facebook tracking Major chest procedures with major complications cost in Nevada: 4 hospitals compared (DRG 163)

Major chest procedures with major complications in Nevada

What 4 hospitals in Nevada charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.

DRG 163 Inpatient 2024 Medicare data
Average charge $448,942 Hospital list price billed
Average payment $43,445 Medicare + patient + other payers
Medicare paid $35,064 Average per stay
State rank #22 of 38 1 = lowest average payment

Hospitals in Nevada billed an average of $448,942 for major chest procedures with major complications, about 10.3 times the average total payment of $43,445. That payment is 4% below the U.S. average of $45,128.

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 $43,445Billed $448,942

About 10¢ was paid for every $1 hospitals in Nevada billed for this stay.

Nevada hospitals: major chest procedures with major complications

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 29 $613,832 $37,320 $34,241
Renown Regional Medical CenterReno 22 $197,522 $48,062 $34,959
Mountainview HospitalLas Vegas 22 $518,971 $49,980 $39,406
Southern Hills Hospital and Medical CenterLas Vegas 11 $377,011 $37,288 $28,764
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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.

Major chest procedures with major complications in other states

Questions

How much does major chest procedures with major complications cost in Nevada?

In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 4 hospitals in Nevada was billed at $448,942 on average, while the average total payment was $43,445, of which Medicare paid $35,064. 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 10.3 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.