Nebraska / CHI Health Nebraska Heart
CMS certification 280128 · Lincoln, NE · 1 entry in CMS's price-transparency list
CHI Health Nebraska Heart: charges and Medicare payments
CHI Health Nebraska Heart reported 768 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 3.71 times what it was paid — mid-range in Nebraska, number 14 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 274, Percutaneous and Other Intracardiac Procedures without MCC: 243 stays at an average charge of $80,770, 48% below the national average. It also billed 840 outpatient services, charging 4.82 times what Medicare paid.
- 1Medicare inpatient stays 768
- 2Charge ÷ paid, inpatient 3.71×
- 3Rank in NE (highest ratio = 1) 14 of 22
- 4CMS price-transparency actions 1
Inpatient stays
For the 21 DRGs that can be compared with the national average, CHI Health Nebraska Heart 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 |
|---|---|---|---|---|
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 243 | $80,770 | -48% | $20,756 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 93 | $112,891 | -49% | $31,271 |
| 291 Heart Failure and Shock with MCC | 60 | $20,302 | -64% | $8,160 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 41 | $135,336 | -52% | $42,541 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 40 | $132,110 | -55% | $39,250 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 36 | $76,350 | -33% | $12,082 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 23 | $119,408 | -43% | $26,163 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 22 | $39,000 | -65% | $13,911 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $12,026 | -67% | $4,722 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 21 | $169,218 | -58% | $51,123 |
| 229 Other Cardiothoracic Procedures without MCC | 19 | $101,013 | -39% | $20,165 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $45,098 | -60% | $13,601 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 17 | $148,404 | -46% | $35,725 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $82,898 | -49% | $19,623 |
| 039 Extracranial Procedures without CC/MCC | 16 | $29,626 | -54% | $7,776 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 15 | $156,090 | -42% | $34,099 |
| 038 Extracranial Procedures with CC | 14 | $38,760 | -56% | $10,312 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 13 | $202,304 | -47% | $58,011 |
| 270 Other Major Cardiovascular Procedures with MCC | 13 | $111,455 | -57% | $37,574 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 12 | $68,637 | -57% | $20,737 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $35,712 | -53% | $9,251 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 223 | $23,087 | $2,896 |
| Level 3 Electrophysiologic Procedures | 145 | $83,533 | $21,023 |
| Level 3 Pacemaker and Similar Procedures | 104 | $28,249 | $9,453 |
| Level 3 Endovascular Procedures | 94 | $54,154 | $9,816 |
| Level 2 ICD and Similar Procedures | 47 | $90,909 | $29,290 |
| Level 2 Endovascular Procedures | 46 | $29,815 | $5,015 |
| Level 3 Vascular Procedures | 39 | $18,069 | $2,788 |
| Level 4 Pacemaker and Similar Procedures | 31 | $52,232 | $17,361 |
| Level 4 Endovascular Procedures | 25 | $69,373 | $15,627 |
| Level 2 Pacemaker and Similar Procedures | 24 | $27,012 | $7,586 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $9,202 | $1,448 |
| Level 2 Electrophysiologic Procedures | 23 | $19,152 | $6,669 |
| Level 4 Vascular Procedures | 16 | $24,895 | $4,907 |
Against the Nebraska average
For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), CHI Health Nebraska Heart charged $80,770 on average, 12% less than the Nebraska average of $91,441, and was paid $20,756 against a state average of $23,693. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), CHI Health Nebraska Heart charged $112,891 on average, 18% less than the Nebraska average of $137,789, and was paid $31,271 against a state average of $34,771. For Heart Failure and Shock with MCC (DRG 291), CHI Health Nebraska Heart charged $20,302 on average, 45% less than the Nebraska average of $36,928, and was paid $8,160 against a state average of $10,527. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), CHI Health Nebraska Heart charged $135,336 on average, 17% less than the Nebraska average of $162,464, and was paid $42,541 against a state average of $49,330. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,087 was 13% below the state average of $26,619. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $83,533 was 21% below the state average of $106,357. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $28,249 was 29% below the state average of $39,548. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $54,154 was 10% below the state average of $60,146.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI Health Nebraska Heart in Lincoln, 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 4936)
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.