Nebraska / CHI Health St Elizabeth
CMS certification 280020 · Lincoln, NE · 2 entries in CMS's price-transparency list
CHI Health St Elizabeth: charges and Medicare payments
CHI Health St Elizabeth reported 912 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 3.9 times what it was paid — mid-range in Nebraska, number 12 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: 237 stays at an average charge of $57,006, 37% below the national average. It also billed 801 outpatient services, charging 4.95 times what Medicare paid.
- 1Medicare inpatient stays 912
- 2Charge ÷ paid, inpatient 3.9×
- 3Rank in NE (highest ratio = 1) 12 of 22
- 4CMS price-transparency actions 2
Inpatient stays
For the 32 DRGs that can be compared with the national average, CHI Health St Elizabeth charged more than the national average in 1 (3%). 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 | 237 | $57,006 | -37% | $14,056 |
| 291 Heart Failure and Shock with MCC | 63 | $39,913 | -29% | $9,525 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 52 | $139,087 | -39% | $38,165 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $31,347 | -36% | $8,773 |
| 467 Revision of Hip or Knee Replacement with CC | 35 | $90,107 | -43% | $25,454 |
| 481 Hip and Femur Procedures except Major Joint with CC | 34 | $54,893 | -46% | $14,809 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 33 | $56,750 | -23% | $12,230 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $62,319 | -12% | $13,615 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 28 | $52,316 | -44% | $14,629 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 25 | $78,204 | -37% | $19,762 |
| 682 Renal Failure with MCC | 23 | $44,184 | -33% | $12,070 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $37,443 | -35% | $8,981 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $55,554 | -46% | $15,123 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $65,622 | -53% | $19,668 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $51,086 | -40% | $12,504 |
| 683 Renal Failure with CC | 18 | $29,450 | -28% | $7,665 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $72,365 | -39% | $17,767 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $69,744 | +16% | $15,328 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $42,640 | -23% | $7,152 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $25,572 | -31% | $6,360 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $34,081 | -30% | $7,720 |
| 466 Revision of Hip or Knee Replacement with MCC | 13 | $123,201 | -49% | $33,378 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $36,493 | -29% | $8,651 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $56,592 | -43% | $16,107 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $44,412 | -41% | $9,433 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 12 | $126,528 | -55% | $46,070 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $33,945 | -10% | $7,153 |
| 069 Transient Ischemia without Thrombolytic | 11 | $36,088 | -28% | $6,907 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $39,964 | -33% | $9,639 |
| 394 Other Digestive System Diagnoses with CC | 11 | $34,316 | -27% | $6,750 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $77,804 | -42% | $20,022 |
| 552 Medical Back Problems without MCC | 11 | $42,218 | -14% | $8,199 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 132 | $17,406 | $2,396 |
| Level 5 Musculoskeletal Procedures | 115 | $38,465 | $11,571 |
| Level 4 Urology and Related Services | 84 | $23,322 | $3,084 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 62 | $7,172 | $1,429 |
| Level 3 Airway Endoscopy | 52 | $8,418 | $1,516 |
| Level 5 Neurostimulator and Related Procedures | 50 | $69,221 | $27,141 |
| Level 2 Upper GI Procedures | 49 | $12,336 | $1,615 |
| Level 4 Musculoskeletal Procedures | 33 | $34,027 | $6,388 |
| Level 4 Airway Endoscopy | 31 | $17,099 | $3,258 |
| Level 1 Laparoscopy and Related Services | 31 | $27,869 | $5,152 |
| Level 5 ENT Procedures | 25 | $27,757 | $5,229 |
| Level 2 Laparoscopy and Related Services | 23 | $35,509 | $9,187 |
| Level 3 Urology and Related Services | 23 | $9,824 | $1,756 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 21 | $36,322 | $5,823 |
| Level 5 Urology and Related Services | 21 | $25,048 | $4,620 |
| Level 3 Musculoskeletal Procedures | 18 | $17,921 | $2,890 |
| Level 5 Airway Endoscopy | 17 | $29,832 | $6,112 |
| Level 2 Musculoskeletal Procedures | 14 | $9,312 | $1,435 |
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Health St Elizabeth charged $57,006 on average, 1% less than the Nebraska average of $57,675, and was paid $14,056 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), CHI Health St Elizabeth charged $39,913 on average, 8% more than the Nebraska average of $36,928, and was paid $9,525 against a state average of $10,527. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), CHI Health St Elizabeth charged $139,087 on average, 3% less than the Nebraska average of $143,960, and was paid $38,165 against a state average of $40,903. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), CHI Health St Elizabeth charged $31,347 on average, 4% less than the Nebraska average of $32,494, and was paid $8,773 against a state average of $8,647. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,406 was 6% above the state average of $16,361. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,465 was 17% below the state average of $46,218. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $23,322 was 18% above the state average of $19,767. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,172 was 19% below the state average of $8,843.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI Health St Elizabeth 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 — 2024-10-07 (CMS case 2794)
- Met Requirements — 2025-06-06 (CMS case 4956)
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.