facebook tracking Level 1 ICD and Similar Procedures cost in Nevada: 11 hospitals compared (APC 5231)

Level 1 ICD and Similar Procedures in Nevada

What 11 hospitals in Nevada charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.

APC 5231 Outpatient 2024 Medicare data
Average charge – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

Nevada hospitals: level 1 icd and similar 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
Renown Regional Medical CenterReno – – – –
Sunrise Hospital and Medical CenterLas Vegas – – – –
University Medical CenterLas Vegas – – – –
Saint Mary's Regional Medical CenterReno – – – –
Carson Tahoe HospitalCarson City – – – –
Valley Hospital Medical CenterLas Vegas – – – –
Mountainview HospitalLas Vegas – – – –
Summerlin Hospital Medical CenterLas Vegas – – – –
Saint Rose Dominican Hospital - Siena CampusHenderson – – – –
Southern Hills Hospital and Medical CenterLas Vegas – – – –
Northern Nevada Sierra Medical CenterReno – – – –
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Level 1 ICD and Similar Procedures in other states

Questions

How much does level 1 icd and similar procedures cost in Nevada?

In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 11 hospitals in Nevada was billed at – on average, while the average medicare-allowed amount was –. 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. 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.