Billing and Insurance

Insurance

OrthoNebraska participates in most major insurance plans. If you plan to use insurance, please call the number on the back of your insurance card or use your insurance directory to ensure that your provider and OrthoNebraska (also sometimes referenced as Nebraska Orthopaedic Hospital and OrthoWest, LLC) are ‘In Network’ for your plan.

Short Term, Limited, and Ministries plans are not considered insurance per the No Surprise Act. More information on your rights and protections against surprise billing.

Billing

OrthoNebraska continues to evaluate our pricing to ensure we provide optimal value. Our rates are very competitive, but your out-of-pocket expenses may differ based on your insurance plan and the site of service. Please call (402) 609-2423 and our financial counselors would be happy to help you understand your specific financial considerations.

Motor vehicle insurance claims and work-related injuries require additional coordination. Please review our financial policy for more information.

After you schedule a hospital service such as surgery or imaging, you will be contacted by a member of our staff. In addition to information about your general health, they will collect insurance data for pre-approval. After we receive pre-approval, we may send you a letter with an estimate of your out-of-pocket expenses. Please note that in addition to the hospital, you may receive a separate bill for anesthesia, radiology, internal/family medicine, pathology services and/or your physician. These bills reflect the professional services provided during your stay.

For more information on our billing policies, please review our financial policy.

Hospital Prices

COST Estimator

The pricing information presented on this cost estimator and standard charges list represents OrthoNebraska Hospital’s prices for standard medical services in compliance with federal health care regulations. The prices listed are current as of October 1, 2022 and are subject to change. In addition, we provide a price or cost list for COVID, or coronavirus testing.

The standard charges do not necessarily reflect a patient’s ultimate payment responsibility. A patient’s total out-of-pocket costs will depend on a number of factors, including, but not limited to, the patient’s insurance plan, ability to receive financial assistance, and the services ultimately provided during the patient’s procedure or treatment. A patient’s payment obligation for a particular service may be different than the amount displayed on the charge list. We encourage all patients to contact their insurance providers to obtain an estimate of their payment obligations for a particular service, or, for personalized guidance on what your specific out-of-pocket costs will be, please call our financial counselors at (402) 609-2423.

Joint Replacement Excellence

BCBSNE Blue Distinction+ for Knee and Hip Replacement

Recognized by Blue Cross Blue Shield of Nebraska for Hip/Knee Replacement Patients participating in certain plans are may be eligiible for out-of-pocket discounts for select procedures. Consult our financial counselors for more information.

Apply for Financial Assistance Online

Or, print and mail us an English or Spanish application.

Financial Assistance

Those unable to work out a payment schedule because of low income based on poverty guidelines and/or lack of insurance may be eligible for financial assistance. You must complete the application within 90 days of your first patient statement date, have an account balance of at least $500, and also provide:

  • A copy of your latest IRS Tax return or Social Security Benefits letter
  • Three months of detailed bank statements
  • Last three pay stubs

Our financial counselors will contact you after reviewing your application. If you can pay your balance over time, please reach out to us to discuss a payment plan.

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