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The Nebraska Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,854
Bergan Mercy Surgery Center, LLC, 1.9 mi
Outpatient here
$11,570
Medicare allowed amount, 112 cases, APC 5115
Inpatient here
$18,009
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at The Nebraska Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,009$66,3533.7×$11,570
Shoulder replacement———$16,757
Hip replacement after a fracture (DRG 522)$21,206$78,6973.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$45,3062.5×$40,333–$51,9974
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$51,9972.9×1
Medica$48,9792.7×1
HealthPartners$41,6322.3×1
Aetna$40,3332.2×1

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.

Quality

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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Questions

How much does Medicare pay The Nebraska Medical Center for a knee or hip replacement?

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).

What is The Nebraska Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near The Nebraska Medical Center?

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.

How does The Nebraska Medical Center compare with other Nebraska hospitals?

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.

What do commercial insurers pay The Nebraska Medical Center for a 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.