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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,230 | $50,847 | 3.6× | $11,754 |
| Shoulder replacement | $17,956 | $67,751 | 3.8× | $16,757 |
| Hip replacement after a fracture (DRG 522) | $16,084 | $49,316 | 3.1× | — |
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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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).
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.
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.
Medicare paid Methodist Hospital more than 55% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.