Fremont, NE 68025 · CMS Certification Number 280077. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,632 | $72,868 | 3.9× | $12,298 |
| Shoulder replacement | — | — | — | $17,400 |
| Hip replacement after a fracture (DRG 522) | $19,521 | $79,375 | 4.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,520 | 1.7× | $27,006–$36,033 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elite Choice | $36,033 | 1.9× | 1 |
| Alliance NHN | $27,006 | 1.4× | 1 |
From the hospital's price-transparency file (2026-02-16); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-16); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 90 beds
Nebraska has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Methodist Fremont Health for an inpatient hip or knee replacement stay was $18,632 (MS-DRG 470, 32 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,298 per outpatient case (APC 5115, 96 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,868, 3.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Lakeside Surgery Center, an orthopedic surgery center 20.8 mi away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $9,778 less than an inpatient stay at Methodist Fremont Health. Not every patient is a surgery-center candidate.
Methodist Fremont Health's average total payment per Medicare stay is higher than 100% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $31,520 across 2 insurers, ranging from $27,006 to $36,033.