HOSPITALTribal

Twelve Clans Unity Hospital

Winnebago, NE

225 S BLUFF STREET, Winnebago, NE 68071(402) 878-2231

Not rated by CMS

CMS star rating

Beds

146

Inpatient discharges a year

In-network payers

About this hospital

Twelve Clans Unity Hospital is a 13-bed tribal hospital in Winnebago, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 20 in-network payers and 41 disclosed rate categories.

Disproportionate share hospital
Indian Health Service

CCN: 280059
NPI: 1689150112
Teaching: No Medicare-funded residents
County: Thurston County
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)
In Medicare since: 2023
Last CMS survey: 2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	Very Low
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Surgery Range: 10004 - 69990	Percentage of Bill Charged	-
Aetna	Outpatient	HCPCS Coronavirus Diagnostic Panel Range: U0001 - U0005	Negotiated	Very Low
Aetna	Outpatient	HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999	Percentage of Bill Charged	-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneHealth Alliance

More about this hospital

Quality
Not rated by CMS
- 94 min in the ER before going home (US median 148)
- No Medicare readmissions penalty
See quality ratings
Doctors and services
No Medicare-funded residents
- 28 affiliated clinicians
See doctors and services
Finances
-$59.2M net income
See finances
Ownership and leadership
Owned by Winnebago Tribe Of Nebraska
- Tribal
- Danelle J Smith, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Twelve Clans Unity Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
37-1889645Twelve Clans Unity Hospital	38Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 33 more	1689150112 Winnebago Tribe Of Nebraska1033608328 Winnebago Tribe Of Nebraska1295720811 Winnebago Tribe Of Nebraskaand 7 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

225 S BLUFF STREET, Winnebago, NE 68071

(402) 878-2231

Get directions

Quality ratings (CMS Care Compare)

How Twelve Clans Unity Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Time in the ER before going home
94 min
Lower than 93% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better

Measure details and reporting periods

Measure	Result	Period
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026
Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better	94 min	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Twelve Clans Unity Hospital's inpatient payments for its readmissions, quality and cost results.

No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Twelve Clans Unity Hospital, beside the US median and the average of NE hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	Twelve Clans Unity Hospital	NE average
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available	4.047
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30	Not Available	4.259
Death rate for heart attack patients2022-07-01 to 2025-06-30	Not Available	11.83
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available	2.638
Death rate for COPD patients2022-07-01 to 2025-06-30	Not Available	8.976
Death rate for heart failure patients2022-07-01 to 2025-06-30	Not Available	12.39
Death rate for pneumonia patients2022-07-01 to 2025-06-30	Not Available	16.76
Death rate for stroke patients2023-07-01 to 2025-06-30	Not Available	11.91
Pressure ulcer rate2022-07-01 to 2024-06-30	Not Available	0.536
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available	183
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30	Not Available	0.2216
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30	Not Available	0.2844
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30	Not Available	2.471
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30	Not Available	1.681
Postoperative respiratory failure rate2022-07-01 to 2024-06-30	Not Available	8.765
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30	Not Available	3.437
Postoperative sepsis rate2022-07-01 to 2024-06-30	Not Available	5.261
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30	Not Available	1.761
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30	Not Available	1.072

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	Twelve Clans Unity Hospital	NE average
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available	-2.733
Hospital return days for heart failure patients2022-07-01 to 2025-06-30	Not Available	-7.017
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30	Not Available	-2.276
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31	Not Available	12.92
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	11.2
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	5.562
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31	Not Available	1.004
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	14.31
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available	10.94
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30	Not Available	19.8
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	21.19
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30	Not Available	5.893
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	17.31

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	Twelve Clans Unity Hospital	US median	NE average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.1701
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		1.974
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	5	1,370	1,585
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	0.003	0.9835	1.543
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	0	0	0.7292
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available		0.3641
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.0695
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		1.823
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	27	1,799	1,318
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	0.015	1.377	1.606
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	0	0	0.5818
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available		0.2616
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2866
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		2.325
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	Not Available		103
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	Not Available		2.775
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	Not Available		1.909
SSI - Colon Surgery2024-10-01 to 2025-09-30	Not Available		0.6181
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2553
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		2.48
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	Not Available		81.78
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	Not Available		0.6906
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	Not Available		0.5652
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available		0.9247
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.1781
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		2.21
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	286	14,451	14,911
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	0.005	0.567	0.9471
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	0	0	0.4545
MRSA Bacteremia2024-10-01 to 2025-09-30	Not Available		0.4323
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.1255
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		1.145
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	286	13,646	13,508
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	0.047	5.683	7.33
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	0	2	2.239
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	Not Available		0.3623

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	Twelve Clans Unity Hospital	NE average
Room was "always" clean2024-10-01 to 2025-09-30	Not Available	78.19
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30	Not Available	6.448
Room was "usually" clean2024-10-01 to 2025-09-30	Not Available	15.36
Cleanliness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	88.06
Cleanliness - star rating2024-10-01 to 2025-09-30	Not Applicable	3.75
Nurses "always" communicated well2024-10-01 to 2025-09-30	Not Available	83.63
Nurse communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	92.56
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	2.403
Nurse communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.917
Nurses "usually" communicated well2024-10-01 to 2025-09-30	Not Available	13.97
Doctors "always" communicated well2024-10-01 to 2025-09-30	Not Available	84.18
Doctor communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	92.58
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	3.119
Doctor communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.75
Doctors "usually" communicated well2024-10-01 to 2025-09-30	Not Available	12.7
Staff "always" explained2024-10-01 to 2025-09-30	Not Available	66.42
Communication about medicines - linear mean score2024-10-01 to 2025-09-30	Not Applicable	79.67
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30	Not Available	14.7
Communication about medicines - star rating2024-10-01 to 2025-09-30	Not Applicable	3.25
Staff "usually" explained2024-10-01 to 2025-09-30	Not Available	18.88
Discharge information - linear mean score2024-10-01 to 2025-09-30	Not Applicable	88.5
No, staff "did not" give patients this information2024-10-01 to 2025-09-30	Not Available	11.31
Discharge information - star rating2024-10-01 to 2025-09-30	Not Applicable	3.972
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30	Not Available	88.69
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	12.16
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	87.84
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	77.6
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	4.26
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	18.14
Doctors "always" listened carefully2024-10-01 to 2025-09-30	Not Available	82.06
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	3.34
Doctors "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	14.6
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	89.1
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	2.18
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	8.72
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30	Not Available	5.09
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30	Not Available	16.34
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30	Not Available	78.57
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30	Not Applicable	90.17
Overall hospital rating - star rating2024-10-01 to 2025-09-30	Not Applicable	3.917
Staff "always" explained new medications2024-10-01 to 2025-09-30	Not Available	76.34
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30	Not Available	8
Staff "usually" explained new medications2024-10-01 to 2025-09-30	Not Available	15.66
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	76.64
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	3.88
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	19.48
Nurses "always" listened carefully2024-10-01 to 2025-09-30	Not Available	80.3
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	2.94
Nurses "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	16.76
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	89.24
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	1.52
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	9.24
"Always" quiet at night2024-10-01 to 2025-09-30	Not Available	68.51
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30	Not Available	5.269
"Usually" quiet at night2024-10-01 to 2025-09-30	Not Available	26.22
Quietness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	85.5
Quietness - star rating2024-10-01 to 2025-09-30	Not Applicable	4.111
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30	Not Available	3.015
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30	Not Available	77.91
Recommend hospital - linear mean score2024-10-01 to 2025-09-30	Not Applicable	89.78
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30	Not Available	19.07
Recommend hospital - star rating2024-10-01 to 2025-09-30	Not Applicable	4.139
Staff "always" explained possible side effects2024-10-01 to 2025-09-30	Not Available	50.94
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30	Not Available	24.64
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30	Not Available	24.42
Summary star rating2024-10-01 to 2025-09-30	Not Applicable	3.889
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	11.46
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	88.54

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	Twelve Clans Unity Hospital	US median	NE average	US rank
Emergency department volume2024-01-01 to 2024-12-31	low
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		7
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available		0.3226
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0.2778
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 287 cases	97	79	74.44	Better than 93% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 629 cases	99	154	126	Better than 93% of US hospitals
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 571 cases	94	148	120	Better than 93% of US hospitals
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 34 cases	242	247	174	Better than 52% of US hospitals
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 24 cases	216	293	217	Better than 83% of US hospitals
Left before being seen2024-01-01 to 2024-12-31 · 8,044 cases	1	1	0.4	Better than 42% of US hospitals
Head CT results2024-10-01 to 2025-09-30	Not Available		51.4
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31	Not Available		94.6
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available		68
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31	Not Available		18.04
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30	Not Available		62.4
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available		75.52
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available		88.84
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available		79.17
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available		91.84
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31	Not Available		98.6
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		89
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31	Not Available		94.8
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		79.98
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		96.46

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	Twelve Clans Unity Hospital	US median	NE average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	Not Available		7.905
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	Not Available		8.157

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	Twelve Clans Unity Hospital	US median	NE average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	Not Available		0.9733

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	Twelve Clans Unity Hospital	NE average
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	N/A	0.9507
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A	0.9445
READM-30-COPD-HRRP2021-07-01 to 2024-06-30	N/A	0.9896
READM-30-HF-HRRP2021-07-01 to 2024-06-30	N/A	0.9802
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	N/A	0.9876
READM-30-PN-HRRP2021-07-01 to 2024-06-30	N/A	1.001

By fiscal year	FY 2025	FY 2026
READM-30-AMI-HRRP	N/A	N/A
READM-30-CABG-HRRP	N/A	N/A
READM-30-COPD-HRRP	N/A	N/A
READM-30-HF-HRRP	N/A	N/A
READM-30-HIP-KNEE-HRRP	N/A	N/A
READM-30-PN-HRRP	N/A	N/A

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	Twelve Clans Unity Hospital	NE average
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.7232
CDI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.425
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.5703
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.519
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	N/A	0.9598
SSI standardized infection ratio2023-01-01 to 2024-12-31	N/A	1.154
Total HAC scoreFY 2026	N/A	0.01857

By fiscal year	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No
Total HAC score	N/A	N/A

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

Not accredited
Accreditation
Limited
Medical school affiliation
Tribal
Ownership type
13
Medicare-certified beds
39
Registered nurses (full-time equivalent)
2023
In Medicare since

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Twelve Clans Unity Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.

146
Inpatient discharges
Medicare 1%, Medicaid 5%
350
Inpatient days
7% of available bed days used
418
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 840431). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Twelve Clans Unity Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	2	18	330	350
Discharges	1	7	138	146
Average length of stay	2.0 days	2.6 days	2.4 days	2.4 days
Average daily census	0.0	0.0	0.9	1.0

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	13	350	2	7%

Source: CMS cost report (HCRIS, Form 2552-10), report 840431, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Staff and facilities

Staff by profession and the rooms and units Twelve Clans Unity Hospital reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.

39
Registered nurses
2
Licensed practical nurses
4
Physicians
7
Nurse practitioners
1
Physician assistants
12
Pharmacists
1
Physical therapists
9
Radiology technicians
4
Laboratory technicians
3
Medical technologists
1
Dietitians

Source: CMS Provider of Services file.

Doctors and clinicians

28 clinicians who bill Medicare list Twelve Clans Unity Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Emergency Medicine Physician 4
Family Nurse Practitioner 4
Nurse Practitioner 4
Family Medicine Physician 3
Optometrist 3
Primary Care Nurse Practitioner 3
Endocrinology, Diabetes & Metabolism Physician 1
Geriatric Medicine (Family Medicine) Physician 1
Internal Medicine Physician 1
Medical Physician Assistant 1

Gregory Mccarthy, DPM
Podiatrist
NPI 1831186865
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Katie Shull, ARNP
Nurse Practitioner
NPI 1417674482
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Matthew Humpal, M.D.
Family Medicine Physician
NPI 1609135375
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Abigail Piazza, MD
Internal Medicine Physician
NPI 1225384019
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Emily Wietfeld, O.D.
Optometrist
NPI 1609447986
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Peter Lloyd, M.D.
Rheumatology Physician
NPI 1962717918
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Christine James, OD
Optometrist
NPI 1992436489
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Vikram Shankar, MD
Emergency Medicine Physician
NPI 1821443276
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Rachel Sindelar, OD
Optometrist
NPI 1598324253
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Lori Swanson
Family Nurse Practitioner
NPI 1760675177
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William Boston, M.D.
Emergency Medicine Physician
NPI 1215971197
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June Myler, ARNP
Family Nurse Practitioner
NPI 1811493679
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Michaela Wheatley, ARNP
Nurse Practitioner
NPI 1326524844
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Jeremy Vande Zande, M.D.
Family Medicine Physician
NPI 1679589303
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Anuma Ulu, M.D.
Geriatric Medicine (Family Medicine) Physician
NPI 1982731741
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Peter Schindler, MD, PHD
Family Medicine Physician
NPI 1598326217
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Shane Ruckle, MD
Emergency Medicine Physician
NPI 1932133907
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Lynn Baru, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1972529055
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Amber Hansen, P.A.
Medical Physician Assistant
NPI 1073852059
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Thomas Schroeder, PT
Physical Therapist
NPI 1104932094
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Matthew Schneider, APRN, NP-C, FNP-BC
Family Nurse Practitioner
NPI 1013491943
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Maurice Blackbird, DNP, APRN, FNP-BC
Primary Care Nurse Practitioner
NPI 1821861840
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Ryan Schultz
Emergency Medicine Physician
NPI 1134708878
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Megan Fedders, NP-C, ARNP
Nurse Practitioner
NPI 1285490300
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Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Finances

Revenue, income and charity care Twelve Clans Unity Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025.

-$59.2M
Net income, including non-patient income

Source: CMS cost report (HCRIS) (report 840431). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Departments

Each cost center Twelve Clans Unity Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 26 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Emergency	$5M	$8.4M	$13,973	597.74	381
Clinic	$2.2M	$5.8M	$13,973	418.53	727
Laboratory	$727,190	$5M	$13,973	355.85	178
Radiology-diagnostic	$727,976	$1.9M	$13,973	133.65	211
Drugs charged to patients		$1.1M	$13,973	77.26	10
Physical therapy	$114,275	$818,494	$13,973	58.58	189
Observation beds (non-distinct part		$652,929	$13,973	46.73
Behavioral health	$382,099	$614,815	$13,973	44.00
Diabetes-mellitus	$936,190	$378,144	$13,973	27.06
Audiology		$24,262	$13,973	1.74	19

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$1.1M	$3.6M	$350	10345.11	706

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Other administrative & general	$2.2M	$7.2M			520
Hospital only a&g	$1.1M	$3.3M			22
Operation of plant	$809,572	$2.6M	1	$809572.00	1,469
Medical records & library	$598,438	$2.2M	1	$598438.00	284
Cap rel costs-bldg & fixt		$1.6M			7,762
Cap rel costs-mvble equip		$1.4M
Business office	$792,008	$1.4M			139
Employee benefits department	$384,403	$1.2M	1	$384403.00	319
Pharmacy	$1.1M	$712,586	1	$115036.00	35
Housekeeping	$516,674	$700,057	1	$482268.00	163
Central services & supply	$256,300	$678,626	1	$215805.00	530
Dietary	$325,809	$618,002	1	$325809.00	187
Nursing administration	$503,831	$576,063	1	$429970.00	178
Laundry & linen service		$185,276	1	$160942.00	19
Capital-related-bldg & fixt - ddu b		$125,940

Source: CMS cost report (HCRIS, Form 2552-10), report 840431, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Twelve Clans Unity Hospital for an inpatient stay.

0.86
Case mix index
Higher than 1% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
100.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2026 to FY 2027

IPPS fiscal year	FY 2026	FY 2027
Case mix index	0.88	0.86
Wage index	1.445	1.445
Readmissions adjustment	0.00%	0.00%
Value-based purchasing adjustment	0.00%	0.00%
Medicare inpatient stays	1	1

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Twelve Clans Unity Hospital's rates and hospital price transparency.

Is Twelve Clans Unity Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Twelve Clans Unity Hospital for fiscal year 2027.

Does Medicare penalize Twelve Clans Unity Hospital for readmissions?

No. Twelve Clans Unity Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is Twelve Clans Unity Hospital's case mix index?

Twelve Clans Unity Hospital's Medicare case mix index is 0.86 for fiscal year 2027, higher than 1% of hospitals paid under the inpatient prospective payment system.

How many patients does Twelve Clans Unity Hospital admit?

Twelve Clans Unity Hospital reported 146 inpatient discharges and 350 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Twelve Clans Unity Hospital have?

Twelve Clans Unity Hospital reported 418 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

Who is the CEO of Twelve Clans Unity Hospital?

Twelve Clans Unity Hospital's Medicare enrollment lists Danelle J Smith as Chief Executive Officer since 2020.

What is Twelve Clans Unity Hospital's tax ID (EIN)?

Insurers' price transparency files list Twelve Clans Unity Hospital under employer identification number 37-1889645 (Twelve Clans Unity Hospital). 38 health plans and networks list 37-1889645 for it.

How many doctors are affiliated with Twelve Clans Unity Hospital?

28 clinicians who bill Medicare list Twelve Clans Unity Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (4), family nurse practitioner (4), nurse practitioner (4).

Is Twelve Clans Unity Hospital accredited?

CMS's Provider of Services file lists no accrediting organization for Twelve Clans Unity Hospital; it is certified for Medicare through state survey.

Who owns Twelve Clans Unity Hospital?

In its Medicare enrollment, Twelve Clans Unity Hospital reports Winnebago Tribe Of Nebraska as Operational/managerial control.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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Twelve Clans Unity Hospital

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Doctors and clinicians

Finances

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Doctors and clinicians

Finances

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

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Get your chargemaster right for billing and payer contracts