Nebraska / Kearney Regional Medical Center

CMS certification 280134 · Kearney, NE · 5 entries in CMS's price-transparency list

Kearney Regional Medical Center: charges and Medicare payments

Kearney Regional Medical Center reported 823 Medicare inpatient stays across 38 DRGs in 2024. Across them it charged 4.81 times what it was paid — among the higher ratios in Nebraska, number 2 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: 99 stays at an average charge of $49,877, 45% below the national average. It also billed 1,628 outpatient services, charging 7.81 times what Medicare paid.

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  1. 1Medicare inpatient stays 823
  2. 2Charge ÷ paid, inpatient 4.81×
  3. 3Rank in NE (highest ratio = 1) 2 of 22
  4. 4CMS price-transparency actions 5
DRG 871$49,877DRG 291$38,296DRG 274$88,324DRG 193$37,937DRG 177$44,856DRG 321$109,401DRG 267$144,489DRG 322$93,248DRG 853$184,680DRG 280$54,006
Average charge per stay at Kearney Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 38 DRGs that can be compared with the national average, Kearney 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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC99$49,877-45%$12,227
291 Heart Failure and Shock with MCC52$38,296-32%$8,053
274 Percutaneous and Other Intracardiac Procedures without MCC45$88,324-44%$20,423
193 Simple Pneumonia and Pleurisy with MCC38$37,937-37%$9,244
177 Respiratory Infections and Inflammations with MCC35$44,856-36%$10,819
321 Percutaneous Cardiovascular Procedures with Intraluminal...35$109,401-33%$20,860
267 Endovascular Cardiac Valve Replacement and Supplement...32$144,489-35%$30,825
322 Percutaneous Cardiovascular Procedures with Intraluminal...25$93,248-19%$12,582
853 Infectious and Parasitic Diseases with O.R. Procedures with...25$184,680-19%$41,297
280 Acute Myocardial Infarction, Discharged Alive with MCC24$54,006-29%$10,155
682 Renal Failure with MCC22$36,299-45%$9,218
481 Hip and Femur Procedures except Major Joint with CC21$74,137-26%$13,112
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...20$27,410-32%$5,012
329 Major Small and Large Bowel Procedures with MCC19$152,509-29%$35,269
603 Cellulitis without MCC19$21,784-42%$5,857
683 Renal Failure with CC19$33,620-17%$5,914
308 Cardiac Arrhythmia and Conduction Disorders with MCC17$40,651-28%$7,497
470 Major Hip and Knee Joint Replacement or Reattachment of...17$78,885-15%$12,993
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC17$35,228-28%$7,012
190 Chronic Obstructive Pulmonary Disease with MCC16$29,208-42%$6,946
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...15$38,095-32%$6,479
189 Pulmonary Edema and Respiratory Failure15$43,809-24%$8,089
480 Hip and Femur Procedures except Major Joint with MCC14$80,336-42%$17,651
690 Kidney and Urinary Tract Infections without MCC14$21,631-43%$4,956
330 Major Small and Large Bowel Procedures with CC13$106,014-11%$15,073
377 Gastrointestinal Hemorrhage with MCC13$46,116-46%$11,035
522 Hip Replacement with Principal Diagnosis of Hip Fracture...13$79,796-22%$13,465
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...13$100,211-54%$29,478
176 Pulmonary Embolism without MCC12$34,582-17%$5,220
312 Syncope and Collapse12$31,934-30%$5,545
418 Laparoscopic Cholecystectomy without C.D.E. with CC12$64,140-31%$10,385
493 Lower Extremity and Humerus Procedures except Hip, Foot and...12$80,375-32%$14,663
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...12$20,924-44%$5,223
713 Transurethral Prostatectomy with CC/MCC12$38,393-50%$9,275
253 Other Vascular Procedures with CC11$104,874-20%$17,164
287 Circulatory Disorders except AMI, with Cardiac...11$48,513-24%$6,917
309 Cardiac Arrhythmia and Conduction Disorders with CC11$23,837-34%$4,756
417 Laparoscopic Cholecystectomy without C.D.E. with MCC11$82,949-34%$15,581

Outpatient services

Against the Nebraska average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kearney Regional Medical Center charged $49,877 on average, 14% less than the Nebraska average of $57,675, and was paid $12,227 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), Kearney Regional Medical Center charged $38,296 on average, 4% more than the Nebraska average of $36,928, and was paid $8,053 against a state average of $10,527. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Kearney Regional Medical Center charged $88,324 on average, 3% less than the Nebraska average of $91,441, and was paid $20,423 against a state average of $23,693. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Kearney Regional Medical Center charged $37,937 on average, 8% less than the Nebraska average of $41,281, and was paid $9,244 against a state average of $11,009. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,155 was 43% above the state average of $26,619. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,122 was 14% above the state average of $8,843. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $71,704 was 19% above the state average of $60,146. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,712 was 49% above the state average of $46,218.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Kearney Regional Medical Center in Kearney, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.