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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,600 | 2.5× | $28,364–$38,766 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $38,766 | 3.1× | 1 |
| Timpte | $33,804 | 2.7× | 1 |
| Midlands Choice | $33,644 | 2.7× | 1 |
| Creighton University Employees | $31,997 | 2.5× | 1 |
| Greater Omaha Packing | $31,600 | 2.5× | 1 |
| Millard Public Schools | $31,600 | 2.5× | 1 |
| One World | $31,600 | 2.5× | 1 |
| Medica | $30,588 | 2.4× | 1 |
| Amps | $28,364 | 2.2× | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
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 the average total payment to Chi Health Lakeside for an inpatient hip or knee replacement stay was $12,640 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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.
Chi Health Lakeside's average total payment per Medicare stay is lower than 82% 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 $31,600 across 9 insurers, ranging from $28,364 to $38,766.