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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
227 Medicare cases, APC 5115
Inpatient here
$14,230
79 Medicare stays, MS-DRG 470

Medicare prices at Methodist Hospital

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid Methodist Hospital an average of $14,230 per inpatient hip or knee replacement stay (MS-DRG 470, 79 stays) and $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× what Medicare paid. 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?

Medicare paid Methodist Hospital more than 55% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.