Nebraska / CHI Health Midlands
CMS certification 280105 · Papillion, NE · 1 entry in CMS's price-transparency list
CHI Health Midlands: charges and Medicare payments
CHI Health Midlands reported 176 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 3.27 times what it was paid — among the lower ratios in Nebraska, number 19 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: 67 stays at an average charge of $35,466, 61% below the national average. It also billed 116 outpatient services, charging 11.35 times what Medicare paid.
- 1Medicare inpatient stays 176
- 2Charge ÷ paid, inpatient 3.27×
- 3Rank in NE (highest ratio = 1) 19 of 22
- 4CMS price-transparency actions 1
Inpatient stays
For the 8 DRGs that can be compared with the national average, CHI Health Midlands charged more than the national average in 0 (0%). 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 | 67 | $35,466 | -61% | $12,159 |
| 291 Heart Failure and Shock with MCC | 27 | $30,138 | -47% | $8,231 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $28,440 | -42% | $6,979 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $38,894 | -45% | $10,102 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $26,555 | -48% | $7,571 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $25,397 | -65% | $10,065 |
| 603 Cellulitis without MCC | 11 | $23,135 | -38% | $5,981 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $19,916 | -46% | $5,482 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 40 | $20,245 | $2,467 |
| Level 3 Musculoskeletal Procedures | 20 | $29,684 | $2,917 |
| Level 2 Musculoskeletal Procedures | 17 | $17,143 | $1,449 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $9,526 | $1,461 |
| Level 4 Musculoskeletal Procedures | 13 | $48,554 | $6,447 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $38,026 | $3,118 |
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Health Midlands charged $35,466 on average, 39% less than the Nebraska average of $57,675, and was paid $12,159 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), CHI Health Midlands charged $30,138 on average, 18% less than the Nebraska average of $36,928, and was paid $8,231 against a state average of $10,527. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), CHI Health Midlands charged $28,440 on average, 12% less than the Nebraska average of $32,494, and was paid $6,979 against a state average of $8,647. For Respiratory Infections and Inflammations with MCC (DRG 177), CHI Health Midlands charged $38,894 on average, 26% less than the Nebraska average of $52,614, and was paid $10,102 against a state average of $13,593. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,245 was 24% above the state average of $16,361. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $29,684 was 102% above the state average of $14,667. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $17,143 was 103% above the state average of $8,447. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,526 was 8% above the state average of $8,843.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI Health Midlands in Papillion, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-09 (CMS case 4978)
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.