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Chi Health St Elizabeth: what a joint replacement costs

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.

Surgery center nearby
$8,849
Noc Surgery Center, same ZIP
Outpatient here
$11,571
Medicare allowed amount, 115 cases, APC 5115
Inpatient here
$14,629
Avg total payment (incl. patient share), 28 Medicare stays, MS-DRG 470

Medicare prices at Chi Health St Elizabeth

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,629$52,3163.6×$11,571
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,123$55,5543.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,9232.0×$19,140–$32,6917
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medica$32,6912.2×1
Timpte$30,9412.1×1
Amps$30,7542.1×1
Greater Omaha Packing$28,9232.0×1
Millard Public Schools$28,9232.0×1
One World$28,9232.0×1
Midlands Choice$19,1401.3×1

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.

Quality

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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Questions

How much does Medicare pay Chi Health St Elizabeth for a knee or hip replacement?

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).

What is Chi Health St Elizabeth's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Chi Health St Elizabeth?

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.

How does Chi Health St Elizabeth compare with other Nebraska hospitals?

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.

What do commercial insurers pay Chi Health St Elizabeth 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 $28,923 across 7 insurers, ranging from $19,140 to $32,691.