The Bill Rate Index What the hour costs, and who keeps it
120 facilities · most recent filing each

What Nebraska pays for an agency hour.

Hospitals and nursing homes in Nebraska, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
78% median premium
across 23 hospitals · national median 85%
Nursing homes, FY2025
117% median premium
across 97 nursing homes · national median 100%

Every hospital on record

23 hospitals, most recent filing each. In FY2025 the typical one paid 78% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
Kearney Regional Medical CenterKearney$31.91$133.52FY2024
Chi Health Nebraska HeartLincoln$46.64$181.85FY2024
Nebraska Methodist HospitalOmaha$44.00$117.43FY2025
Regional West Medical CenterScottsbluff$34.65$92.23FY2024
Chi Health St. ElizabethLincoln$43.77$115.79FY2024
Chi Health Good SamaritanKearney$43.18$108.74FY2024
Bellevue Medical CenterBellevue$37.93$90.08FY2024
Columbus Community HospitalColumbus Nebraska$47.01$109.40FY2024
Bryan Medical CenterLincoln$40.09$88.88FY2023
Chi Health St. FrancisGrand Island$41.73$87.81FY2024
Methodist Fremont HealthFremont$45.19$94.46FY2025
Grand Island Regional Medical CenterGrand Island$48.64$98.43FY2025
Faith Regional Health ServicesNorfolk$40.11$77.47FY2025
Chi Health LakesideOmaha$52.64$92.32FY2024
Chi Health MidlandsPapillion$46.94$81.19FY2024
Chi Health Creighton University BergOmaha$45.26$76.17FY2024
Nebraska Orthopaedic Hospital LlcOmaha$49.81$80.63FY2025
Ssh - Omaha Inc.Omaha$42.87$68.83FY2024
Chi Health ImmanuelOmaha$46.23$70.69FY2024
Midwest Surgical HospitalOmaha$47.97$72.67FY2025
Great Plains HealthNorth Platte$63.20$90.90FY2025
Nebraska Spine HospitalOmaha$50.69$58.84FY2025
The Nebraska Medical CenterOmaha$65.39$69.57FY2024

Every nursing home on record

97 nursing homes, most recent filing each. In FY2025 the typical one paid 117% more for an hour of contract staff than for an hour of its own, against a national median of 100%.

Nursing homeCityEmployed hourContract hourPremiumYear
Falls City Care CenterFalls City$21.70$94.02FY2024
Crest View Care CenterChadron$21.81$91.12FY2024
Indian Hills ManorOgallala$25.76$95.31FY2023
Vsl Alliance LlcAlliance$21.05$75.11FY2024
Fremont Care Center IncFremont$22.82$71.83FY2021
Premier Estates Of Pawnee LlcPawnee City$19.78$59.38FY2024
Gateway VistaLincoln$22.03$65.63FY2021
Fremont Care Center Inc.Fremont$24.54$72.41FY2021
Good Samaritan Society BeatriceBeatrice$22.60$65.00FY2022
Vsl Gering LlcGering$25.51$71.90FY2024
Gss-hastings VillageHastings$21.04$56.58FY2024
Life Care Center Of OmahaOmaha$28.73$73.51FY2024
Hillcrest FirethornLincoln$26.20$65.50FY2024
Hemingford Care CenterHemingford$24.13$59.71FY2025
Florence HomeOmaha$25.42$62.60FY2024
Vsl David City LlcDavid City$26.45$65.04FY2024
Skyview Care & Rehab At BridgeportBridgeport$23.92$58.74FY2024
Butte Healthcare CenterButte$36.15$87.12FY2025
Gss - AuburnAuburn$23.71$55.83FY2023
Good Samaritan Society SuperiorSuperior$24.24$57.01FY2024
Good Samaritan Center SyracuseSyrucuse$25.06$58.32FY2024
Louisville Care CenterLouisville$22.88$53.09FY2024
Good Samaritan Society St. LukeKearney$28.77$66.56FY2024
Premier Estates Of Kenesaw LlcKenesaw$28.24$65.34FY2024
Vsl North Platte CourtNorth Platte$29.23$67.54FY2024
Vsl Loup City LlcLoup City$28.27$64.39FY2024
Good Samaritan Society BloomfieldBloomfield$26.59$60.25FY2024
Gss - Grand Island VillageGrand Island$26.81$60.60FY2024
Life Care Center Of ElkhornOmaha$30.58$69.08FY2024
Litzenberg Memorial County HospitalCentral City$22.93$51.77FY2023
Brighton Gardens Of OmahaOmaha$23.33$52.47FY2022
Vsl Columbus LlcColumbus$27.61$61.77FY2024
Good Samaritan Society AlbionAlbion$27.15$60.45FY2024
Good Samaritan Society - AlmaAlma$26.98$59.77FY2024
Vsl Norfolk LlcNorfolk$26.88$59.53FY2024
Immanuel - Newport HouseOmaha$31.32$67.79FY2024
Eastmont TowersLincoln$25.87$55.30FY2024
The Ambassador Lincoln Inc.Lincoln$31.48$67.20FY2024
Red Oak Health Services Inc.Bellevue$26.22$55.66FY2024
Vsl Geneva LlcGeneva$26.89$56.75FY2024
Good Samaritan Society OsceolaOsceola$27.89$58.31FY2024
Maple CrestOmaha$29.45$61.59FY2024
St. Josephs Elder Services Inc.West Point$27.19$56.39FY2024
Good Samaritan Society St. JohnKearney$26.81$55.50FY2024
Good Samaritan Society AtkinsonAtkinson$26.95$55.60FY2024
Hillcrest MillardOmaha$26.65$54.53FY2024
Vsl Broken Bow LlcBroken Bow$27.74$56.26FY2024
Monroe Healthcare IncBeatrice$26.86$54.05FY2023
Emerald Nursing And Rehab OmahaOmaha$28.74$57.47FY2024
Emerald Nursing And Rehab LancasterLincoln$25.43$50.71FY2024
Premier Estates Of Pierce LlcPierce$29.82$58.79FY2024
The Ambassador Omaha Inc.Omaha$36.41$71.41FY2024
Stanton Lake Healthcare Inc.Falls City$27.63$53.83FY2024
North Platte Care Center LlcNorth Platte$31.58$60.96FY2025
Vsl Wahoo LlcWahoo$28.82$55.56FY2024
Good Samaritan Society Ca MuesArapahoe$20.09$37.97FY2021
Vsl Elkhorn LlcElkhorn$29.94$56.42FY2024
Vsl St Paul LlcSt. Paul$27.72$51.84FY2024
Emerald Nursing And Rehab MercyOmaha$27.34$50.78FY2024
Plum Creek Care CenterLexington$28.52$52.97FY2022
Ravenscroft Healthcare LlcNorfolk$29.29$54.24FY2025
Vsl Fairbury LlcFairbury$28.61$52.91FY2024
Emerald Nursing And Rehab CozadCozad$23.01$42.44FY2024
Good Samartain Society ValentineValentine$20.59$37.70FY2021
Good Samaritan Society MillardOmaha$28.84$52.47FY2024
Emerald Nursing And Rehab LakeviewGrand Island$27.87$50.21FY2024
Heritage Of Webster CountyRed Cloud$24.89$44.63FY2023
Good Samaritan Society RavennaRavenna$22.60$40.37FY2021
Vsl Omaha LlcOmaha$28.71$51.14FY2024
Vsl Papillion LlcPapillion$28.95$51.42FY2024
Prestige Care Center Of PlattsmouthPlattsmouth$24.73$43.63FY2022
Vsl Emerson LlcEmerson$25.97$45.74FY2024
Old Cheney RehabilitationLincoln$28.60$49.95FY2022
Vsl Seward LlcSeward$26.18$45.65FY2024
Old Mill RehabilitationOmaha$29.93$51.93FY2023
Tabitha At Prairie CommonsGrand Island$36.25$62.50FY2024
Vsl St Edward LlcSt. Edward$26.87$46.18FY2024
Vsl Lincoln Sumner LlcLincoln$27.71$47.05FY2024
Lindahl Healthcare Inc.Wayne$30.98$52.21FY2024
The Lighthouse At Lakeside VillageOmaha$40.47$67.79FY2024
Emerald Nursing And Rehab ColumbusColumbus$26.85$44.90FY2024
Vsl Grand Island LlcGrand Island$26.39$43.11FY2024
Emerald Nursing And Rehab BrooksideLincoln$27.54$44.59FY2024
Vsl Kearney LlcKearney$27.95$44.32FY2024
Prestige Care Center Of NebraskacityNebraska City$28.54$44.99FY2022
Vsl Lincoln Southlake LlcLincoln$29.04$45.77FY2024
Southside Healthcare Inc.Omaha$35.75$56.23FY2024
Good Hope Healthcare Inc.Omaha$33.95$52.52FY2024
Emerald Nurs And Rehab Legacy PointeOmaha$28.32$43.02FY2024
Holmes Lake Rehab Care CenterLincoln$28.03$40.52FY2024
Tabitha At The LandingLincoln$31.51$45.15FY2024
Randolph Healthcare Inc.Randolph$32.76$46.22FY2024
Tabitha IncLincoln$36.22$50.94FY2024
Tabitha Nursing Center Of CreteCrete$28.23$38.97FY2024
Rose Blumkin Jewish HomeOmaha$29.02$38.72FY2024
Hillcrest Country EstatesPapillion$40.34$47.24FY2024
The Ambassador Nebraska City Inc.Nebraska City$21.98$23.93FY2024

Working a contract in Nebraska?

See your own package against these figures.

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