Nebraska / Great Plains Health
CMS certification 280065 · North Platte, NE · 6 entries in CMS's price-transparency list
Great Plains Health: charges and Medicare payments
Great Plains Health reported 1,025 Medicare inpatient stays across 42 DRGs in 2024. Across them it charged 4.72 times what it was paid — among the higher ratios in Nebraska, number 3 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 94 stays at an average charge of $47,716, 15% below the national average. It also billed 2,172 outpatient services, charging 6.61 times what Medicare paid.
- 1Medicare inpatient stays 1,025
- 2Charge ÷ paid, inpatient 4.72×
- 3Rank in NE (highest ratio = 1) 3 of 22
- 4CMS price-transparency actions 6
Inpatient stays
For the 42 DRGs that can be compared with the national average, Great Plains Health charged more than the national average in 1 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 94 | $47,716 | -15% | $10,278 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 89 | $72,298 | -20% | $15,766 |
| 193 Simple Pneumonia and Pleurisy with MCC | 73 | $54,945 | -8% | $11,459 |
| 177 Respiratory Infections and Inflammations with MCC | 50 | $59,258 | -16% | $12,881 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $32,535 | -46% | $10,140 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $32,714 | -19% | $6,051 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $28,268 | -22% | $5,744 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $29,898 | -21% | $6,222 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $39,895 | -31% | $9,863 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $86,129 | -8% | $16,275 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $27,622 | -25% | $6,038 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $52,548 | -31% | $12,309 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $31,614 | -18% | $6,326 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $79,578 | -21% | $15,928 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $108,121 | -6% | $16,841 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $36,225 | -28% | $7,030 |
| 683 Renal Failure with CC | 20 | $36,746 | -10% | $6,929 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $38,872 | -30% | $7,827 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $39,599 | -13% | $7,671 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $38,949 | -23% | $8,506 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $41,806 | -15% | $7,958 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $97,849 | -18% | $18,179 |
| 552 Medical Back Problems without MCC | 18 | $34,969 | -28% | $7,416 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $49,039 | -23% | $8,300 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $80,191 | -22% | $16,257 |
| 603 Cellulitis without MCC | 17 | $30,541 | -18% | $6,802 |
| 682 Renal Failure with MCC | 16 | $38,723 | -41% | $11,575 |
| 312 Syncope and Collapse | 15 | $25,890 | -43% | $8,401 |
| 069 Transient Ischemia without Thrombolytic | 14 | $29,245 | -42% | $6,190 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $40,008 | -39% | $13,447 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $35,694 | -37% | $9,276 |
| 389 Gastrointestinal Obstruction with CC | 14 | $26,828 | -31% | $6,150 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $74,340 | +45% | $18,647 |
| 811 Red Blood Cell Disorders with MCC | 14 | $55,343 | -19% | $10,779 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $119,849 | -12% | $23,278 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $92,768 | -17% | $16,854 |
| 315 Other Circulatory System Diagnoses with CC | 13 | $39,843 | -17% | $8,645 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $143,863 | -12% | $22,024 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $48,477 | -43% | $13,794 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $49,069 | -33% | $12,897 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $59,288 | -41% | $15,406 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $35,929 | -26% | $7,612 |
Outpatient services
Against the Nebraska average
For Heart Failure and Shock with MCC (DRG 291), Great Plains Health charged $47,716 on average, 29% more than the Nebraska average of $36,928, and was paid $10,278 against a state average of $10,527. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Great Plains Health charged $72,298 on average, 25% more than the Nebraska average of $57,675, and was paid $15,766 against a state average of $15,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Great Plains Health charged $54,945 on average, 33% more than the Nebraska average of $41,281, and was paid $11,459 against a state average of $11,009. For Respiratory Infections and Inflammations with MCC (DRG 177), Great Plains Health charged $59,258 on average, 13% more than the Nebraska average of $52,614, and was paid $12,881 against a state average of $13,593. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,898 was 4% above the state average of $2,783. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $59,637 was 29% above the state average of $46,218. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,189 was 17% below the state average of $26,619. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,477 was 18% above the state average of $8,843.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Great Plains Health in North Platte, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-01-24 (CMS case 723)
- Closure Notice — 2023-02-07 (CMS case 723)
- Warning Notice — 2024-03-29 (CMS case 2394)
- Closure Notice — 2024-07-08 (CMS case 2394)
- Warning Notice — 2026-03-23 (CMS case 7332)
- Closure Notice — 2026-06-25 (CMS case 7332)
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.