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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $45,306 | 2.5× | $40,333–$51,997 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $51,997 | 2.9× | 1 |
| Medica | $48,979 | 2.7× | 1 |
| HealthPartners | $41,632 | 2.3× | 1 |
| Aetna | $40,333 | 2.2× | 1 |
From the hospital's price-transparency file (2026-08-10); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-10); commercial plans, dollar-amount contracts only.
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 the average total payment to The Nebraska Medical Center for an inpatient hip or knee replacement stay was $18,009 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
The Nebraska Medical Center's average total payment per Medicare stay is higher than 91% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $45,306 across 4 insurers, ranging from $40,333 to $51,997.