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Pulmonary embolism with major complications or acute cor pulmonale in Nevada

What 11 hospitals in Nevada charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $114,116 Hospital list price billed
Average payment $12,992 Medicare + patient + other payers
Medicare paid $11,040 Average per stay
State rank #27 of 48 1 = lowest average payment

Hospitals in Nevada billed an average of $114,116 for pulmonary embolism with major complications or acute cor pulmonale, about 8.8 times the average total payment of $12,992. That payment is 4% below the U.S. average of $13,466.

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 $12,992Billed $114,116

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

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Nevada:

Nevada hospitals: pulmonary embolism with major complications or acute cor pulmonale

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
Renown Regional Medical CenterReno 79 $43,520 $13,183 $11,357
Carson Tahoe HospitalCarson City 29 $45,527 $13,494 $11,487
Summerlin Hospital Medical CenterLas Vegas 28 $202,522 $12,342 $11,116
Mountainview HospitalLas Vegas 26 $137,357 $14,002 $12,154
Saint Rose Dominican Hospital - Siena CampusHenderson 25 $114,666 $11,328 $8,978
Henderson HospitalHenderson 19 $213,481 $11,737 $10,245
Sunrise Hospital and Medical CenterLas Vegas 18 $190,307 $13,055 $11,361
Valley Hospital Medical CenterLas Vegas 13 $239,180 $13,900 $12,215
Northeastern Nevada Regional HospitalElko 12 $45,965 $16,247 $12,460
Centennial Hills Hospital Medical CenterLas Vegas 12 $215,608 $10,890 $9,778
Renown South Meadows Medical CenterReno 11 $40,248 $13,075 $8,737
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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.

Highest

Northeastern Nevada Regional HospitalElko, NV$16,247
Mountainview HospitalLas Vegas, NV$14,002
Valley Hospital Medical CenterLas Vegas, NV$13,900
Carson Tahoe HospitalCarson City, NV$13,494
Renown Regional Medical CenterReno, NV$13,183

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Nevada?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 11 hospitals in Nevada was billed at $114,116 on average, while the average total payment was $12,992, of which Medicare paid $11,040. 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 8.8 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.