What 14 hospitals in Nevada charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in Nevada billed an average of $337,268 for level 2 icd and similar procedures, about 10.0 times the average medicare-allowed amount of $33,575. That payment is 8% above the U.S. average of $31,009.
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.
About 10¢ was paid for every $1 hospitals in Nevada billed for this service.
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 | 32 | $332,784 | $35,124 | $33,492 |
| Mountainview HospitalLas Vegas | 30 | $396,439 | $34,007 | $32,375 |
| Summerlin Hospital Medical CenterLas Vegas | 19 | $321,624 | $33,374 | $31,729 |
| Carson Tahoe HospitalCarson City | 17 | $179,740 | $33,506 | $31,874 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 14 | $255,702 | $32,749 | $31,117 |
| Sunrise Hospital and Medical CenterLas Vegas | 12 | $368,769 | $32,333 | $30,701 |
| Southern Hills Hospital and Medical CenterLas Vegas | 12 | $516,052 | $32,348 | $30,716 |
| Valley Hospital Medical CenterLas Vegas | 11 | $333,825 | $32,090 | $30,458 |
| University Medical CenterLas Vegas | – | – | – | – |
| Saint Mary's Regional Medical CenterReno | – | – | – | – |
| Northern Nevada Medical CenterSparks | – | – | – | – |
| Spring Valley Hospital Medical CenterLas Vegas | – | – | – | – |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | – | – | – | – |
| Northern Nevada Sierra Medical CenterReno | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Valley Hospital Medical CenterLas Vegas, NV | $32,090 |
|---|---|
| Sunrise Hospital and Medical CenterLas Vegas, NV | $32,333 |
| Southern Hills Hospital and Medical CenterLas Vegas, NV | $32,348 |
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $32,749 |
| Summerlin Hospital Medical CenterLas Vegas, NV | $33,374 |
| Renown Regional Medical CenterReno, NV | $35,124 |
|---|---|
| Mountainview HospitalLas Vegas, NV | $34,007 |
| Carson Tahoe HospitalCarson City, NV | $33,506 |
| Summerlin Hospital Medical CenterLas Vegas, NV | $33,374 |
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $32,749 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 14 hospitals in Nevada was billed at $337,268 on average, while the average medicare-allowed amount was $33,575, of which Medicare paid $31,941. Your own cost depends on your insurance, deductible and the hospital.
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 10.0 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.