Nebraska / CHI Health Lakeside

CMS certification 280130 · Omaha, NE · 1 entry in CMS's price-transparency list

CHI Health Lakeside: charges and Medicare payments

CHI Health Lakeside reported 1,322 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 4.38 times what it was paid — among the higher ratios in Nebraska, number 5 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: 347 stays at an average charge of $55,868, 38% below the national average. It also billed 1,245 outpatient services, charging 8.17 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,322
  2. 2Charge ÷ paid, inpatient 4.38×
  3. 3Rank in NE (highest ratio = 1) 5 of 22
  4. 4CMS price-transparency actions 1
DRG 871$55,868DRG 291$39,462DRG 872$30,786DRG 853$115,834DRG 682$34,901DRG 177$42,071DRG 698$41,996DRG 280$52,901DRG 683$24,170DRG 389$22,406
Average charge per stay at CHI Health Lakeside, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 44 DRGs that can be compared with the national average, CHI Health Lakeside charged more than the national average in 1 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC347$55,868-38%$13,407
291 Heart Failure and Shock with MCC92$39,462-30%$8,860
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC57$30,786-37%$7,336
853 Infectious and Parasitic Diseases with O.R. Procedures with...47$115,834-49%$34,112
682 Renal Failure with MCC40$34,901-47%$9,705
177 Respiratory Infections and Inflammations with MCC38$42,071-40%$12,442
698 Other Kidney and Urinary Tract Diagnoses with MCC38$41,996-43%$10,744
280 Acute Myocardial Infarction, Discharged Alive with MCC34$52,901-30%$11,202
683 Renal Failure with CC33$24,170-41%$6,151
389 Gastrointestinal Obstruction with CC26$22,406-42%$5,530
481 Hip and Femur Procedures except Major Joint with CC25$73,459-27%$13,735
064 Intracranial Hemorrhage or Cerebral Infarction with MCC24$59,027-41%$13,209
377 Gastrointestinal Hemorrhage with MCC24$63,109-26%$12,206
189 Pulmonary Edema and Respiratory Failure23$31,558-45%$8,650
689 Kidney and Urinary Tract Infections with MCC23$41,200-20%$8,370
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...22$41,676-25%$6,686
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...22$29,616-26%$5,278
522 Hip Replacement with Principal Diagnosis of Hip Fracture...22$71,017-31%$14,047
378 Gastrointestinal Hemorrhage with CC21$39,018-20%$7,128
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...21$39,667-34%$8,480
690 Kidney and Urinary Tract Infections without MCC21$23,572-38%$5,320
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale20$49,820-24%$11,662
193 Simple Pneumonia and Pleurisy with MCC19$33,238-44%$8,966
322 Percutaneous Cardiovascular Procedures with Intraluminal...19$107,023-7%$12,155
470 Major Hip and Knee Joint Replacement or Reattachment of...19$77,130-17%$12,640
281 Acute Myocardial Infarction, Discharged Alive with CC16$45,625-10%$6,567
329 Major Small and Large Bowel Procedures with MCC16$138,177-36%$28,711
483 Major Joint or Limb Reattachment Procedures of Upper...15$90,635-28%$16,964
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...15$25,038-32%$5,159
308 Cardiac Arrhythmia and Conduction Disorders with MCC14$39,357-31%$9,085
467 Revision of Hip or Knee Replacement with CC14$96,361-39%$22,505
321 Percutaneous Cardiovascular Procedures with Intraluminal...13$103,689-37%$21,697
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...13$67,512+11%$12,375
432 Cirrhosis and Alcoholic Hepatitis with MCC13$44,488-54%$13,062
603 Cellulitis without MCC13$22,069-41%$6,248
393 Other Digestive System Diagnoses with MCC12$40,294-48%$10,476
480 Hip and Femur Procedures except Major Joint with MCC12$95,109-31%$19,211
811 Red Blood Cell Disorders with MCC12$51,143-25%$9,418
870 Septicemia or Severe Sepsis with MV >96 Hours12$167,834-48%$42,139
309 Cardiac Arrhythmia and Conduction Disorders with CC11$26,035-28%$4,970
330 Major Small and Large Bowel Procedures with CC11$78,136-34%$15,880
521 Hip Replacement with Principal Diagnosis of Hip Fracture...11$93,471-31%$19,539
644 Endocrine Disorders with CC11$35,168-27%$7,078
854 Infectious and Parasitic Diseases with O.R. Procedures with...11$61,502-37%$16,172

Outpatient services

Against the Nebraska average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Health Lakeside charged $55,868 on average, 3% less than the Nebraska average of $57,675, and was paid $13,407 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), CHI Health Lakeside charged $39,462 on average, 7% more than the Nebraska average of $36,928, and was paid $8,860 against a state average of $10,527. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), CHI Health Lakeside charged $30,786 on average, 5% less than the Nebraska average of $32,494, and was paid $7,336 against a state average of $8,647. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), CHI Health Lakeside charged $115,834 on average, 20% less than the Nebraska average of $143,960, and was paid $34,112 against a state average of $40,903. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,571 was 20% above the state average of $16,361. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,267 was 5% above the state average of $8,843. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $59,970 was 30% above the state average of $46,218. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $45,892 was 54% above the state average of $29,725.

Price-transparency record

CMS's enforcement list records these actions for a hospital named CHI Health Lakeside in Omaha, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.