What 11 hospitals in Nebraska charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Hospitals in Nebraska billed an average of $64,039 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.4 times the average total payment of $14,687. That payment is 15% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
About 23¢ was paid for every $1 hospitals in Nebraska billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Nebraska:
Every Nebraska hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| The Nebraska Methodist HospitalOmaha | 79 | $50,847 | $14,230 | $12,092 |
| Bryan Medical CenterLincoln | 35 | $77,707 | $14,359 | $11,847 |
| Fremont Area Medical CenterFremont | 32 | $72,868 | $18,632 | $15,432 |
| Bellevue Medical CenterBellevue | 32 | $63,570 | $13,961 | $10,888 |
| Saint Elizabeth Regional Medical CenterLincoln | 28 | $52,316 | $14,629 | $11,741 |
| Great Plains Regional Medical CenterNorth Platte | 25 | $86,129 | $16,275 | $12,240 |
| Alegent Health Lakeside HospitalOmaha | 19 | $77,130 | $12,640 | $11,176 |
| Midwest Surgical Hospital LLCOmaha | 18 | $58,676 | $12,521 | $10,889 |
| Kearney Regional Medical CenterKearney | 17 | $78,885 | $12,993 | $9,742 |
| Lincoln Surgical HospitalLincoln | 15 | $40,200 | $13,129 | $11,497 |
| The Nebraska Medical CenterOmaha | 11 | $66,353 | $18,009 | $14,933 |
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Midwest Surgical Hospital LLCOmaha, NE | $12,521 |
|---|---|
| Alegent Health Lakeside HospitalOmaha, NE | $12,640 |
| Kearney Regional Medical CenterKearney, NE | $12,993 |
| Lincoln Surgical HospitalLincoln, NE | $13,129 |
| Bellevue Medical CenterBellevue, NE | $13,961 |
| Fremont Area Medical CenterFremont, NE | $18,632 |
|---|---|
| The Nebraska Medical CenterOmaha, NE | $18,009 |
| Great Plains Regional Medical CenterNorth Platte, NE | $16,275 |
| Saint Elizabeth Regional Medical CenterLincoln, NE | $14,629 |
| Bryan Medical CenterLincoln, NE | $14,359 |
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 11 hospitals in Nebraska was billed at $64,039 on average, while the average total payment was $14,687, of which Medicare paid $12,082. Your own cost depends on your insurance, deductible and the hospital.
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Nebraska, average charges were 4.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.