Nebraska / Grand Island Regional Medical Center
CMS certification 280139 · Grand Island, NE
Grand Island Regional Medical Center: charges and Medicare payments
Grand Island Regional Medical Center reported 261 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.85 times what it was paid — among the lower ratios in Nebraska, number 22 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: 59 stays at an average charge of $46,855, 48% below the national average. It also billed 685 outpatient services, charging 5.02 times what Medicare paid.
- 1Medicare inpatient stays 261
- 2Charge ÷ paid, inpatient 2.85×
- 3Rank in NE (highest ratio = 1) 22 of 22
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Grand Island Regional Medical Center 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 | 59 | $46,855 | -48% | $16,436 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $33,515 | -53% | $12,608 |
| 291 Heart Failure and Shock with MCC | 23 | $30,350 | -46% | $11,116 |
| 330 Major Small and Large Bowel Procedures with CC | 21 | $37,266 | -69% | $16,903 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $32,318 | -44% | $8,257 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $33,806 | -43% | $9,168 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $22,466 | -54% | $7,387 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $58,318 | -23% | $13,431 |
| 389 Gastrointestinal Obstruction with CC | 14 | $20,583 | -47% | $5,495 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $22,658 | -54% | $7,098 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $138,207 | -40% | $54,894 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $66,998 | -69% | $30,416 |
| 552 Medical Back Problems without MCC | 11 | $22,118 | -55% | $7,885 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 165 | $42,135 | $12,178 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 78 | $7,619 | $1,488 |
| Level 1 Endovascular Procedures | 51 | $29,699 | $3,024 |
| Comprehensive Observation Services | 49 | $12,813 | $2,371 |
| Level 3 Vascular Procedures | 44 | $12,344 | $2,954 |
| Level 1 Laparoscopy and Related Services | 44 | $17,498 | $5,346 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 30 | $14,323 | $3,532 |
| Level 4 Musculoskeletal Procedures | 30 | $25,704 | $6,453 |
| Level 6 Musculoskeletal Procedures | 29 | $68,178 | $17,230 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 29 | $16,396 | $3,206 |
| Level 4 Endovascular Procedures | 28 | $88,368 | $15,635 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 26 | $21,958 | $6,042 |
| Level 2 Upper GI Procedures | 19 | $5,594 | $1,763 |
| Level 3 Endovascular Procedures | 18 | $73,615 | $10,185 |
| Level 4 Urology and Related Services | 17 | $10,725 | $3,230 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $11,486 | $2,633 |
| Level 3 Pacemaker and Similar Procedures | 13 | $34,986 | $9,887 |
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grand Island Regional Medical Center charged $46,855 on average, 19% less than the Nebraska average of $57,675, and was paid $16,436 against a state average of $15,815. For Respiratory Infections and Inflammations with MCC (DRG 177), Grand Island Regional Medical Center charged $33,515 on average, 36% less than the Nebraska average of $52,614, and was paid $12,608 against a state average of $13,593. For Heart Failure and Shock with MCC (DRG 291), Grand Island Regional Medical Center charged $30,350 on average, 18% less than the Nebraska average of $36,928, and was paid $11,116 against a state average of $10,527. For Major Small and Large Bowel Procedures with CC (DRG 330), Grand Island Regional Medical Center charged $37,266 on average, 54% less than the Nebraska average of $81,307, and was paid $16,903 against a state average of $20,446. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,135 was 9% below the state average of $46,218. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,619 was 14% below the state average of $8,843. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,699 was 12% above the state average of $26,619. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,813 was 22% below the state average of $16,361.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.