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Chi Health Lakeside: what a joint replacement costs

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.

Surgery center nearby
$8,854
Lakeside Surgery Center, same ZIP
Outpatient here
$11,775
149 Medicare cases, APC 5115
Inpatient here
$12,640
19 Medicare stays, MS-DRG 470

Medicare prices at Chi Health Lakeside

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,640$77,1306.1×$11,775
Shoulder replacement$16,964$90,6355.3×$16,757
Hip replacement after a fracture (DRG 522)$14,047$71,0175.1×—

Quality

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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Questions

How much does Medicare pay Chi Health Lakeside for a knee or hip replacement?

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).

What is Chi Health Lakeside's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Chi Health Lakeside?

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.

How does Chi Health Lakeside compare with other Nebraska hospitals?

Medicare paid Chi Health Lakeside less than 82% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.