CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: The Nebraska Methodist Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,367
about 1.5× the $14,044 Medicare rate · typically $18,011–$30,196
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,350
About the fair price
about $983 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $20,367 This hospital $21,350

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 $21,350

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 $20,367 (about 1.5× the $14,044 Medicare rate). The Nebraska Methodist Hospital charges insurers about $21,350 — about the fair price. Located in Omaha, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $14,732 - $37,019 105%
Blue Cross Blue Shieldmajor $14,732 105%
Aetnamajor $14,732 - $21,350 105%
Humanamajor $14,730 105%
Ambetter (Centene) $31,050 221%
Medica $14,732 - $34,313 105%
+ 2 smaller / regional plans $21,143 - $29,488
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 8303 Dodge St, Omaha, NE 68114
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals