CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Midwest Surgical Hospital LLC

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,789
about 1.4× the $14,044 Medicare rate · typically $16,385–$26,595
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,523
Below the fair price — a good deal
about $3,266 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $19,789 This hospital $16,523

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NE hospitals compared.

Cheapest $11,684 Priciest $18,426

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 $19,789 (about 1.4× the $14,044 Medicare rate). Midwest Surgical Hospital LLC charges insurers about $16,523 — below the fair price — a good deal. 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.

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 $16,523 - $16,854 118%
Blue Cross Blue Shieldmajor $14,290 102%
Humanamajor $14,290 102%
Molina $14,575 104%
WellCare $14,290 102%
+ 3 smaller / regional plans $24,340 - $28,579
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 7915 Farnam Drive, Omaha, NE 68114
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals