facebook tracking ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Nevada: 3 hospitals compared (DRG 003)

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Nevada

What 3 hospitals in Nevada charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.

DRG 003 Inpatient 2024 Medicare data
Average charge $1,370,608 Hospital list price billed
Average payment $190,618 Medicare + patient + other payers
Medicare paid $160,856 Average per stay
State rank #10 of 29 1 = lowest average payment

Hospitals in Nevada billed an average of $1,370,608 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 7.2 times the average total payment of $190,618. That payment is 23% below the U.S. average of $246,178.

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 $190,618Billed $1,370,608

About 14¢ was paid for every $1 hospitals in Nevada billed for this stay.

Nevada hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec

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 24 $2,110,034 $178,652 $149,675
Renown Regional Medical CenterReno 22 $634,236 $189,697 $147,941
University Medical CenterLas Vegas 15 $1,267,538 $211,113 $197,689
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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.

Lowest

Sunrise Hospital and Medical CenterLas Vegas, NV$178,652
Renown Regional Medical CenterReno, NV$189,697
University Medical CenterLas Vegas, NV$211,113

Highest

University Medical CenterLas Vegas, NV$211,113
Renown Regional Medical CenterReno, NV$189,697
Sunrise Hospital and Medical CenterLas Vegas, NV$178,652

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states

Questions

How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Nevada?

In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 3 hospitals in Nevada was billed at $1,370,608 on average, while the average total payment was $190,618, of which Medicare paid $160,856. 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 7.2 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.