Omaha, NE 68130 · CMS Certification Number 280130. 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 | $12,640 | $77,130 | 6.1× | $11,775 |
| Shoulder replacement | $16,964 | $90,635 | 5.3× | $16,757 |
| Hip replacement after a fracture (DRG 522) | $14,047 | $71,017 | 5.1× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 157 beds
Nebraska has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Chi Health Lakeside an average of $12,640 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,775 per outpatient case (APC 5115, 149 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,130, 6.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Lakeside Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $3,786 less than an inpatient stay at Chi Health Lakeside. Not every patient is a surgery-center candidate.
Medicare paid Chi Health Lakeside less than 82% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.