facebook tracking Other digestive system diagnoses without complications cost in Nevada: 1 hospitals compared (DRG 395)

Other digestive system diagnoses without complications in Nevada

What 1 hospital in Nevada charged and were paid for a Medicare hospital stay for other digestive system diagnoses without complications (DRG 395), from 2024 Medicare claims.

DRG 395 Inpatient 2024 Medicare data
Average charge $59,098 Hospital list price billed
Average payment $6,603 Medicare + patient + other payers
Medicare paid $4,949 Average per stay
Volume 13 Medicare hospital stays

Hospitals in Nevada billed an average of $59,098 for other digestive system diagnoses without complications, about 9.0 times the average total payment of $6,603. That payment is 7% below the U.S. average of $7,117.

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 $6,603Billed $59,098

About 11¢ was paid for every $1 hospitals in Nevada billed for this stay.

Nevada hospitals: other digestive system diagnoses without 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 13 $59,098 $6,603 $4,949
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Other digestive system diagnoses without complications in other states

Questions

How much does other digestive system diagnoses without complications cost in Nevada?

In 2024 Medicare data, a hospital stay for other digestive system diagnoses without complications (DRG 395) at 1 hospital in Nevada was billed at $59,098 on average, while the average total payment was $6,603, of which Medicare paid $4,949. 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 9.0 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.