CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: CHI Health St. Marys

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,626
about 1.3× the $14,044 Medicare rate · typically $12,576–$31,226
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,399
Below the fair price — a good deal
about $6,227 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $18,626 This hospital $12,399

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

One of the lower prices — 5 of 8 other NE hospitals charge more for the same procedure.

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 $18,626 (about 1.3× the $14,044 Medicare rate). CHI Health St. Marys charges insurers about $12,399 — below the fair price — a good deal. Located in Nebraska City, 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 $4,324 - $5,798 31%
Blue Cross Blue Shieldmajor $4,324 31%
Humanamajor $4,324 31%
Ambetter (Centene) $4,411 - $5,798 31%
Amerigroup $4,541 - $12,279 32%
Medica $4,324 31%
Molina $12,520 89%
+ 3 smaller / regional plans $4,324 - $9,513

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Facility Profile & Credentials

  • Address: 1301 Grundman Blvd, Nebraska City, NE 68410
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals