North Platte, NE 69101 · CMS Certification Number 280065. 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 | $16,275 | $86,129 | 5.3× | $12,570 |
| Shoulder replacement | — | — | — | $18,049 |
| Hip replacement after a fracture (DRG 522) | $16,257 | $80,191 | 4.9× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 116 beds
Nebraska has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Great Plains Health an average of $16,275 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $12,570 per outpatient case (APC 5115, 219 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $86,129, 5.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Platte Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,404 by Medicare for a knee replacement (CPT 27447), $7,871 less than an inpatient stay at Great Plains Health. Not every patient is a surgery-center candidate.
Medicare paid Great Plains Health more than 82% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.