(AP) — A major insurer is recommending 11 Nebraska hospitals for spine surgeries and knee or hip replacements because they deliver quality care at a reasonable cost.

Blue Cross and Blue Shield of Nebraska says these hospitals all meet quality standards demonstrate cost efficiency.

Dr. Dave Filipi with the insurer says this list should help Nebraskans decide which hospitals to use.

The list includes six hospitals in Omaha: The Nebraska Medical Center; Alegent Creighton’s Immanuel, Bergan Mercy and Lakeside hospitals; the Nebraska Spine Hospital; and Methodist Hospital.

Three Lincoln hospitals were also honored: Saint Elizabeth and BryanLGH East and West hospitals.

Fremont Area Medical Center in Fremont and Saint Francis Medical Center in Grand Island were also named hospitals of distinction.