Nebraska / Methodist Hospital
CMS certification 280040 · Omaha, NE
Methodist Hospital: charges and Medicare payments
Methodist Hospital reported 4,517 Medicare inpatient stays across 144 DRGs in 2024. Across them it charged 3.51 times what it was paid — among the lower ratios in Nebraska, number 17 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 274, Percutaneous and Other Intracardiac Procedures without MCC: 249 stays at an average charge of $99,068, 37% below the national average. It also billed 5,874 outpatient services, charging 5.39 times what Medicare paid.
- 1Medicare inpatient stays 4,517
- 2Charge ÷ paid, inpatient 3.51×
- 3Rank in NE (highest ratio = 1) 17 of 22
- 4CMS price-transparency actions 0
Inpatient stays
For the 144 DRGs that can be compared with the national average, Methodist Hospital 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 |
|---|---|---|---|---|
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 249 | $99,068 | -37% | $22,764 |
| 291 Heart Failure and Shock with MCC | 210 | $28,219 | -50% | $9,803 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 176 | $60,796 | -33% | $15,966 |
| 193 Simple Pneumonia and Pleurisy with MCC | 118 | $37,214 | -38% | $10,093 |
| 177 Respiratory Infections and Inflammations with MCC | 113 | $46,752 | -34% | $12,808 |
| 378 Gastrointestinal Hemorrhage with CC | 107 | $19,564 | -60% | $7,733 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 99 | $21,017 | -48% | $6,347 |
| 690 Kidney and Urinary Tract Infections without MCC | 87 | $19,368 | -49% | $6,338 |
| 330 Major Small and Large Bowel Procedures with CC | 80 | $65,622 | -45% | $17,664 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 79 | $50,847 | -45% | $14,230 |
| 189 Pulmonary Edema and Respiratory Failure | 76 | $43,234 | -25% | $12,431 |
| 194 Simple Pneumonia and Pleurisy with CC | 70 | $22,253 | -42% | $6,619 |
| 689 Kidney and Urinary Tract Infections with MCC | 65 | $23,441 | -54% | $8,757 |
| 603 Cellulitis without MCC | 64 | $18,162 | -51% | $6,939 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 60 | $38,512 | -24% | $8,856 |
| 552 Medical Back Problems without MCC | 52 | $17,980 | -63% | $7,326 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 50 | $130,423 | -41% | $34,934 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 50 | $18,918 | -48% | $5,883 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 50 | $69,928 | -39% | $13,991 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 49 | $24,639 | -56% | $9,327 |
| 329 Major Small and Large Bowel Procedures with MCC | 49 | $121,834 | -43% | $33,743 |
| 164 Major Chest Procedures with CC | 47 | $96,155 | -25% | $19,983 |
| 312 Syncope and Collapse | 47 | $21,523 | -53% | $6,873 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 46 | $37,407 | -63% | $14,434 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 46 | $26,556 | -52% | $7,641 |
| 178 Respiratory Infections and Inflammations with CC | 46 | $26,398 | -42% | $8,226 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 46 | $39,581 | -48% | $11,838 |
| 481 Hip and Femur Procedures except Major Joint with CC | 46 | $52,455 | -48% | $15,897 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 46 | $150,406 | -34% | $41,501 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $20,273 | -45% | $6,282 |
| 682 Renal Failure with MCC | 45 | $38,133 | -42% | $11,406 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 43 | $45,594 | -47% | $13,403 |
| 683 Renal Failure with CC | 43 | $18,879 | -54% | $7,053 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 42 | $32,689 | -46% | $10,190 |
| 389 Gastrointestinal Obstruction with CC | 39 | $21,731 | -44% | $6,588 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $24,832 | -49% | $7,871 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $39,496 | -46% | $12,463 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 33 | $23,966 | -17% | $4,986 |
| 394 Other Digestive System Diagnoses with CC | 33 | $21,635 | -54% | $7,416 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $45,624 | -47% | $13,614 |
| 812 Red Blood Cell Disorders without MCC | 31 | $17,825 | -60% | $7,027 |
| 271 Other Major Cardiovascular Procedures with CC | 30 | $105,545 | -39% | $25,829 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 28 | $102,075 | -52% | $30,412 |
| 390 Gastrointestinal Obstruction without CC/MCC | 27 | $16,546 | -41% | $4,749 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $30,074 | -50% | $10,144 |
| 163 Major Chest Procedures with MCC | 26 | $128,460 | -39% | $39,784 |
| 176 Pulmonary Embolism without MCC | 26 | $18,095 | -56% | $6,673 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 26 | $19,200 | -60% | $7,814 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 25 | $39,109 | -42% | $9,954 |
| 948 Signs and Symptoms without MCC | 25 | $18,500 | -51% | $6,859 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 24 | $79,966 | -65% | $32,395 |
| 141 Major Head and Neck Procedures with CC | 24 | $52,150 | -59% | $16,188 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 24 | $34,314 | -47% | $10,566 |
| 270 Other Major Cardiovascular Procedures with MCC | 23 | $143,520 | -45% | $40,985 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 23 | $27,078 | -46% | $7,047 |
| 445 Disorders of The Biliary Tract with CC | 23 | $32,532 | -44% | $8,640 |
| 657 Kidney and Ureter Procedures for Neoplasm with CC | 23 | $46,658 | -53% | $13,462 |
| 092 Other Disorders of Nervous System with CC | 22 | $27,214 | -47% | $8,162 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 22 | $18,110 | -54% | $7,217 |
| 229 Other Cardiothoracic Procedures without MCC | 22 | $79,389 | -52% | $22,546 |
Showing the 60 most frequent of 144 DRGs.
Outpatient services
Against the Nebraska average
For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Methodist Hospital charged $99,068 on average, 8% more than the Nebraska average of $91,441, and was paid $22,764 against a state average of $23,693. For Heart Failure and Shock with MCC (DRG 291), Methodist Hospital charged $28,219 on average, 24% less than the Nebraska average of $36,928, and was paid $9,803 against a state average of $10,527. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Hospital charged $60,796 on average, 5% more than the Nebraska average of $57,675, and was paid $15,966 against a state average of $15,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Methodist Hospital charged $37,214 on average, 10% less than the Nebraska average of $41,281, and was paid $10,093 against a state average of $11,009. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,933 was 33% below the state average of $16,361. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,959 was 31% below the state average of $10,076. For Level 2 Laparoscopy and Related Services (outpatient APC 5362), its average charge of $39,119 was 9% below the state average of $43,074. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,527 was 4% below the state average of $8,843.
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.