Lincoln, NE 68510 · CMS Certification Number 280020. 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 | $14,629 | $52,316 | 3.6× | $11,571 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,123 | $55,554 | 3.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,923 | 2.0× | $19,140–$32,691 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medica | $32,691 | 2.2× | 1 |
| Timpte | $30,941 | 2.1× | 1 |
| Amps | $30,754 | 2.1× | 1 |
| Greater Omaha Packing | $28,923 | 2.0× | 1 |
| Millard Public Schools | $28,923 | 2.0× | 1 |
| One World | $28,923 | 2.0× | 1 |
| Midlands Choice | $19,140 | 1.3× | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 7.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 265 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 Chi Health St Elizabeth for an inpatient hip or knee replacement stay was $14,629 (MS-DRG 470, 28 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,571 per outpatient case (APC 5115, 115 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,316, 3.6× 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. Noc Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,849 by Medicare for a knee replacement (CPT 27447), $5,780 less than an inpatient stay at Chi Health St Elizabeth. Not every patient is a surgery-center candidate.
Chi Health St Elizabeth's average total payment per Medicare stay is higher than 73% 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 $28,923 across 7 insurers, ranging from $19,140 to $32,691.