facebook tracking Level 3 Lower GI Procedures cost in Nevada: 17 hospitals compared (APC 5313)

Level 3 Lower GI Procedures in Nevada

What 17 hospitals in Nevada charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.

APC 5313 Outpatient 2024 Medicare data
Average charge $24,885 Hospital list price billed
Average allowed $2,984 Medicare's payment + patient's share
Medicare paid $2,369 Average per service
State rank #45 of 49 1 = lowest average payment

Hospitals in Nevada billed an average of $24,885 for level 3 lower gi procedures, about 8.3 times the average medicare-allowed amount of $2,984. That payment is 10% above the U.S. average of $2,703.

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 $2,984Billed $24,885

About 12¢ was paid for every $1 hospitals in Nevada billed for this service.

Nevada hospitals: level 3 lower gi 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 24 $14,449 $3,015 $2,396
Renown Regional Medical CenterReno 16 $22,466 $3,007 $2,387
University Medical CenterLas Vegas 16 $18,268 $3,007 $2,396
Mountainview HospitalLas Vegas 15 $43,506 $3,007 $2,393
Saint Rose Dominican Hospital - San Martin CampusLas Vegas 14 $32,424 $3,007 $2,396
Southern Hills Hospital and Medical CenterLas Vegas 12 $25,731 $2,807 $2,196
Northeastern Nevada Regional HospitalElko – – – –
Saint Mary's Regional Medical CenterReno – – – –
Valley Hospital Medical CenterLas Vegas – – – –
Northern Nevada Medical CenterSparks – – – –
Summerlin Hospital Medical CenterLas Vegas – – – –
Saint Rose Dominican Hospital - Siena CampusHenderson – – – –
Spring Valley Hospital Medical CenterLas Vegas – – – –
Renown South Meadows Medical CenterReno – – – –
Centennial Hills Hospital Medical CenterLas Vegas – – – –
Henderson HospitalHenderson – – – –
Northern Nevada Sierra Medical CenterReno – – – –
Level 3 Lower GI Procedures: all states All Nevada hospitals Nevada hospital finances
Advertisement

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.

Highest

Carson Tahoe HospitalCarson City, NV$3,015
Renown Regional Medical CenterReno, NV$3,007
Mountainview HospitalLas Vegas, NV$3,007
University Medical CenterLas Vegas, NV$3,007
Saint Rose Dominican Hospital - San Martin CampusLas Vegas, NV$3,007

Level 3 Lower GI Procedures in other states

Alaska · $2,898 Connecticut · $3,097 Hawaii · $3,137 Massachusetts · $2,977 New Jersey · $2,980 New York · $3,067 Oregon · $2,857 Washington · $2,859

Questions

How much does level 3 lower gi procedures cost in Nevada?

In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 17 hospitals in Nevada was billed at $24,885 on average, while the average medicare-allowed amount was $2,984, of which Medicare paid $2,369. 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 8.3 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.