Simple pneumonia and pleurisy with major complications in Nevada
What 19 hospitals in Nevada charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$110,500
Hospital list price billed
Average payment
$12,697
Medicare + patient + other payers
Medicare paid
$10,347
Average per stay
State rank
#40 of 50
1 = lowest average payment
Hospitals in Nevada billed an average of $110,500 for simple pneumonia and pleurisy with major complications, about 8.7 times the average total payment of $12,697. That payment is 6% above the U.S. average of $12,020.
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 $12,697Billed $110,500
About 11¢ was paid for every $1 hospitals in Nevada billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Nevada:
Nevada hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Renown Regional Medical CenterReno | 171 | $38,580 | $12,387 | $10,321 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 163 | $101,981 | $11,252 | $9,873 |
| Mountainview HospitalLas Vegas | 162 | $138,739 | $14,341 | $11,555 |
| Carson Tahoe HospitalCarson City | 137 | $40,110 | $12,447 | $11,127 |
| Summerlin Hospital Medical CenterLas Vegas | 112 | $178,475 | $12,117 | $9,479 |
| Sunrise Hospital and Medical CenterLas Vegas | 87 | $148,723 | $12,183 | $10,845 |
| Henderson HospitalHenderson | 87 | $156,751 | $11,933 | $9,576 |
| Centennial Hills Hospital Medical CenterLas Vegas | 73 | $210,879 | $12,400 | $9,056 |
| Southern Hills Hospital and Medical CenterLas Vegas | 67 | $121,985 | $13,735 | $10,656 |
| Spring Valley Hospital Medical CenterLas Vegas | 64 | $188,873 | $13,358 | $9,889 |
| Renown South Meadows Medical CenterReno | 62 | $35,933 | $11,922 | $8,319 |
| Northern Nevada Medical CenterSparks | 46 | $82,753 | $12,091 | $10,815 |
| University Medical CenterLas Vegas | 42 | $78,826 | $16,534 | $12,511 |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | 41 | $89,195 | $12,886 | $9,228 |
| Valley Hospital Medical CenterLas Vegas | 35 | $175,753 | $13,194 | $11,528 |
| Northeastern Nevada Regional HospitalElko | 21 | $48,181 | $15,112 | $12,021 |
| North Vista HospitalNorth las Vegas | 15 | $47,192 | $12,676 | $11,098 |
| Saint Mary's Regional Medical CenterReno | 15 | $31,087 | $11,236 | $10,257 |
| Northern Nevada Sierra Medical CenterReno | 12 | $106,245 | $12,987 | $8,391 |
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.
Lowest
| Saint Mary's Regional Medical CenterReno, NV | $11,236 |
|---|---|
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $11,252 |
| Renown South Meadows Medical CenterReno, NV | $11,922 |
| Henderson HospitalHenderson, NV | $11,933 |
| Northern Nevada Medical CenterSparks, NV | $12,091 |
Highest
| University Medical CenterLas Vegas, NV | $16,534 |
|---|---|
| Northeastern Nevada Regional HospitalElko, NV | $15,112 |
| Mountainview HospitalLas Vegas, NV | $14,341 |
| Southern Hills Hospital and Medical CenterLas Vegas, NV | $13,735 |
| Spring Valley Hospital Medical CenterLas Vegas, NV | $13,358 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Nevada?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 19 hospitals in Nevada was billed at $110,500 on average, while the average total payment was $12,697, of which Medicare paid $10,347. 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 8.7 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.