Complex GI Procedures in Nevada
What 15 hospitals in Nevada charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$49,341
Hospital list price billed
Average allowed
$6,104
Medicare's payment + patient's share
Medicare paid
$4,863
Average per service
State rank
#44 of 48
1 = lowest average payment
Hospitals in Nevada billed an average of $49,341 for complex gi procedures, about 8.1 times the average medicare-allowed amount of $6,104. That payment is 14% above the U.S. average of $5,364.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $6,104Billed $49,341
About 12¢ was paid for every $1 hospitals in Nevada billed for this service.
Nevada hospitals: complex gi procedures
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Centennial Hills Hospital Medical CenterLas Vegas | 26 | $47,421 | $6,104 | $4,863 |
| Saint Mary's Regional Medical CenterReno | 14 | $52,906 | $6,104 | $4,863 |
| Renown Regional Medical CenterReno | – | – | – | – |
| Sunrise Hospital and Medical CenterLas Vegas | – | – | – | – |
| University Medical CenterLas Vegas | – | – | – | – |
| Carson Tahoe HospitalCarson City | – | – | – | – |
| Northern Nevada Medical CenterSparks | – | – | – | – |
| Mountainview HospitalLas Vegas | – | – | – | – |
| Summerlin Hospital Medical CenterLas Vegas | – | – | – | – |
| Saint Rose Dominican Hospital - Siena CampusHenderson | – | – | – | – |
| Spring Valley Hospital Medical CenterLas Vegas | – | – | – | – |
| Southern Hills Hospital and Medical CenterLas Vegas | – | – | – | – |
| Renown South Meadows Medical CenterReno | – | – | – | – |
| Henderson HospitalHenderson | – | – | – | – |
| Northern Nevada Sierra Medical CenterReno | – | – | – | – |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Nevada?
In 2024 Medicare data, complex gi procedures (APC 5331) at 15 hospitals in Nevada was billed at $49,341 on average, while the average medicare-allowed amount was $6,104, of which Medicare paid $4,863. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Nevada, average charges were 8.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.