What 4 hospitals in Nebraska charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Hospitals in Nebraska billed an average of $80,249 for revision of hip or knee replacement without complications, about 4.2 times the average total payment of $19,335. That payment is 19% below the U.S. average of $23,925.
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 24¢ was paid for every $1 hospitals in Nebraska billed for this stay.
Medicare prices this stay in 3 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 |
|---|---|---|---|---|
| Bellevue Medical CenterBellevue | 34 | $87,008 | $18,318 | $16,830 |
| Nebraska Orthopaedic HospitalOmaha | 27 | $52,644 | $19,273 | $17,823 |
| Saint Elizabeth Regional Medical CenterLincoln | 25 | $78,204 | $19,762 | $16,636 |
| Bryan Medical CenterLincoln | 21 | $107,232 | $20,554 | $16,645 |
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.
| Bellevue Medical CenterBellevue, NE | $18,318 |
|---|---|
| Nebraska Orthopaedic HospitalOmaha, NE | $19,273 |
| Saint Elizabeth Regional Medical CenterLincoln, NE | $19,762 |
| Bryan Medical CenterLincoln, NE | $20,554 |
| Bryan Medical CenterLincoln, NE | $20,554 |
|---|---|
| Saint Elizabeth Regional Medical CenterLincoln, NE | $19,762 |
| Nebraska Orthopaedic HospitalOmaha, NE | $19,273 |
| Bellevue Medical CenterBellevue, NE | $18,318 |
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 4 hospitals in Nebraska was billed at $80,249 on average, while the average total payment was $19,335, of which Medicare paid $16,999. 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 4.2 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.