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Methodist Hospital: what a joint replacement costs

Omaha, NE 68114 · CMS Certification Number 280040. 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
$11,754
Medicare allowed amount, 227 cases, APC 5115
Inpatient here
$14,230
Avg total payment (incl. patient share), 79 Medicare stays, MS-DRG 470

Medicare prices at Methodist Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,230$50,8473.6×$11,754
Shoulder replacement$17,956$67,7513.8×$16,757
Hip replacement after a fracture (DRG 522)$16,084$49,3163.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,2932.4×$21,350–$34,3133
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medica$34,3132.4×1
UnitedHealthcare$34,2932.4×1
Aetna$21,3501.5×1

From the hospital's price-transparency file (2026-02-14); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-02-14); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 430 beds

Nebraska has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Methodist Hospital for a knee or hip replacement?

In 2024 the average total payment to Methodist Hospital for an inpatient hip or knee replacement stay was $14,230 (MS-DRG 470, 79 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,754 per outpatient case (APC 5115, 227 cases).

What is Methodist Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,847, 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 Methodist Hospital?

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), $5,376 less than an inpatient stay at Methodist Hospital. Not every patient is a surgery-center candidate.

How does Methodist Hospital compare with other Nebraska hospitals?

Methodist Hospital's average total payment per Medicare stay is higher than 55% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Methodist Hospital 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 $34,293 across 3 insurers, ranging from $21,350 to $34,313.