Nebraska / The Nebraska Medical Center
CMS certification 280013 · Omaha, NE · 4 entries in CMS's price-transparency list
The Nebraska Medical Center: charges and Medicare payments
The Nebraska Medical Center reported 5,224 Medicare inpatient stays across 182 DRGs in 2024. Across them it charged 3.72 times what it was paid — mid-range in Nebraska, number 13 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: 190 stays at an average charge of $86,182, 5% below the national average. It also billed 7,555 outpatient services, charging 6.36 times what Medicare paid.
- 1Medicare inpatient stays 5,224
- 2Charge ÷ paid, inpatient 3.72×
- 3Rank in NE (highest ratio = 1) 13 of 22
- 4CMS price-transparency actions 4
Inpatient stays
For the 182 DRGs that can be compared with the national average, The Nebraska Medical Center charged more than the national average in 22 (12%). 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 | 190 | $86,182 | -5% | $23,517 |
| 189 Pulmonary Edema and Respiratory Failure | 129 | $52,800 | -8% | $14,218 |
| 291 Heart Failure and Shock with MCC | 122 | $37,056 | -34% | $14,121 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 85 | $133,008 | -15% | $29,168 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 68 | $96,156 | -14% | $25,580 |
| 330 Major Small and Large Bowel Procedures with CC | 68 | $94,965 | -20% | $26,812 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 66 | $41,576 | -25% | $14,012 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 64 | $21,926 | -39% | $8,882 |
| 652 Kidney Transplant | 64 | $334,509 | -1% | $54,300 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 60 | $33,904 | -16% | $11,761 |
| 683 Renal Failure with CC | 60 | $29,512 | -27% | $11,090 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $74,732 | +6% | $18,775 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 59 | $191,304 | -16% | $55,028 |
| 164 Major Chest Procedures with CC | 58 | $96,969 | -24% | $24,641 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 58 | $66,033 | -2% | $16,287 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 57 | $193,384 | -16% | $55,537 |
| 101 Seizures without MCC | 57 | $26,594 | -45% | $10,809 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 54 | $59,138 | -41% | $22,675 |
| 552 Medical Back Problems without MCC | 54 | $29,189 | -40% | $11,566 |
| 378 Gastrointestinal Hemorrhage with CC | 53 | $38,916 | -20% | $14,161 |
| 329 Major Small and Large Bowel Procedures with MCC | 52 | $185,625 | -14% | $49,960 |
| 377 Gastrointestinal Hemorrhage with MCC | 52 | $61,228 | -28% | $18,469 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 50 | $60,204 | 0% | $16,688 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $93,217 | -7% | $23,830 |
| 682 Renal Failure with MCC | 47 | $59,049 | -10% | $17,045 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 46 | $44,640 | -39% | $18,142 |
| 178 Respiratory Infections and Inflammations with CC | 44 | $66,927 | +48% | $13,724 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $48,667 | -19% | $15,205 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 44 | $271,875 | -32% | $77,337 |
| 315 Other Circulatory System Diagnoses with CC | 43 | $39,288 | -18% | $11,621 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 42 | $235,369 | +6% | $41,805 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 42 | $53,612 | -38% | $20,743 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 42 | $258,172 | +19% | $64,946 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $33,042 | -11% | $10,126 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 41 | $42,111 | -11% | $14,701 |
| 690 Kidney and Urinary Tract Infections without MCC | 40 | $27,277 | -28% | $10,126 |
| 057 Degenerative Nervous System Disorders without MCC | 38 | $52,152 | -8% | $21,454 |
| 194 Simple Pneumonia and Pleurisy with CC | 38 | $25,835 | -33% | $8,972 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 37 | $203,413 | -26% | $53,729 |
| 314 Other Circulatory System Diagnoses with MCC | 37 | $81,268 | -14% | $23,883 |
| 394 Other Digestive System Diagnoses with CC | 37 | $36,056 | -23% | $13,372 |
| 026 Craniotomy and Endovascular Intracranial Procedures with CC | 36 | $110,331 | -33% | $26,968 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 36 | $232,335 | -18% | $52,465 |
| 460 Spinal Fusion except Cervical without MCC | 36 | $116,537 | -32% | $33,873 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 35 | $96,473 | -31% | $22,617 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 35 | $138,791 | -34% | $45,556 |
| 393 Other Digestive System Diagnoses with MCC | 35 | $53,366 | -30% | $17,766 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 34 | $48,131 | -25% | $12,385 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 34 | $85,044 | -26% | $19,089 |
| 389 Gastrointestinal Obstruction with CC | 34 | $31,184 | -20% | $9,940 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 33 | $48,563 | -34% | $15,604 |
| 406 Pancreas, Liver and Shunt Procedures with CC | 33 | $116,036 | -28% | $29,306 |
| 603 Cellulitis without MCC | 33 | $24,637 | -34% | $10,067 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 32 | $37,250 | -45% | $13,602 |
| 163 Major Chest Procedures with MCC | 32 | $201,906 | -4% | $52,295 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 32 | $41,254 | -27% | $14,821 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 32 | $99,479 | -21% | $25,315 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $40,689 | -21% | $15,632 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 31 | $718,562 | -32% | $200,281 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 31 | $179,719 | -36% | $55,604 |
Showing the 60 most frequent of 182 DRGs.
Outpatient services
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), The Nebraska Medical Center charged $86,182 on average, 49% more than the Nebraska average of $57,675, and was paid $23,517 against a state average of $15,815. For Pulmonary Edema and Respiratory Failure (DRG 189), The Nebraska Medical Center charged $52,800 on average, 16% more than the Nebraska average of $45,487, and was paid $14,218 against a state average of $11,083. For Heart Failure and Shock with MCC (DRG 291), The Nebraska Medical Center charged $37,056 on average, 0% less than the Nebraska average of $36,928, and was paid $14,121 against a state average of $10,527. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), The Nebraska Medical Center charged $133,008 on average, 45% more than the Nebraska average of $91,441, and was paid $29,168 against a state average of $23,693. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,603 was 14% below the state average of $8,843. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,311 was 27% below the state average of $26,619. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,912 was 31% below the state average of $2,783. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,343 was 96% above the state average of $5,786.
Price-transparency record
CMS's enforcement list records these actions for a hospital named The Nebraska Medical Center in Omaha, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-12 (CMS case 1092)
- CAP Request — 2024-05-16 (CMS case 1092)
- Closure Notice — 2024-08-16 (CMS case 1092)
- Met Requirements — 2025-03-20 (CMS case 3293)
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.