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Methodist Fremont Health: what a joint replacement costs

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.

Surgery center nearby
$8,854
Lakeside Surgery Center, 20.8 mi
Outpatient here
$12,298
Medicare allowed amount, 96 cases, APC 5115
Inpatient here
$18,632
Avg total payment (incl. patient share), 32 Medicare stays, MS-DRG 470

Medicare prices at Methodist Fremont Health

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,632$72,8683.9×$12,298
Shoulder replacement———$17,400
Hip replacement after a fracture (DRG 522)$19,521$79,3754.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$31,5201.7×$27,006–$36,0332
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elite Choice$36,0331.9×1
Alliance NHN$27,0061.4×1

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.

Quality

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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Questions

How much does Medicare pay Methodist Fremont Health for a knee or hip replacement?

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).

What is Methodist Fremont Health's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Methodist Fremont Health?

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.

How does Methodist Fremont Health compare with other Nebraska hospitals?

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.

What do commercial insurers pay Methodist Fremont Health for a 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.