Chi Health Lakeside
CHI Health Lakeside in Omaha, NE charges 5.7x the Medicare reimbursement rate across 43 analyzed procedures at this nonprofit-religious hospital.
Omaha, NE 68130 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
5.7x
Charge / Medicare rate
Max markup
10.19x
Worst procedure
Procedures analyzed
43
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $47,196 | $23,598 | — | 10.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $94,712 | $47,356 | — | 8.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $35,246 | $17,623 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,529 | $14,765 | — | 7.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $39,556 | $19,778 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $36,254 | $18,127 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,858 | $17,429 | — | 6.9x |
| SYNCOPE AND COLLAPSE | 312 | $30,064 | $15,032 | — | 6.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $89,740 | $44,870 | — | 6.8x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $45,601 | $22,800 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $139,368 | $69,684 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,976 | $11,488 | — | 6.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $70,146 | $35,073 | — | 6.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,137 | $11,569 | — | 6.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $53,712 | $26,856 | — | 6.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $74,874 | $37,437 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $54,411 | $27,206 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $58,158 | $29,079 | — | 5.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $25,972 | $12,986 | — | 5.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $67,626 | $33,813 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,999 | $13,999 | — | 5.5x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $47,352 | $23,676 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $22,012 | $11,006 | — | 5.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $69,359 | $34,679 | — | 5.5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $32,499 | $16,249 | — | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,018 | $19,509 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $34,189 | $17,094 | — | 5.3x |
| RENAL FAILURE WITH CC | 683 | $23,889 | $11,945 | — | 5.2x |
| CELLULITIS WITHOUT MCC | 603 | $20,684 | $10,342 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $36,231 | $18,115 | — | 4.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $33,805 | $16,903 | — | 4.9x |
| RENAL FAILURE WITH MCC | 682 | $44,701 | $22,351 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $31,198 | $15,599 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $30,322 | $15,161 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $45,358 | $22,679 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $51,388 | $25,694 | — | 4.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $80,799 | $40,400 | — | 4.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $115,645 | $57,823 | — | 4.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $117,465 | $58,732 | — | 4.1x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $45,701 | $22,851 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $37,711 | $18,856 | — | 3.6x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $27,715 | $13,858 | — | 3.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $35,904 | $17,952 | — | 3.5x |
How CHI HEALTH LAKESIDE compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use