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Great Plains Health: what a joint replacement costs

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.

Surgery center nearby
$8,404
North Platte Surgery Center, LLC, same ZIP
Outpatient here
$12,570
Medicare allowed amount, 219 cases, APC 5115
Inpatient here
$16,275
Avg total payment (incl. patient share), 25 Medicare stays, MS-DRG 470

Medicare prices at Great Plains Health

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,275$86,1295.3×$12,570
Shoulder replacement———$18,049
Hip replacement after a fracture (DRG 522)$16,257$80,1914.9×—

Quality

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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Questions

How much does Medicare pay Great Plains Health for a knee or hip replacement?

In 2024 the average total payment to Great Plains Health for an inpatient hip or knee replacement stay was $16,275 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,570 per outpatient case (APC 5115, 219 cases).

What is Great Plains Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $86,129, 5.3× 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 Great Plains Health?

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.

How does Great Plains Health compare with other Nebraska hospitals?

Great Plains Health's average total payment per Medicare stay is higher than 82% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.