Hip or knee replacement (inpatient stay)
Facility: CHI Health Bergan Mercy
Billing Code: 470 (MS-DRG)
Highest price of the 9 NE hospitals we have prices for — worth calling around.
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 $21,172 (about 1.5× the $14,044 Medicare rate). CHI Health Bergan Mercy charges insurers about $29,395 — above the fair price. Located in Omaha, NE.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $21,172. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $17,241 - $38,766 | 123% |
| Blue Cross Blue Shieldmajor | $17,241 | 123% |
| Humanamajor | $17,241 | 123% |
| Ambetter (Centene) | $12,279 - $17,758 | 87% |
| Amerigroup | $12,279 - $18,103 | 87% |
| Medica | $17,241 - $44,577 | 123% |
| Molina | $12,520 | 89% |
| + 9 smaller / regional plans | $17,241 - $37,930 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at CHI Health Bergan Mercy
Compare: Hip or knee replacement (inpatient stay) at other NE hospitals
- Boys Town National Research Hospital · Boys Town $11,684
- Phelps Memorial Health Center · Holdrege $12,017
- CHI Health Schuyler · Schuyler $12,399
- CHI Health St. Marys · Nebraska City $12,399
- Mary Lanning Healthcare · Hastings $14,616
- Midwest Surgical Hospital LLC · Omaha $16,523
- CHI Health Nebraska Heart · Lincoln $16,577
- Children's Nebraska · Omaha $17,063
Insurance negotiated median for the same procedure, sorted lowest first.