Omaha, NE 68198 · CMS Certification Number 280013. 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 | $18,009 | $66,353 | 3.7× | $11,570 |
| Shoulder replacement | — | — | — | $16,757 |
| Hip replacement after a fracture (DRG 522) | $21,206 | $78,697 | 3.7× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 689 beds
Nebraska has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid The Nebraska Medical Center an average of $18,009 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,570 per outpatient case (APC 5115, 112 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,353, 3.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Bergan Mercy Surgery Center, LLC, an orthopedic surgery center 1.9 mi away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $9,155 less than an inpatient stay at The Nebraska Medical Center. Not every patient is a surgery-center candidate.
Medicare paid The Nebraska Medical Center more than 91% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.