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Midwest Surgical Hospital LLC: what a joint replacement costs

Omaha, NE 68114 · CMS Certification Number 280131. 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
Bergan Mercy Surgery Center, LLC, 1.9 mi
Outpatient here
$11,738
Medicare allowed amount, 476 cases, APC 5115
Inpatient here
$12,521
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Midwest Surgical Hospital LLC

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,521$58,6764.7×$11,738
Shoulder replacement———$16,757

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.4%. Physician-owned · Acute · 19 beds

Nebraska has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Midwest Surgical Hospital LLC for a knee or hip replacement?

In 2024 the average total payment to Midwest Surgical Hospital LLC for an inpatient hip or knee replacement stay was $12,521 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,738 per outpatient case (APC 5115, 476 cases).

What is Midwest Surgical Hospital LLC's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,676, 4.7× 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 Midwest Surgical Hospital LLC?

Yes for Medicare facility payments. Bergan Mercy Surgery Center, LLC, an orthopedic surgery center 1.9 mi away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $3,667 less than an inpatient stay at Midwest Surgical Hospital LLC. Not every patient is a surgery-center candidate.

How does Midwest Surgical Hospital LLC compare with other Nebraska hospitals?

Midwest Surgical Hospital LLC's average total payment per Medicare stay is lower than 91% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.