Lincoln, NE 68506 · CMS Certification Number 280003. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,359 | $77,707 | 5.4× | $11,749 |
| Shoulder replacement | — | — | — | $16,600 |
| Hip replacement after a fracture (DRG 522) | $15,477 | $65,307 | 4.2× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 630 beds
Nebraska has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Bryan Medical Center an average of $14,359 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,749 per outpatient case (APC 5115, 214 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,707, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Nebraska Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,849 by Medicare for a knee replacement (CPT 27447), $5,510 less than an inpatient stay at Bryan Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Bryan Medical Center more than 64% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.