How many shoppable procedure prices are published for Nebraska Orthopaedic Hospital?

Nebraska Orthopaedic Hospital in Omaha, NE currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Nebraska Orthopaedic Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Nebraska Orthopaedic Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Physician 24 Beds · urban Updated: 2025-12-27

Nebraska Orthopaedic Hospital

2808 South 143Rd Plaza, Omaha, NE 68144 · 141 Priced Procedures · 89% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.14×vs. Fair Market Price

Typical commercial prices here are +14% above the fair benchmark (1.14×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic93

Peer Alignment80

Clean Billing82

Real Cash Discount50

High Quality · Fair Price

5-Star CMS clinical quality rating paired with 1.14× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Nebraska Orthopaedic Hospital prices shoppable and inpatient services (1.3× to 1.3× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.14× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#14 of 60 in NE · 21st State Percentile#1,838 of 3,385 in U.S. · 54th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
5-Star CMS clinical rating with 89% patient recommendation (83/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 1.13× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.34×) jump +19% above the median procedure ratio (Q50 1.13×)
Unnegotiated chargemaster list prices average 9.2× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+19% Upper Tail

Q25 0.96× · Q50 1.13× · Q75 1.34×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 83/100Good

Procedure Prices at Nebraska Orthopaedic Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,098	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,683	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,000	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,149	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$15,010	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$15,010	$13,523	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,828	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,596	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,851	$3,875	unverified
Bunion correction surgery CPT Code: `28296`	—	$4,473	$3,446	unverified
Inguinal hernia repair CPT Code: `49505`	—	$4,471	$3,629	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,672	$3,372	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,578	$2,540	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,586	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,345	$2,680	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,333	$1,256	1.1×
Trauma team activation HCPCS Code: `G0390`	—	$1,315	$1,453	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,188	$987	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,011	$1,021	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$906	$981	0.9×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$756	$257	2.9×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$756	$269	2.8×
Behavioral health residential care HCPCS Code: `H0011`	—	$756	$364	2.1×
Behavioral health day treatment HCPCS Code: `H0010`	—	$756	$343	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$688	$855	0.8×
Behavioral health day program HCPCS Code: `H2012`	—	$680	$100	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$630	$583	1.1×
Blood transfusion CPT Code: `36430`	—	$588	$498	1.2×
Residential mental health treatment HCPCS Code: `H2036`	—	$517	$406	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$522	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$442	$448	1.0×
Psychological testing by technician CPT Code: `96138`	—	$397	$395	1.0×
Mental health services (assessment) HCPCS Code: `H0031`	—	$361	$140	2.6×
Behavioral health assessment HCPCS Code: `H0001`	—	$361	$157	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$342	$303	1.1×
Rabies immune globulin HCPCS Code: `90375`	—	$353	$322	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	—	$347	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	—	$347	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	—	$347	$369	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$310	$231	1.3×
CT scan, head (with contrast) CPT Code: `70460`	—	$260	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$260	$258	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$245	$272	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$236	$148	unverified
Care planning with family CPT Code: `90887`	—	$245	$107	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$188	$34	5.5×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$188	$88	2.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$204	$185	1.1×
Mental health services (therapy) HCPCS Code: `H0032`	—	$144	$65	2.2×
Psychological testing evaluation CPT Code: `96136`	—	$163	$128	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$169	$151	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$180	$181	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$198	$201	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	—	$195	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	$147	$86	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$145	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	—	$145	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$145	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$145	$134	1.1×
CT scan, head (no contrast) CPT Code: `70450`	—	$155	$160	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$160	$166	1.0×
CT scan, pelvis CPT Code: `72192`	—	$155	$163	1.0×
Family therapy session CPT Code: `90847`	—	$162	$173	0.9×
CT scan, sinuses CPT Code: `70486`	—	$155	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	—	$155	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$155	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$155	$169	0.9×
Review of medical records for care CPT Code: `90889`	—	$125	$114	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$113	$110	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$118	$123	1.0×
X-ray, pelvis CPT Code: `72170`	—	$104	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	—	$86	$92	0.9×
X-ray, shoulder CPT Code: `73030`	—	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	—	$86	$92	0.9×
X-ray, lower back CPT Code: `72110`	—	$104	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	—	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	—	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	—	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	—	$86	$93	0.9×
Group therapy session CPT Code: `90853`	—	$91	$100	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$307	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$164	$203	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
Drug screening test HCPCS Code: `G0480`	—	$91	$116	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$53	$14	3.8×
Community mental health services HCPCS Code: `H0038`	—	$50	$16	3.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$69	$35	2.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$63	$35	1.8×
Speech therapy (group session) CPT Code: `92508`	—	$45	$27	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$63	$38	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$63	$38	1.7×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$32	$16	2.0×
Physical therapy (gait training) CPT Code: `97116`	—	$54	$33	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$65	$40	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	—	$53	$38	1.4×
Orthotic fitting and training CPT Code: `97760`	—	$63	$51	1.2×
Blood test, vitamin D CPT Code: `82306`	—	$38	$31	1.2×
Flu vaccine injection HCPCS Code: `G0008`	—	$57	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$57	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	—	$57	$49	1.2×
Blood antibody screen CPT Code: `86850`	—	$52	$46	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$58	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$77	$87	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$53	$111	0.5×
Physical therapy (manual therapy) CPT Code: `97140`	—	$63	$34	unverified
Prosthetic fitting and training CPT Code: `97761`	—	$63	$45	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$6	$4	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$28	$19	1.5×
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	—	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	—	$7	$5	1.4×
Blood test, vitamin B12 CPT Code: `82607`	—	$22	$16	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, hemoglobin CPT Code: `85018`	—	$4	$3	1.3×
Culture, bacterial CPT Code: `87070`	—	$12	$9	1.3×
Culture, blood CPT Code: `87040`	—	$14	$11	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$31	$25	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	—	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	—	$11	$9	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$17	$14	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$12	$10	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	—	$18	$15	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$21	$18	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$21	$20	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$33	$37	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$7	$6	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$16	$14	1.1×
Blood test, amylase CPT Code: `82150`	—	$8	$7	1.1×
Blood test, lipase CPT Code: `83690`	—	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	—	$8	$7	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$25	$25	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$31	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$31	$56	0.6×

Showing top 25 high-impact procedures of 141 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Nebraska Orthopaedic Hospital (Zero PHI Required)

CMS CCN: 280129

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,098

1. Amount on Your Bill or Quote ($) Pre-filled with Nebraska Orthopaedic Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Nebraska Orthopaedic Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$43,860 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($74,635) is $43,860 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Nebraska Orthopaedic Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)

Safety Composite83/100

Would Recommend89%

Rated 9 or 10 (HCAHPS)86%

Median ER Wait97 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (156 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Nebraska Orthopaedic Hospital.

Price Index: 1.06× regional baseline

Quality: 85/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-49.7%

Humana

+98.1%

Median Household Income$79,081U.S. Census ACS

Local Uninsured Share8.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 83/100 · Corroborated CMS CCN 280129

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 280129) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileorthonebraska

Publication / Vintage2025-12-27 · 330.51 MB

Validated Rate Rows3,373 (CMS v3.0.0)

File Integrity Digest71c2ff63ac2388080448…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy