CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: CHI Health St. Elizabeth

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,661
about 1.5× the $14,044 Medicare rate · typically $18,035–$23,323
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,023
About the fair price
about $2,362 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $20,661 This hospital $23,023

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $11,684 Priciest $23,023

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $20,661 (about 1.5× the $14,044 Medicare rate). CHI Health St. Elizabeth charges insurers about $23,023 — about the fair price. Located in Lincoln, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $13,979 100%
Blue Cross Blue Shieldmajor $13,979 100%
Humanamajor $13,979 100%
Ambetter (Centene) $12,279 - $14,398 87%
Amerigroup $12,279 - $14,678 87%
Medica $13,979 - $38,161 100%
Molina $12,520 89%
+ 6 smaller / regional plans $14,678 - $30,941
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 555 South 70Th St, Lincoln, NE 68510
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals