Nebraska / Methodist Fremont Health
CMS certification 280077 · Fremont, NE · 1 entry in CMS's price-transparency list
Methodist Fremont Health: charges and Medicare payments
Methodist Fremont Health reported 440 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 3.54 times what it was paid — among the lower ratios in Nebraska, number 16 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: 54 stays at an average charge of $53,063, 41% below the national average. It also billed 890 outpatient services, charging 6.01 times what Medicare paid.
- 1Medicare inpatient stays 440
- 2Charge ÷ paid, inpatient 3.54×
- 3Rank in NE (highest ratio = 1) 16 of 22
- 4CMS price-transparency actions 1
Inpatient stays
For the 23 DRGs that can be compared with the national average, Methodist Fremont Health 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 | 54 | $53,063 | -41% | $18,249 |
| 291 Heart Failure and Shock with MCC | 38 | $43,409 | -23% | $11,936 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 32 | $72,868 | -22% | $18,632 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $42,042 | -27% | $11,421 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $29,800 | -22% | $7,660 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $44,213 | -26% | $14,511 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $27,820 | -26% | $7,456 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $32,172 | -20% | $7,285 |
| 536 Fractures of Hip and Pelvis without MCC | 19 | $23,801 | -37% | $7,336 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $26,836 | -28% | $7,250 |
| 683 Renal Failure with CC | 17 | $33,513 | -18% | $8,369 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $45,529 | -24% | $14,088 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $74,865 | -26% | $19,223 |
| 948 Signs and Symptoms without MCC | 14 | $27,147 | -29% | $7,402 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $27,057 | -25% | $6,884 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $36,360 | -28% | $10,257 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $79,375 | -22% | $19,521 |
| 603 Cellulitis without MCC | 12 | $23,946 | -36% | $8,177 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $51,201 | -27% | $15,576 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $63,843 | -16% | $14,812 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $53,669 | -5% | $11,993 |
| 312 Syncope and Collapse | 11 | $27,761 | -39% | $8,032 |
| 682 Renal Failure with MCC | 11 | $36,944 | -44% | $13,812 |
Outpatient services
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Fremont Health charged $53,063 on average, 8% less than the Nebraska average of $57,675, and was paid $18,249 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), Methodist Fremont Health charged $43,409 on average, 18% more than the Nebraska average of $36,928, and was paid $11,936 against a state average of $10,527. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Methodist Fremont Health charged $72,868 on average, 13% more than the Nebraska average of $64,481, and was paid $18,632 against a state average of $14,807. For Pulmonary Edema and Respiratory Failure (DRG 189), Methodist Fremont Health charged $42,042 on average, 8% less than the Nebraska average of $45,487, and was paid $11,421 against a state average of $11,083. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,988 was 3% above the state average of $5,786. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $62,727 was 36% above the state average of $46,218. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,428 was 18% above the state average of $8,843. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $10,550 was 28% below the state average of $14,667.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Methodist Fremont Health in Fremont, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-11 (CMS case 5063)
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.