Nebraska / Regional West Medical Center
CMS certification 280061 · Scottsbluff, NE · 3 entries in CMS's price-transparency list
Regional West Medical Center: charges and Medicare payments
Regional West Medical Center reported 982 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 4.15 times what it was paid — among the higher ratios in Nebraska, number 7 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: 121 stays at an average charge of $69,253, 23% below the national average. It also billed 1,493 outpatient services, charging 7.95 times what Medicare paid.
- 1Medicare inpatient stays 982
- 2Charge ÷ paid, inpatient 4.15×
- 3Rank in NE (highest ratio = 1) 7 of 22
- 4CMS price-transparency actions 3
Inpatient stays
For the 37 DRGs that can be compared with the national average, Regional West Medical Center charged more than the national average in 5 (14%). 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 | 121 | $69,253 | -23% | $17,755 |
| 291 Heart Failure and Shock with MCC | 87 | $45,089 | -20% | $11,516 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $59,168 | -16% | $15,132 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 37 | $46,172 | -9% | $9,856 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $45,370 | -21% | $10,992 |
| 481 Hip and Femur Procedures except Major Joint with CC | 36 | $78,801 | -22% | $19,791 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $47,406 | -21% | $11,787 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $45,930 | -24% | $12,475 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $42,370 | -13% | $9,385 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $37,884 | +2% | $6,991 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $55,500 | -24% | $14,929 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 29 | $41,988 | -14% | $9,213 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $32,253 | -15% | $7,166 |
| 330 Major Small and Large Bowel Procedures with CC | 24 | $115,320 | -3% | $24,556 |
| 389 Gastrointestinal Obstruction with CC | 24 | $32,369 | -17% | $8,337 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $36,183 | -10% | $7,744 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $48,110 | -14% | $9,092 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $147,129 | -36% | $46,595 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $47,928 | -26% | $12,555 |
| 312 Syncope and Collapse | 19 | $35,565 | -22% | $7,800 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $73,314 | -27% | $17,728 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $68,969 | -19% | $15,843 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $45,240 | -20% | $10,679 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $31,453 | -13% | $6,643 |
| 682 Renal Failure with MCC | 17 | $53,041 | -20% | $13,314 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $56,978 | +11% | $11,173 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $54,060 | -29% | $14,067 |
| 603 Cellulitis without MCC | 15 | $33,258 | -11% | $7,888 |
| 683 Renal Failure with CC | 15 | $42,721 | +5% | $8,028 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $49,665 | -19% | $11,401 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $98,817 | -3% | $21,603 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $81,524 | -13% | $14,552 |
| 472 Cervical Spinal Fusion with CC | 12 | $122,791 | -14% | $26,250 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $45,871 | +20% | $7,340 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $22,594 | -19% | $5,723 |
| 638 Diabetes with CC | 11 | $33,309 | -20% | $8,071 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 11 | $73,780 | +9% | $12,552 |
Outpatient services
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Regional West Medical Center charged $69,253 on average, 20% more than the Nebraska average of $57,675, and was paid $17,755 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), Regional West Medical Center charged $45,089 on average, 22% more than the Nebraska average of $36,928, and was paid $11,516 against a state average of $10,527. For Respiratory Infections and Inflammations with MCC (DRG 177), Regional West Medical Center charged $59,168 on average, 12% more than the Nebraska average of $52,614, and was paid $15,132 against a state average of $13,593. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Regional West Medical Center charged $46,172 on average, 19% more than the Nebraska average of $38,864, and was paid $9,856 against a state average of $9,383. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,823 was 33% above the state average of $16,361. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,314 was 17% above the state average of $8,843. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,502 was 31% above the state average of $8,764. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $77,503 was 68% above the state average of $46,218.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Regional West Medical Center in Scottsbluff, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-17 (CMS case 898)
- Closure Notice — 2023-07-06 (CMS case 898)
- Met Requirements — 2024-04-04 (CMS case 2395)
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.