Nebraska / CHI Health Immanuel
CMS certification 280081 · Omaha, NE · 1 entry in CMS's price-transparency list
CHI Health Immanuel: charges and Medicare payments
CHI Health Immanuel reported 841 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 3.64 times what it was paid — among the lower ratios in Nebraska, number 15 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 212 stays at an average charge of $50,319, 44% below the national average. It also billed 432 outpatient services, charging 7.36 times what Medicare paid.
- 1Medicare inpatient stays 841
- 2Charge ÷ paid, inpatient 3.64×
- 3Rank in NE (highest ratio = 1) 15 of 22
- 4CMS price-transparency actions 1
Inpatient stays
For the 29 DRGs that can be compared with the national average, CHI Health Immanuel charged more than the national average in 2 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 212 | $50,319 | -44% | $16,182 |
| 291 Heart Failure and Shock with MCC | 85 | $38,281 | -32% | $11,285 |
| 885 Psychoses | 71 | $64,946 | +47% | $12,896 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $38,723 | -31% | $9,574 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 30 | $26,035 | -47% | $9,257 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $145,806 | -36% | $30,508 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $34,560 | -42% | $12,126 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $38,940 | -47% | $15,569 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $40,410 | -33% | $11,683 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $55,383 | -45% | $17,088 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $25,924 | -31% | $8,064 |
| 683 Renal Failure with CC | 22 | $23,391 | -43% | $9,089 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $29,710 | -26% | $7,696 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $52,361 | -9% | $16,234 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $63,082 | -26% | $15,899 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $194,545 | -40% | $55,315 |
| 682 Renal Failure with MCC | 17 | $33,236 | -50% | $12,242 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $26,993 | -25% | $7,372 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $82,629 | -18% | $14,804 |
| 100 Seizures with MCC | 13 | $113,657 | +20% | $17,525 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $159,328 | -26% | $34,121 |
| 069 Transient Ischemia without Thrombolytic | 12 | $31,319 | -38% | $7,769 |
| 101 Seizures without MCC | 12 | $35,639 | -27% | $8,659 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $66,628 | -30% | $18,320 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $35,917 | -37% | $11,970 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $36,802 | -48% | $15,424 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 11 | $77,229 | -10% | $14,185 |
| 389 Gastrointestinal Obstruction with CC | 11 | $17,524 | -55% | $7,773 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 11 | $23,810 | -36% | $8,050 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 67 | $51,859 | $11,844 |
| Comprehensive Observation Services | 63 | $16,136 | $2,435 |
| Level 4 Musculoskeletal Procedures | 52 | $35,295 | $6,250 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 50 | $8,811 | $1,461 |
| Level 3 Musculoskeletal Procedures | 43 | $23,628 | $2,809 |
| Level 2 Musculoskeletal Procedures | 24 | $16,927 | $1,400 |
| Level 2 Upper GI Procedures | 22 | $11,856 | $1,661 |
| Level 3 Lower GI Procedures | 21 | $28,401 | $2,530 |
| Level 1 Laparoscopy and Related Services | 20 | $40,369 | $5,199 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $18,130 | $2,561 |
| Level 3 Vascular Procedures | 17 | $18,478 | $2,738 |
| Level 4 Vascular Procedures | 12 | $22,035 | $4,952 |
| Level 2 Laparoscopy and Related Services | 12 | $72,631 | $8,654 |
| Level 4 Urology and Related Services | 11 | $31,161 | $3,142 |
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Health Immanuel charged $50,319 on average, 13% less than the Nebraska average of $57,675, and was paid $16,182 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), CHI Health Immanuel charged $38,281 on average, 4% more than the Nebraska average of $36,928, and was paid $11,285 against a state average of $10,527. For Psychoses (DRG 885), CHI Health Immanuel charged $64,946 on average, 45% more than the Nebraska average of $44,667, and was paid $12,896 against a state average of $14,808. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), CHI Health Immanuel charged $38,723 on average, 2% more than the Nebraska average of $37,964, and was paid $9,574 against a state average of $9,128. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $51,859 was 12% above the state average of $46,218. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,136 was 1% below the state average of $16,361. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $35,295 was 19% above the state average of $29,725. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,811 was 0% below the state average of $8,843.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI Health Immanuel in Omaha, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-06 (CMS case 4960)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.