Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Nevada
What 18 hospitals in Nevada charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$54,207
Hospital list price billed
Average allowed
$3,666
Medicare's payment + patient's share
Medicare paid
$2,900
Average per service
State rank
#42 of 49
1 = lowest average payment
Hospitals in Nevada billed an average of $54,207 for level 1 abdominal/peritoneal/biliary and related procedures, about 14.8 times the average medicare-allowed amount of $3,666. That payment is 10% above the U.S. average of $3,323.
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 $3,666Billed $54,207
About 7¢ was paid for every $1 hospitals in Nevada billed for this service.
Nevada hospitals: level 1 abdominal/peritoneal/biliary and related 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 |
|---|---|---|---|---|
| Carson Tahoe HospitalCarson City | 64 | $25,565 | $3,715 | $2,954 |
| Sunrise Hospital and Medical CenterLas Vegas | 39 | $54,264 | $3,588 | $2,833 |
| Renown Regional Medical CenterReno | 37 | $30,168 | $3,625 | $2,872 |
| Northern Nevada Medical CenterSparks | 33 | $76,440 | $4,014 | $3,160 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 33 | $62,805 | $3,705 | $2,947 |
| Summerlin Hospital Medical CenterLas Vegas | 29 | $78,807 | $3,558 | $2,812 |
| Southern Hills Hospital and Medical CenterLas Vegas | 27 | $49,592 | $3,705 | $2,952 |
| Mountainview HospitalLas Vegas | 24 | $63,137 | $3,338 | $2,577 |
| Henderson HospitalHenderson | 18 | $98,583 | $3,705 | $2,950 |
| Renown South Meadows Medical CenterReno | 17 | $33,746 | $3,549 | $2,796 |
| Centennial Hills Hospital Medical CenterLas Vegas | 17 | $88,283 | $3,532 | $2,778 |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | 14 | $52,528 | $3,705 | $2,952 |
| Northeastern Nevada Regional HospitalElko | 12 | $29,629 | $3,968 | $3,158 |
| Saint Mary's Regional Medical CenterReno | 11 | $34,870 | $3,437 | $2,684 |
| Northern Nevada Sierra Medical CenterReno | 11 | $90,616 | $3,705 | $2,951 |
| University Medical CenterLas Vegas | – | – | – | – |
| Valley Hospital Medical CenterLas Vegas | – | – | – | – |
| Spring Valley Hospital Medical CenterLas Vegas | – | – | – | – |
Lowest and highest allowed amounts in Nevada
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mountainview HospitalLas Vegas, NV | $3,338 |
|---|---|
| Saint Mary's Regional Medical CenterReno, NV | $3,437 |
| Centennial Hills Hospital Medical CenterLas Vegas, NV | $3,532 |
| Renown South Meadows Medical CenterReno, NV | $3,549 |
| Summerlin Hospital Medical CenterLas Vegas, NV | $3,558 |
Highest
| Northern Nevada Medical CenterSparks, NV | $4,014 |
|---|---|
| Northeastern Nevada Regional HospitalElko, NV | $3,968 |
| Carson Tahoe HospitalCarson City, NV | $3,715 |
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $3,705 |
| Henderson HospitalHenderson, NV | $3,705 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Nevada?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 18 hospitals in Nevada was billed at $54,207 on average, while the average medicare-allowed amount was $3,666, of which Medicare paid $2,900. 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 14.8 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.