facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Nebraska: 11 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Nebraska

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.

DRG 470 Inpatient 2024 Medicare data
Average charge $64,039 Hospital list price billed
Average payment $14,687 Medicare + patient + other payers
Medicare paid $12,082 Average per stay
State rank #17 of 48 1 = lowest average payment

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.

Paid $14,687Billed $64,039

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:

Nebraska hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications

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
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Lowest and highest payments in Nebraska

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.

Lowest

Highest

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Nebraska?

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.

Why are hospital charges so much higher than payments?

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.