Lincoln, NE 68506 · CMS Certification Number 280127. 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 | $13,129 | $40,200 | 3.1× | $11,652 |
| Shoulder replacement | $16,877 | $42,537 | 2.5× | $16,455 |
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.9%. For-profit · Acute · 20 beds
Nebraska has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Lincoln Surgical Hospital an average of $13,129 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,652 per outpatient case (APC 5115, 949 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,200, 3.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Nebraska Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,849 by Medicare for a knee replacement (CPT 27447), $4,280 less than an inpatient stay at Lincoln Surgical Hospital. Not every patient is a surgery-center candidate.
Medicare paid Lincoln Surgical Hospital less than 64% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.