Nebraska / Midwest Surgical Hospital LLC
CMS certification 280131 · Omaha, NE
Midwest Surgical Hospital LLC: charges and Medicare payments
Midwest Surgical Hospital LLC reported 159 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 4.51 times what it was paid — among the higher ratios in Nebraska, number 4 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 460, Spinal Fusion except Cervical without MCC: 63 stays at an average charge of $111,932, 34% below the national average. It also billed 1,120 outpatient services, charging 5.07 times what Medicare paid.
- 1Medicare inpatient stays 159
- 2Charge ÷ paid, inpatient 4.51×
- 3Rank in NE (highest ratio = 1) 4 of 22
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Midwest Surgical Hospital LLC 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 |
|---|---|---|---|---|
| 460 Spinal Fusion except Cervical without MCC | 63 | $111,932 | -34% | $24,199 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 22 | $133,981 | -34% | $30,351 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $58,676 | -37% | $12,521 |
| 451 Single Level Spinal Fusion except Cervical without MCC | 17 | $109,858 | -27% | $21,044 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 15 | $127,804 | -54% | $40,300 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 12 | $142,624 | -24% | $26,669 |
| 517 Other Musculoskeletal System and Connective Tissue O.R.... | 12 | $56,963 | -27% | $10,034 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 476 | $52,451 | $11,738 |
| Level 4 Musculoskeletal Procedures | 239 | $30,394 | $6,134 |
| Level 3 Musculoskeletal Procedures | 113 | $11,130 | $2,852 |
| Level 6 Musculoskeletal Procedures | 89 | $58,481 | $16,757 |
| Level 2 Musculoskeletal Procedures | 83 | $6,879 | $1,417 |
| Level 1 Nerve Procedures | 56 | $7,993 | $1,535 |
| Cochlear Implant Procedure | 27 | $129,935 | $30,128 |
| Level 5 ENT Procedures | 23 | $15,522 | $5,094 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 14 | $6,666 | $2,232 |
Against the Nebraska average
For Spinal Fusion except Cervical without MCC (DRG 460), Midwest Surgical Hospital LLC charged $111,932 on average, 7% less than the Nebraska average of $120,335, and was paid $24,199 against a state average of $27,960. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Midwest Surgical Hospital LLC charged $133,981 on average, 18% less than the Nebraska average of $163,909, and was paid $30,351 against a state average of $32,915. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Midwest Surgical Hospital LLC charged $58,676 on average, 9% less than the Nebraska average of $64,481, and was paid $12,521 against a state average of $14,807. For Single Level Spinal Fusion except Cervical without MCC (DRG 451), Midwest Surgical Hospital LLC charged $109,858 on average, 15% more than the Nebraska average of $95,880, and was paid $21,044 against a state average of $22,111. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $52,451 was 13% above the state average of $46,218. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $30,394 was 2% above the state average of $29,725. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $11,130 was 24% below the state average of $14,667. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $58,481 was 4% below the state average of $60,712.
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.