test. multiple people shot at a planned parenthood clinic. injured. police try to corner the shooter as he makes a desperate stance. anger in the streets. hundreds disrupt black friday in chicago, protesting a fatal police shooting, and a suspect is charged in another crime that shocked thcity. boy. travel nightmare. rain, snow, and ice, scores of accidents on slippery roads, and tens of millions still in the path of dangerous weather just before the post-holiday rush home. black friday letdown? the rush is on, but crowds seem smaller this year. are online sales making the

annual post-thanksgiving sales frenzy obsolete. and saving you money, how one hospital is charging less and helping patients recover faster, even in a time of soaring health care costs. "nightly news" begins right now. good evening. our top story is breaking right now in colorado where a gunman opened fire on police and civilians at a planned parenthood clinic this afternoon. several officers and civilians were hit. many others who had taken shelter were led to safety in a siriys of dramatic issues while a s.w.a.t. team faced gunfire in its effort to neutralize the shooting. leanne greg is at the scene and has details for us. >> lester, it's an ongoing situation. police are in contact with a gunman they have cornered inside

on the city's best side. heavily armed tactical police are evacuating people, four, possibly five officers have been injured. >> attention all units. attention all units. shooter. >> a man said to be dressed in a trench coat barricaded himself inside the planned parenthood center, shooting at civilians and officers. >> he's shooting. stop there. he's shooting at you as you are coming. >> we're pinned down. we're getting active gunfire. >> four officers were hit and cornered. the extent of their injuries not clear. this lieutenant describing the chaos with the shooting still ongoing. >> we have an unknown number of civilians that are injured. >> s.w.a.t. officers entering the building extracting the wounding and others searching for the gunman. gunfire heard on and off for hours. >> i was scared.

>> joann says his sister is inside the planned parenthood clining. >> she called me and she was screaming that there was shooting. i heard the shooting. and she couldn't say much because she was afraid that those guys -- >> authorities locked down a two to three-mile area, employees s s at a nearby shopping center told to shelter in place. >> there are other a dozen vehicles including s.w.a.t. there are officers with guns drawn and shields. >> ambulances were seen shuttling victims to local hospitals. there were reports of a possible second shooter. >> we had information that there could be a second one. we plan and train for additional ones. >> officers say they don't know if the clinic was targeted. in a statement, planned parbt hood said our concern is for the safety of our patients. staff, and law enforcement. s.w.a.t. officers rescued

possible hostages. >> multiple shots fired. automatic gunfire coming from the building. >> police confirmed there are still people inside the planned parenthood building. they're trying to evacuate them. they say the situation could take several hours. there's concern over some items the gunman left inside the building. lester. >> leann in colorado, thank you. in chicago, anger over a video showing the police shooting of a teenager spilled into the streets during black friday in the city's famed magnificent mile shopping district. the protests came as charges were filed in another unrelated shooting that has also shaken the city to its core. john yang with the story now. >> four weeks after the gang related shooting of a 9-year-old boy stunned an already violence weary chicago, today, police announced charges in the case. >> corey morgan is a documented gang member, a convicted felon. as you know, we picked him up just a couple weeks ago with yet

>> police are also seeking 22-year-old kevin edwards on a murder charge. a third suspect is in custody on unrelated charges. police say tyshawn lee was lured from a basketball game with friends and taken to an alley where he was murdered. targeted because of his father's alleged gang ties. investigators say they got lots of tips despite fears. >> if you have a mobster who's willing to assassinate a 9-year-old, what is that person likely to do if they know that someone is cooperating with the case? >> less than an hour later and five hours away, hundreds of marchers converged on magnificent mile. the historic blocks of michigan avenue where high-end retailers opened their doors to black friday shoppers. their focus was another case, the 2014 fatal police shooting of 17-year-old laquan mcdonald, shot 16 times by a police officer, charged this week with

first degree murder. >> i think that more people should be held accountable for this. including the cops who knew about this. they should lose their jobs. >> this protest may be loud and raucous, but it is peaceful, just like most of the demonstrations over the past several days. blocking store entrances on one of the biggest shopping days of the year was meant to send a message. >> nothing else is working. now we have to shut down what's matters in the country, money. >> i'm very concerned about the future of our city. >> this woman brought her 12-year-old son. >> a lot of bad things are happening out there. >> michigan avenue is back open to traffic. police report just three arrests during the march. meanwhile, jason van dyke, the officer charged in the laquan mcdonald shooting, is in custody, held without bail until a court hearing on monday. his attorney says he acted in self-defense. lester. >> john yang, thank you.

we're learning more now about the man who breached security surrounding the white house yesterday by jumping over the spiked fence. nbc news white house correspondent kristen welker tells us, eyewitnesses could hardly believe their eyes as it was happening. >> the secret service is digging deeper tonight, into why joseph, a 23-year-old connecticut man, jumped over the nearly 8-foot-high spiked white house fence on thanksgiving day while the first family celebrated seconds after his jump, the secret service had him in custody. >> it's just so crazy for us to think like, it would happen when we were here. >> today, witnesses are recounting the stunning moments, capitol hill intern vanessa was giving her sister and friend a tour when the fence jumper suddenly lurched behind her. >> he got an american flag and wrapped it around himself. we were all able to hear him say, take a deep breath and just let's do this.

within ten seconds, he was over the fence. >> pena immediately started taking photos. >> i took out my phone to video, and you could tell from the video that i took that i was shaking a little bit. kind of like really surprising. you know, when all this chaos is happening around the world. >> today, caputo appeared in a washington courthouse, charged with illegal entry. court documents said he told the officer, i love my country. i knew i would be locked up. this latest incident comes after a series of embarrassing security breaches at the white house, including last september when a man with a knife jumped the fence and made it all the way inside the executive mansion. that prompted the secret service to install new spikes at the top of the fence and a lower bicycle rack as another buffer. >> they need to put in another one. they need a much better defense world's situation. >> caputo is held for mental health evaluation and has

monday. while there is praise for the secret service stopping the intruder quickly, they're asking to meet with secret service leadership early next week. lester. >> kristen welker at the white house, thank you. as we mentioned, it's black friday, the annual shopping rush after thanksgiving. retailers have it circled on their calendars every year, but many shoppers are saying the shops aren't quite as frenetic as in recent years. olivia stern explains why. >> long before dawn, and even late last night, shoppers bursting through doors. >> 50% off the entire store. you can't really beat that. >> everything is half off. >> no shortage of deals this same crowd. >> not too stressful. long lines. >> the reason, the internet. >> they're at home, using their desktops and mobile devices to take advantage of the offers

that the retailers are giving. >> odoeb adobe, which tracks the sales, said shoppers spent $2.7 billion just today. that's a 14% increase over last year. >> the deals are here. >> for tens of millions last night and today, shopping still meant hitting the stores. >> electronics are still very popular. great response to xbox, cds. >> while there are deals everywhere this black friday, this year, you might have a tougher time finding a bargain on some of the hottest toys. this drone will set you back about $60, and this quad cam will run you about $120. >> according to one estimate, prices for what are expected to be the top 20 toys of this year are up 36%. the average price tag, $65. >> you like r2d2? >> the star wars robot would set his parents back $180. from now to christmas eve,

consumers are expected to spend $630 billion on holiday items, an increase of almost 4% from last year. the black friday frenzy may be fading, but still 1 in 3 americans plan to shop at some point this weekend. if you miss the deals today, don't worry. many retailers will start rolling out their cyber monday discounts tomorrow. >> it looks busy. thanks. could be a treacherous journey back home for some of the tens of millions of americans traveling over this thanksgiving weekend. a dangerous wintry mix has already caused chaos on roads across the central u.s. dylan dreyer has more on the nasty weather and where it's dylan. >> tonight, 20 million americans in the path of the first major winter blast of the season. rain, snow, and ice making travel in some areas downright dangerous. from the great lakes all the way down to the southern plains, if you're anywhere in its path, there's likely to be some kind of nasty weather in your

rain right now. everybody at this point. in dallas, the heavy storms brought downpours making 2015 the wettest year on record. firefighters rescuing this woman from flood water. across the country, it was a day of record extremes. record lows in montana, record snow in wyoming. record rain in missouri. and record high temperatures in new york. but at least skiers had something to be thankful for. up to 20 inches of new snow in california. nearly a foot in oregon, and some 10 inches in parts of colorado. on the eve of one of the busiest travel weekends of the year, airlines already cancelling or delaying hundreds of flights at the nation's biggest hubs. heavy rain is falling from the great lakes down through texas with freezing rain continuing through parts of the southern plains. now, the biggest threat for dangerous icing will occur tonight from texas up into parts of central oklahoma that will last through early saturday morning.

heavy potentially flooding rains through eastern texas, oklahoma, and into arkansas. then it all moves east as we go into sunday. now, arkansas could end up with about 5 to 7 inches of rain, especially through central arkansas, with dallas seeing another 3 to 4 inches. as for additional ice accumulations, northern texas and central oklahoma, another half an inch of ice is possible. that could lead to very dangerous conditions. lester. >> all right, dylan dreyer, thanks. still ahead tonight, containing the skyrocketing price of in-patient health care. one hospital has found a way to make costs lower and recovery times shorter.

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we're back with a deeper look now at a problem plaguing our health care system. many hospitals admit they can barely keep track of their own operating costs. and those costs get passed on to us. inpatient hospital care accounts for a whopping 30% of medical bills in this country. tom costello takes us to a utah hospital that figured a way to get a handle on the problem and others are anxious to follow its lead. >> early morning at the university of utah med center, and robert garner is headed to replaces. a routine surgery performed every day in the country, but here, the surgery will cost less and he should recover faster. same true for the new mom having a c-section in o.r. five.

university of utah health care system. >> when you compare us to other university hospitals across the country, we have seen our costs go down. >> you have dawn down? down a lot, 30%. through a software tool they developed to identify every penny spent. every bandage, aspirin, scalpel, iv, x-ray, how much it costs treat patients down to the second. by drilling down on the costs, the university determined that patient care here in the e.r. cost 82 cents per minute. $1.43 a minute in the surgical icu. the biggest surprise came in the o.r. take, for example, dr. a, who performs hernia repairs. his choice of instruments and meds put his o.r. costs 23% below other surgeons. and his patients spent 14% less time in the hospital. >> what we found is that more often than not, lower costs come with better outcomes. >> really? lower costs come with better outcomes. >> absolutely. >> so the hospital went about

standardizing procedures, meds, and instruments. it turns out the most expensive hip replacement wasn't the best. and 90% of the surgical instruments in the o.r. were rarely used. >> that way, we went from a tray of say 100 instruments to a tray of 15 instruments without compromising on performance at all. >> in the two-month pilot program, already $5 million to $7 million in savings. >> we don't want to just chase the dollar. we want to make sure our patients have great outcomes at low cost. >> great outcomes the university is now sharing with other hospitals also trying to get health care spending under control. tom costello, nbc news, salt lake city. >> we're back in a moment with a day of remembrance in paris, just as the city is about to face another another day, and i'm still struggling with my diabetes. i do my best to manage. but it's hard to keep up with it. your body and your diabetes change over time. your treatment plan may too.

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one of the biggest eruptions all year at that site sending rivers of lava flowing down the slope. there are communities to the north of kilauea, but this eruption is currently not a threat to homes or businesses. >> two weeks to the day from the horrific attacks in paris, the french came together for a national day of remembrance as the international manhunt continues for at least two suspected terrorists. gabe gutierrez has more from paris. >> they were young, most under 35. today, france remembers the 130 victims of the deadliest terror attacks in its history. some survivors still in wheelchairs. president francois hollande vowed to destroy the army of fanatics responsible. among those at the ceremony, this 35-year-old who was having coffee with friends at the bataclan cafe that night and can't forget the faces of the attackers. their aim was to kill as many

people as possible, he says. but although he was shot twice, he was lucky. i had my passport over my heart, protecting it, he said. and my passport made the bullet ricochet. today, belgian prosecutors announced an unidentified man had been arrested and charges with terrorist activities in connection with the paris attacks, but his role remains unclear. much of europe still on edge. so the french are banding together, the tricolor draped from windows across france. flag makers can't keep up with demand. >> france is not quite like the united states when it comes to the flag. we tend not to get the flag out apart from very big occasions, big football games. even then, it's quite rare. >> now, security will tighten even further as some 140 heads of state arrive in paris next week for a massive u.n. climate conference. france remains in a state of emergency.

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finally tonight, a big celebration for a national treasure. nashville's grand ole opry marking its 90th birthday tomorrow at a time when highly produced tech heavy shows are filling stadiums, the simple charm of the opry is thriving. janet shamlian shows us. >> it's not a church. but by any definition, the grand ole opry is the cathedral of country music. an american icon, the nation's longest running live radio show. i fell into a burning ring of fire >> from johnny cash to brad paisley, country music royalty is crowned here. superstars like reba mcentire. her first performance in 1977, a career highlight. >> you have butterflies?

oh, i had ten million butterflies. i was scared to death, very nervous. my husband at the time was at a rodeo in texas. he stopped on the side of the road to listen to me. it was just a huge, huge moment for me. >> the radio show has had six homes in its 90 years. none more famous than the rhymen auditorium. >> right here, the bedrock of country music. >> 20 years ago, a young hopeful named dirks bentley would sneak in to watch the show. now, the multiplatinum artist is among just 211 stars to become opry members, country's crowning achievement. >> probably the most nervous of any stage i'm ever on is the opry stage. >> it's history at every turn. from the themed dressing room and artist mailboxes to opry's most treasured real estate, the famous six-foot circle of wood at center stage. does that circle have a special place? >> sure.

absolutely. patsy cline, loretta lynn, barbara mandrell, tammy wynette stood on that circle and they're my heroes. >> in nine decades, it was every show, celebrating history while writing a new page. janet shamlian, nbc news, nashville. >> that will do it for us on a friday night. i'm lester holt. for all of us at nbc news, thank