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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,521 | $58,676 | 4.7× | $11,738 |
| Shoulder replacement | — | — | — | $16,757 |
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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In 2024 Medicare paid Midwest Surgical Hospital LLC an average of $12,521 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,738 per outpatient case (APC 5115, 476 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,676, 4.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Midwest Surgical Hospital LLC less than 91% of the 11 Nebraska hospitals that report inpatient hip or knee replacement.