2Charge ÷ paid, inpatient 3.9×
3Rank in NE (highest ratio = 1) 11 of 22
4CMS price-transparency actions 0

Average charge per stay at Bryan Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 196 DRGs that can be compared with the national average, Bryan Medical Center charged more than the national average in 1 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	878	$53,594	-41%	$14,586
291 Heart Failure and Shock with MCC	306	$35,512	-37%	$9,907
274 Percutaneous and Other Intracardiac Procedures without MCC	221	$91,735	-41%	$23,473
267 Endovascular Cardiac Valve Replacement and Supplement...	181	$132,947	-40%	$34,391
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	167	$28,241	-42%	$8,249
853 Infectious and Parasitic Diseases with O.R. Procedures with...	158	$125,878	-45%	$34,993
189 Pulmonary Edema and Respiratory Failure	138	$47,770	-17%	$9,959
683 Renal Failure with CC	127	$24,852	-39%	$7,233
177 Respiratory Infections and Inflammations with MCC	122	$52,649	-25%	$12,546
378 Gastrointestinal Hemorrhage with CC	111	$31,893	-34%	$7,874
481 Hip and Femur Procedures except Major Joint with CC	111	$70,389	-30%	$15,788
280 Acute Myocardial Infarction, Discharged Alive with MCC	106	$55,909	-26%	$12,188
698 Other Kidney and Urinary Tract Diagnoses with MCC	105	$46,253	-37%	$12,407
682 Renal Failure with MCC	97	$35,913	-46%	$11,186
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	94	$33,055	-41%	$8,349
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	90	$54,427	-45%	$14,144
552 Medical Back Problems without MCC	90	$27,971	-43%	$7,663
330 Major Small and Large Bowel Procedures with CC	83	$68,387	-43%	$17,876
193 Simple Pneumonia and Pleurisy with MCC	82	$37,359	-37%	$9,716
235 Coronary Bypass without Cardiac Catheterization with MCC	77	$174,333	-40%	$46,532
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	72	$24,324	-39%	$6,306
039 Extracranial Procedures without CC/MCC	68	$37,869	-41%	$9,250
690 Kidney and Urinary Tract Infections without MCC	68	$22,282	-41%	$6,471
480 Hip and Femur Procedures except Major Joint with MCC	66	$91,946	-34%	$21,192
329 Major Small and Large Bowel Procedures with MCC	65	$123,437	-43%	$31,320
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	64	$65,307	-36%	$15,477
322 Percutaneous Cardiovascular Procedures with Intraluminal...	63	$88,025	-23%	$14,582
389 Gastrointestinal Obstruction with CC	60	$20,143	-48%	$6,422
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$33,315	-45%	$9,946
331 Major Small and Large Bowel Procedures without CC/MCC	54	$52,961	-38%	$12,886
025 Craniotomy and Endovascular Intracranial Procedures with MCC	53	$101,597	-56%	$33,248
178 Respiratory Infections and Inflammations with CC	51	$30,543	-33%	$8,222
233 Coronary Bypass with Cardiac Catheterization or Open...	49	$213,696	-45%	$55,291
312 Syncope and Collapse	48	$29,321	-36%	$6,718
377 Gastrointestinal Hemorrhage with MCC	48	$56,037	-34%	$14,236
092 Other Disorders of Nervous System with CC	46	$28,844	-44%	$8,516
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	46	$38,552	-41%	$11,051
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	46	$133,961	-34%	$33,243
071 Other Cerebrovascular Disorders with CC	45	$37,671	-25%	$9,354
184 Major Chest Trauma with CC	43	$30,391	-45%	$8,228
164 Major Chest Procedures with CC	42	$79,690	-37%	$19,757
243 Permanent Cardiac Pacemaker Implant with CC	42	$64,862	-42%	$16,403
418 Laparoscopic Cholecystectomy without C.D.E. with CC	42	$56,795	-39%	$13,378
689 Kidney and Urinary Tract Infections with MCC	41	$29,131	-43%	$8,653
699 Other Kidney and Urinary Tract Diagnoses with CC	41	$25,915	-45%	$7,744
242 Permanent Cardiac Pacemaker Implant with MCC	40	$108,446	-32%	$22,944
308 Cardiac Arrhythmia and Conduction Disorders with MCC	40	$33,972	-40%	$9,757
038 Extracranial Procedures with CC	39	$42,274	-52%	$11,796
281 Acute Myocardial Infarction, Discharged Alive with CC	39	$42,903	-15%	$7,279
286 Circulatory Disorders except AMI, with Cardiac...	38	$71,621	-36%	$16,850
321 Percutaneous Cardiovascular Procedures with Intraluminal...	38	$100,085	-39%	$23,044
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	38	$71,948	-40%	$17,238
163 Major Chest Procedures with MCC	37	$119,225	-43%	$35,859
194 Simple Pneumonia and Pleurisy with CC	37	$28,287	-26%	$6,664
394 Other Digestive System Diagnoses with CC	36	$33,237	-29%	$7,551
854 Infectious and Parasitic Diseases with O.R. Procedures with...	36	$56,428	-43%	$15,611
070 Other Cerebrovascular Disorders with MCC	35	$62,444	-18%	$13,057
083 Traumatic Stupor and Coma >1 Hour with CC	35	$40,312	-45%	$10,808
470 Major Hip and Knee Joint Replacement or Reattachment of...	35	$77,707	-17%	$14,359
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	35	$37,136	-45%	$10,514

Showing the 60 most frequent of 196 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	631	$17,995	$2,451
Level 1 Endovascular Procedures	527	$28,810	$2,941
Level 2 Excision/ Biopsy/ Incision and Drainage	397	$9,333	$1,320
Level 3 Electrophysiologic Procedures	339	$111,601	$21,231
Level 2 Upper GI Procedures	273	$12,931	$1,705
Level 3 Vascular Procedures	258	$17,066	$2,855
Level 3 Pacemaker and Similar Procedures	256	$42,999	$9,616
Level 5 Urology and Related Services	227	$20,196	$4,631
Level 4 Urology and Related Services	216	$16,198	$3,118
Level 5 Musculoskeletal Procedures	214	$49,549	$11,749
Level 2 Endovascular Procedures	211	$37,470	$5,111
Level 1 Laparoscopy and Related Services	187	$27,369	$5,177
Level 3 Endovascular Procedures	182	$62,267	$9,860
Level 4 Musculoskeletal Procedures	145	$31,895	$6,411
Level 2 Laparoscopy and Related Services	115	$42,428	$9,138
Level 2 ICD and Similar Procedures	103	$123,776	$29,557
Level 3 Urology and Related Services	99	$10,880	$1,835
Level 6 Musculoskeletal Procedures	96	$82,115	$16,600
Level 4 Airway Endoscopy	91	$20,367	$3,288
Level 4 Pacemaker and Similar Procedures	85	$84,517	$17,519
Level 2 Vascular Procedures	72	$5,957	$1,443
Level 2 Breast/Lymphatic Surgery and Related Procedures	71	$36,844	$5,876
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	71	$17,926	$3,118
Level 3 Excision/ Biopsy/ Incision and Drainage	66	$12,613	$2,374
Level 4 Vascular Procedures	62	$28,501	$4,728

Against the Nebraska average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bryan Medical Center charged $53,594 on average, 7% less than the Nebraska average of $57,675, and was paid $14,586 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), Bryan Medical Center charged $35,512 on average, 4% less than the Nebraska average of $36,928, and was paid $9,907 against a state average of $10,527. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Bryan Medical Center charged $91,735 on average, 0% less than the Nebraska average of $91,441, and was paid $23,473 against a state average of $23,693. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Bryan Medical Center charged $132,947 on average, 4% less than the Nebraska average of $137,789, and was paid $34,391 against a state average of $34,771. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,995 was 10% above the state average of $16,361. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,810 was 8% above the state average of $26,619. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,333 was 6% above the state average of $8,843. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $111,601 was 5% above the state average of $106,357.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.