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Disorders of the biliary tract with complications in Nevada

What 7 hospitals in Nevada charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.

DRG 445 Inpatient 2024 Medicare data
Average charge $114,540 Hospital list price billed
Average payment $10,330 Medicare + patient + other payers
Medicare paid $8,758 Average per stay
State rank #23 of 40 1 = lowest average payment

Hospitals in Nevada billed an average of $114,540 for disorders of the biliary tract with complications, about 11.1 times the average total payment of $10,330. That payment is 6% below the U.S. average of $10,996.

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 $10,330Billed $114,540

About 9¢ was paid for every $1 hospitals in Nevada billed for this stay.

Nevada hospitals: disorders of the biliary tract with complications

Every Nevada hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Sunrise Hospital and Medical CenterLas Vegas 25 $147,639 $10,515 $9,107
Renown Regional Medical CenterReno 22 $45,088 $10,258 $8,835
Mountainview HospitalLas Vegas 18 $116,628 $11,864 $9,626
Centennial Hills Hospital Medical CenterLas Vegas 17 $156,684 $9,244 $7,973
Southern Hills Hospital and Medical CenterLas Vegas 13 $137,434 $11,405 $9,572
Henderson HospitalHenderson 13 $150,008 $9,630 $8,457
Renown South Meadows Medical CenterReno 11 $40,698 $8,776 $6,992
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Lowest and highest payments in Nevada

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Disorders of the biliary tract with complications in other states

Questions

How much does disorders of the biliary tract with complications cost in Nevada?

In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 7 hospitals in Nevada was billed at $114,540 on average, while the average total payment was $10,330, of which Medicare paid $8,758. 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 stay in Nevada, average charges were 11.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.