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Acute Care Hospital

Henderson Hospital

Henderson, Nevada · Clark County · Emergency services listed

Henderson Hospital is an acute care hospital at 1050 West Galleria Drive, Henderson, NV 89011. Phone: (702) 963-7000. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Henderson Hospital is an acute care hospital in Henderson, Nevada. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 58 services, specialties and programs. Medicare lists 433 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
303Beds (hospital website)
58Services listed

Quick answers

Does Henderson Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Henderson Hospital. In a medical emergency, call 911.
Where is Henderson Hospital?
1050 West Galleria Drive, Henderson, NV 89011, in Clark County, Nevada.
What is the phone number of Henderson Hospital?
(702) 963-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Henderson Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Henderson Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Henderson Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7950; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5]

Conditions treated[6][7][8][9][10][12][14][15][16][18]

Treatments[6][9][10][17][18]

  • Cardiac catheterization
  • Balloon angioplasty and stent placement
  • Pacemaker implantation
  • Echocardiography
  • Intravascular ultrasound
  • Thrombolytic therapy
  • Endovascular aneurysm surgery
  • Skull base surgery
  • Neurointerventional radiology
  • Selective internal radiation therapy (SIRT)
  • Computed tomography (CT)
  • Magnetic resonance imaging (MRI)
  • Magnetic resonance angiography (MRA)
  • Digital mammography
  • Breast ultrasound
  • Nuclear medicine
  • X-ray

Procedures[12][14][16]

Programs and centers[6][14][15]

  • Total Joint Services
  • Sports Medicine
  • Neurology and Stroke Services

Emergency care (hospital website)[4][5][6][7][8][11]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center (The Joint Commission)

Recognition[6][7][8][9][11][12]

  • Advanced Certification as a Primary Heart Attack Center (American Heart Association and The Joint Commission)
  • Primary Stroke Center certification (The Joint Commission)
  • Chest pain center accreditation with percutaneous coronary intervention (American College of Cardiology)
  • Certificate of Distinction for Joint Replacement Hip and Knee (The Joint Commission)
  • Verified Gluten-Free Food Service Program

Doctors and clinicians (433)

433 doctors and other clinicians list Henderson Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (433)

And 409 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Henderson

All hospitals in Henderson · Hospitals in Clark County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Henderson Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well1 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination1 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1060%National average: 72%
Would definitely recommend the hospital60%National average: 71%
Nurses “always” communicated well72%National average: 80%
Doctors “always” communicated well69%National average: 80%
“Always” got help as soon as they wanted52%National average: 64%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home79%National average: 86%
Room and bathroom “always” clean73%National average: 73%
Completed surveys625Response rate: 13%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.57No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.132Better than the national benchmark
Surgical site infections after colon surgery0.419No different from the national benchmark
MRSA bloodstream infections0.381No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.075Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients11.3%
Deaths within 30 days: heart failure patients9.6%
Deaths within 30 days: pneumonia patients13.6%
Deaths within 30 days: COPD patients7.2%
Deaths within 30 days: stroke patients11.4%
Serious complications (patient safety indicator PSI-90)0.92No different from the national rate
Complications after hip or knee replacement6.2%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)18.4%
Readmitted within 30 days: heart attack15.7%
Readmitted within 30 days: heart failure22.3%
Readmitted within 30 days: pneumonia19.3%
Readmitted within 30 days: COPD21.8%
Readmitted within 30 days: hip or knee replacement6.4%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)157 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)60%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Henderson Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.7950Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0765More readmissions than expected
Heart failure1.1084More readmissions than expected
Pneumonia1.0257More readmissions than expected
COPD (chronic lung disease)1.0668More readmissions than expected
Hip or knee replacement0.9504Fewer readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score21.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)26.00 out of 100
Person and community engagement (patient survey)4.00 out of 100
Safety (infections and sepsis care)55.00 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.05Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 62 common services exactly as Henderson Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 62 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: LEVEL 3 ED W/O PROCEDURES 450 $3,520 Not listed in the file $56.68 – $6,466
Emergency room visit (moderate): 10 of 21 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,560
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $2,816.32
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $56.96
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $3,389.87
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $2,816.32
  • CIGNA — HMO: $1,133
  • CIGNA — PPO: $1,020
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,000
  • HUMANA — HMO: $72.78
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: LEVEL 3 ED W/ PROCEDURES 450 $3,520 Not listed in the file $56.68 – $6,466
Emergency room visit (moderate): 10 of 21 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,560
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $2,816.32
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $56.96
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $3,389.87
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $2,816.32
  • CIGNA — HMO: $1,133
  • CIGNA — PPO: $1,020
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,000
  • HUMANA — HMO: $72.78
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: LEVEL 4 ED W/O PROCEDURES 450 $4,840 Not listed in the file $108.14 – $6,466
Emergency room visit (moderately high): 10 of 21 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $2,929
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $2,816.32
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $108.68
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $3,389.87
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $2,816.32
  • CIGNA — HMO: $3,261
  • CIGNA — PPO: $2,935
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,500
  • HUMANA — HMO: $122.21
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: LEVEL 4 ED W/ PROCEDURES 450 $4,840 Not listed in the file $108.14 – $6,466
Emergency room visit (moderately high): 10 of 21 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $2,929
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $2,816.32
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $108.68
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $3,389.87
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $2,816.32
  • CIGNA — HMO: $3,261
  • CIGNA — PPO: $2,935
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,500
  • HUMANA — HMO: $122.21
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: LEVEL 5 ED W/O PROCEDURES 450 $7,095 Not listed in the file $158.84 – $6,785
Emergency room visit (high): 10 of 21 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $4,890
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $2,816.32
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $159.63
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $3,389.87
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $2,816.32
  • CIGNA — HMO: $5,569
  • CIGNA — PPO: $5,012
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $3,350
  • HUMANA — HMO: $177.95
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: LEVEL 5 ED W/ PROCEDURES 450 $7,095 Not listed in the file $158.84 – $6,785
Emergency room visit (high): 10 of 21 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $4,890
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $2,816.32
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $159.63
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $3,389.87
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $2,816.32
  • CIGNA — HMO: $5,569
  • CIGNA — PPO: $5,012
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $3,350
  • HUMANA — HMO: $177.95

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP 300 $1,628 Not listed in the file $5.77 – $1,302.40
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,123.32
  • AETNA — MANAGED_CARE: $45.21
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $5.80
  • CIGNA — HMO: $514.45
  • CIGNA — PPO: $462.35
  • HUMANA — HMO: $8.46
  • HUMANA — PPO: $8.46
  • MOLINA — MEDICAID: $5.77
  • MULTIPLAN — MANAGED_CARE: $1,302.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,139.60
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP PANEL 300 $1,703 Not listed in the file $7.21 – $1,362.40
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,175.07
  • AETNA — MANAGED_CARE: $56.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $7.25
  • CIGNA — HMO: $538.15
  • CIGNA — PPO: $483.65
  • HUMANA — HMO: $10.56
  • HUMANA — PPO: $10.56
  • MOLINA — MEDICAID: $7.21
  • MULTIPLAN — MANAGED_CARE: $1,362.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,192.10
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OB PANEL 300 $1,751 Not listed in the file $32.56 – $1,400.80
Obstetric blood test panel: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,208.19
  • AETNA — MANAGED_CARE: $255.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $32.72
  • CIGNA — HMO: $553.32
  • CIGNA — PPO: $497.28
  • HUMANA — HMO: $47.81
  • HUMANA — PPO: $47.81
  • MOLINA — MEDICAID: $32.56
  • MULTIPLAN — MANAGED_CARE: $1,400.80
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,225.70
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL 300 $2,177 Not listed in the file $9.14 – $1,741.60
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,502.13
  • AETNA — MANAGED_CARE: $71.51
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $9.19
  • CIGNA — HMO: $687.93
  • CIGNA — PPO: $618.27
  • HUMANA — HMO: $13.39
  • HUMANA — PPO: $13.39
  • MOLINA — MEDICAID: $9.14
  • MULTIPLAN — MANAGED_CARE: $1,741.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,523.90
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $2,058 Not listed in the file $9.14 – $1,646.40
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,420.02
  • AETNA — MANAGED_CARE: $71.51
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $9.19
  • CIGNA — HMO: $650.33
  • CIGNA — PPO: $584.47
  • HUMANA — HMO: $13.39
  • HUMANA — PPO: $13.39
  • MOLINA — MEDICAID: $9.14
  • MULTIPLAN — MANAGED_CARE: $1,646.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,440.60
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENL FUNC PANEL 300 $847 Not listed in the file $5.93 – $677.60
Kidney function panel: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $584.43
  • AETNA — MANAGED_CARE: $46.37
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $5.96
  • CIGNA — HMO: $267.65
  • CIGNA — PPO: $240.55
  • HUMANA — HMO: $8.68
  • HUMANA — PPO: $8.68
  • MOLINA — MEDICAID: $5.93
  • MULTIPLAN — MANAGED_CARE: $677.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $592.90
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPAT FUNCT PANEL 300 $2,533 Not listed in the file $5.57 – $2,026.40
Liver function panel: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,747.77
  • AETNA — MANAGED_CARE: $43.63
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $5.60
  • CIGNA — HMO: $800.43
  • CIGNA — PPO: $719.37
  • HUMANA — HMO: $8.17
  • HUMANA — PPO: $8.17
  • MOLINA — MEDICAID: $5.57
  • MULTIPLAN — MANAGED_CARE: $2,026.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,773.10
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA AU W/MICRO 307 $497 Not listed in the file $2.16 – $397.60
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $342.93
  • AETNA — MANAGED_CARE: $16.92
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $2.17
  • CIGNA — HMO: $157.05
  • CIGNA — PPO: $141.15
  • HUMANA — HMO: $3.17
  • HUMANA — PPO: $3.17
  • MOLINA — MEDICAID: $2.16
  • MULTIPLAN — MANAGED_CARE: $397.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $347.90
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: UA N/A W/O MICRO 307 $370 Not listed in the file $1.75 – $296
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $255.30
  • AETNA — MANAGED_CARE: $18.56
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1.76
  • CIGNA — HMO: $116.92
  • CIGNA — PPO: $105.08
  • HUMANA — HMO: $3.48
  • HUMANA — PPO: $3.48
  • MOLINA — MEDICAID: $1.75
  • MULTIPLAN — MANAGED_CARE: $296
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $259
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: POC UA N/A W/O MICRO 307 $391 Not listed in the file $1.75 – $312.80
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $269.79
  • AETNA — MANAGED_CARE: $18.56
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1.76
  • CIGNA — HMO: $123.56
  • CIGNA — PPO: $111.04
  • HUMANA — HMO: $3.48
  • HUMANA — PPO: $3.48
  • MOLINA — MEDICAID: $1.75
  • MULTIPLAN — MANAGED_CARE: $312.80
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $273.70
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: IRL URINALYSIS N/A W/O MICRO $427 Not listed in the file $1.75 – $341.60
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $294.63
  • AETNA — MANAGED_CARE: $18.56
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1.76
  • CIGNA — HMO: $134.93
  • CIGNA — PPO: $121.27
  • HUMANA — HMO: $3.48
  • HUMANA — PPO: $3.48
  • MOLINA — MEDICAID: $1.75
  • MULTIPLAN — MANAGED_CARE: $341.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $298.90
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: POC URINE DIPSTICK 307 $76 Not listed in the file $1.53 – $60.80
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $52.44
  • AETNA — MANAGED_CARE: $12.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1.54
  • CIGNA — HMO: $24.02
  • CIGNA — PPO: $21.58
  • HUMANA — HMO: $2.25
  • HUMANA — PPO: $2.25
  • MOLINA — MEDICAID: $1.53
  • MULTIPLAN — MANAGED_CARE: $60.80
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $53.20
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA AU W/O MICRO 307 $677 Not listed in the file $1.53 – $541.60
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $467.13
  • AETNA — MANAGED_CARE: $12.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1.54
  • CIGNA — HMO: $213.93
  • CIGNA — PPO: $192.27
  • HUMANA — HMO: $2.25
  • HUMANA — PPO: $2.25
  • MOLINA — MEDICAID: $1.53
  • MULTIPLAN — MANAGED_CARE: $541.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $473.90
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: SPEC GRAVITY URN AU W/MICRO307 $677 Not listed in the file $1.53 – $541.60
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $467.13
  • AETNA — MANAGED_CARE: $12.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1.54
  • CIGNA — HMO: $213.93
  • CIGNA — PPO: $192.27
  • HUMANA — HMO: $2.25
  • HUMANA — PPO: $2.25
  • MOLINA — MEDICAID: $1.53
  • MULTIPLAN — MANAGED_CARE: $541.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $473.90
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL 301 $1,206 Not listed in the file $12.55 – $964.80
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $832.14
  • AETNA — MANAGED_CARE: $98.23
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $12.61
  • CIGNA — HMO: $381.10
  • CIGNA — PPO: $342.50
  • HUMANA — HMO: $18.39
  • HUMANA — PPO: $18.39
  • MOLINA — MEDICAID: $12.55
  • MULTIPLAN — MANAGED_CARE: $964.80
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $844.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL $650 Not listed in the file $12.55 – $520
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $448.50
  • AETNA — MANAGED_CARE: $98.23
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $12.61
  • CIGNA — HMO: $205.40
  • CIGNA — PPO: $184.60
  • HUMANA — HMO: $18.39
  • HUMANA — PPO: $18.39
  • MOLINA — MEDICAID: $12.55
  • MULTIPLAN — MANAGED_CARE: $520
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $455
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH THYROID STIM HORMONE $1,745 Not listed in the file $11.47 – $1,396
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,204.05
  • AETNA — MANAGED_CARE: $89.73
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $11.53
  • CIGNA — HMO: $551.42
  • CIGNA — PPO: $495.58
  • HUMANA — HMO: $16.80
  • HUMANA — PPO: $16.80
  • MOLINA — MEDICAID: $11.47
  • MULTIPLAN — MANAGED_CARE: $1,396
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,221.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC AUTO W/AUTO DIFF 305 $836 Not listed in the file $5.31 – $668.80
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $576.84
  • AETNA — MANAGED_CARE: $41.51
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $5.34
  • CIGNA — HMO: $264.18
  • CIGNA — PPO: $237.42
  • HUMANA — HMO: $7.77
  • HUMANA — PPO: $7.77
  • MOLINA — MEDICAID: $5.31
  • MULTIPLAN — MANAGED_CARE: $668.80
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $585.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: IRL CBC AUTO W/AUTO DIFF $723 Not listed in the file $5.31 – $578.40
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $498.87
  • AETNA — MANAGED_CARE: $41.51
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $5.34
  • CIGNA — HMO: $228.47
  • CIGNA — PPO: $205.33
  • HUMANA — HMO: $7.77
  • HUMANA — PPO: $7.77
  • MOLINA — MEDICAID: $5.31
  • MULTIPLAN — MANAGED_CARE: $578.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $506.10
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC AUTO W/O AUTO DIFF 305 $460 Not listed in the file $4.42 – $368
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $317.40
  • AETNA — MANAGED_CARE: $34.59
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $4.44
  • CIGNA — HMO: $145.36
  • CIGNA — PPO: $130.64
  • HUMANA — HMO: $6.47
  • HUMANA — PPO: $6.47
  • MOLINA — MEDICAID: $4.42
  • MULTIPLAN — MANAGED_CARE: $368
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $322
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT - PROTHROMBIN TIME $717 Not listed in the file $2.69 – $573.60
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $494.73
  • AETNA — MANAGED_CARE: $22.95
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $2.70
  • CIGNA — HMO: $226.57
  • CIGNA — PPO: $203.63
  • HUMANA — HMO: $4.29
  • HUMANA — PPO: $4.29
  • MOLINA — MEDICAID: $2.69
  • MULTIPLAN — MANAGED_CARE: $573.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $501.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: IRL PT- PROTHROMBIN TIME $657 Not listed in the file $2.69 – $525.60
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $453.33
  • AETNA — MANAGED_CARE: $22.95
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $2.70
  • CIGNA — HMO: $207.61
  • CIGNA — PPO: $186.59
  • HUMANA — HMO: $4.29
  • HUMANA — PPO: $4.29
  • MOLINA — MEDICAID: $2.69
  • MULTIPLAN — MANAGED_CARE: $525.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $459.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT THROMBOPLASTIN TIME $836 Not listed in the file $4.10 – $668.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $576.84
  • AETNA — MANAGED_CARE: $32.13
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $4.12
  • CIGNA — HMO: $264.18
  • CIGNA — PPO: $237.42
  • HUMANA — HMO: $6.01
  • HUMANA — PPO: $6.01
  • MOLINA — MEDICAID: $4.10
  • MULTIPLAN — MANAGED_CARE: $668.80
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $585.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: IRL PTT - THROMBOPLASTIN TIME $790 Not listed in the file $4.10 – $632
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $545.10
  • AETNA — MANAGED_CARE: $32.13
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $4.12
  • CIGNA — HMO: $249.64
  • CIGNA — PPO: $224.36
  • HUMANA — HMO: $6.01
  • HUMANA — PPO: $6.01
  • MOLINA — MEDICAID: $4.10
  • MULTIPLAN — MANAGED_CARE: $632
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $553
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT-ACTIVATED PARTIAL $790 Not listed in the file $4.10 – $632
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $545.10
  • AETNA — MANAGED_CARE: $32.13
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $4.12
  • CIGNA — HMO: $249.64
  • CIGNA — PPO: $224.36
  • HUMANA — HMO: $6.01
  • HUMANA — PPO: $6.01
  • MOLINA — MEDICAID: $4.10
  • MULTIPLAN — MANAGED_CARE: $632
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $553

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT BRAIN W/O CON $9,413 Not listed in the file $130.35 – $7,530.40
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $568
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $191.31
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $131
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $191.31
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $191.31
  • CIGNA — HMO: $2,974.51
  • CIGNA — PPO: $2,673.29
  • HUMANA — HMO: $854
  • HUMANA — PPO: $959
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 52 In the file: CT BRAIN W/O CON LTD $6,351 Not listed in the file $130.35 – $5,080.80
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $568
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $191.31
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $131
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $191.31
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $191.31
  • CIGNA — HMO: $2,006.92
  • CIGNA — PPO: $1,803.68
  • HUMANA — HMO: $854
  • HUMANA — PPO: $959
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN WO/W CON $15,912 Not listed in the file $414.96 – $12,729.60
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $2,580.67
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $621.27
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $417.03
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $621.27
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $621.27
  • CIGNA — HMO: $5,028.19
  • CIGNA — PPO: $4,519.01
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC W/W/O CONTRAST $15,912 Not listed in the file $414.96 – $12,729.60
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $2,580.67
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $621.27
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $417.03
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $621.27
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $621.27
  • CIGNA — HMO: $5,028.19
  • CIGNA — PPO: $4,519.01
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier 52 In the file: MRI BRAIN WO/W CON LTD $11,213 Not listed in the file $414.96 – $8,970.40
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $2,580.67
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $621.27
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $417.03
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $621.27
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $621.27
  • CIGNA — HMO: $3,543.31
  • CIGNA — PPO: $3,184.49
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2V $2,118 Not listed in the file $31.13 – $1,694.40
Chest X-ray, 2 views: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,461.42
  • AETNA — MANAGED_CARE: $159.47
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $127.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $31.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $127.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $127.14
  • CIGNA — HMO: $669.29
  • CIGNA — PPO: $601.51
  • HUMANA — HMO: $34.29
  • HUMANA — PPO: $34.29
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST PA/LA W/FLUORO $1,992 Not listed in the file $31.13 – $1,593.60
Chest X-ray, 2 views: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,374.48
  • AETNA — MANAGED_CARE: $159.47
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $127.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $31.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $127.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $127.14
  • CIGNA — HMO: $629.47
  • CIGNA — PPO: $565.73
  • HUMANA — HMO: $34.29
  • HUMANA — PPO: $34.29
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST LAT DECUB BIL $1,662 Not listed in the file $31.13 – $1,329.60
Chest X-ray, 2 views: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,146.78
  • AETNA — MANAGED_CARE: $159.47
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $127.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $31.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $127.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $127.14
  • CIGNA — HMO: $525.19
  • CIGNA — PPO: $472.01
  • HUMANA — HMO: $34.29
  • HUMANA — PPO: $34.29
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR L-S SPINE MIN 4V $2,706 Not listed in the file $52.25 – $2,164.80
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,867.14
  • AETNA — MANAGED_CARE: $267.56
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $156.07
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $53.02
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $156.07
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $156.07
  • CIGNA — HMO: $855.10
  • CIGNA — PPO: $768.50
  • HUMANA — HMO: $52.25
  • HUMANA — PPO: $52.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L-SPINE W/O CON $13,118 Not listed in the file $256.98 – $10,494.40
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,481.86
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $395.85
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $258.26
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $395.85
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $395.85
  • CIGNA — HMO: $4,145.29
  • CIGNA — PPO: $3,725.51
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 52 In the file: MRI L-SPINE W/O CON LTD $8,461 Not listed in the file $256.98 – $6,768.80
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,481.86
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $395.85
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $258.26
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $395.85
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $395.85
  • CIGNA — HMO: $2,673.68
  • CIGNA — PPO: $2,402.92
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CON $11,242 Not listed in the file $248.85 – $8,993.60
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,437.61
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $306.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $250.09
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $306.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $306.49
  • CIGNA — HMO: $3,552.47
  • CIGNA — PPO: $3,192.73
  • HUMANA — HMO: $854
  • HUMANA — PPO: $959
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 52 In the file: CT PELVIS W/CON LTD $7,197 Not listed in the file $248.85 – $5,757.60
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,437.61
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $306.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $250.09
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $306.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $306.49
  • CIGNA — HMO: $2,274.25
  • CIGNA — PPO: $2,043.95
  • HUMANA — HMO: $854
  • HUMANA — PPO: $959
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI EXT LOW JOINT W/O CON LT $14,067 Not listed in the file $269.33 – $11,253.60
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,671.54
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $388.20
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $270.68
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $388.20
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $388.20
  • CIGNA — HMO: $4,445.17
  • CIGNA — PPO: $3,995.03
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI EXT LOW JOINT W/O CON RT $14,067 Not listed in the file $269.33 – $11,253.60
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,671.54
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $388.20
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $270.68
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $388.20
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $388.20
  • CIGNA — HMO: $4,445.17
  • CIGNA — PPO: $3,995.03
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI EXT LOW JOINT W/O CON BIL $25,232 Not listed in the file $269.33 – $20,185.60
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,671.54
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $388.20
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $270.68
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $388.20
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $388.20
  • CIGNA — HMO: $5,988
  • CIGNA — PPO: $5,389
  • HUMANA — HMO: $1,202
  • HUMANA — PPO: $1,546
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD PELVIS W/CON $24,064 Not listed in the file $342.11 – $19,251.20
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,926.56
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $593.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $343.82
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $593.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $593.35
  • CIGNA — HMO: $5,988
  • CIGNA — PPO: $5,389
  • HUMANA — HMO: $854
  • HUMANA — PPO: $959
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABD COMP $4,514 Not listed in the file $119.11 – $3,611.20
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $550.40
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $188.72
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $150.07
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $188.72
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $188.72
  • CIGNA — HMO: $1,426.42
  • CIGNA — PPO: $1,281.98
  • HUMANA — HMO: $119.11
  • HUMANA — PPO: $119.11
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB >= 14 WKS SINGLE FETUS $4,231 Not listed in the file $138.46 – $3,384.80
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $610.13
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $200.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $155.01
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $200.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $200.29
  • CIGNA — HMO: $1,337
  • CIGNA — PPO: $1,201.60
  • HUMANA — HMO: $138.46
  • HUMANA — PPO: $138.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB > 14WKS SNGL FETUS $5,370 Not listed in the file $138.46 – $4,296
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $610.13
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $200.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $155.01
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $200.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $200.29
  • CIGNA — HMO: $1,696.92
  • CIGNA — PPO: $1,525.08
  • HUMANA — HMO: $138.46
  • HUMANA — PPO: $138.46
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL $4,634 Not listed in the file $122.50 – $3,707.20
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $605.54
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $182.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $134.33
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $182.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $182.29
  • CIGNA — HMO: $1,464.34
  • CIGNA — PPO: $1,316.06
  • HUMANA — HMO: $122.50
  • HUMANA — PPO: $122.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 52 In the file: US TRANSVAGINAL LTD $2,933 Not listed in the file $122.50 – $2,346.40
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $605.54
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $182.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $134.33
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $182.29
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $182.29
  • CIGNA — HMO: $926.83
  • CIGNA — PPO: $832.97
  • HUMANA — HMO: $122.50
  • HUMANA — PPO: $122.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO DX DIGITAL UNI $1,824 Not listed in the file $34.49 – $1,459.20
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,258.56
  • AETNA — MANAGED_CARE: $603.28
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $34.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $139.55
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $34.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $34.49
  • CIGNA — HMO: $576.38
  • CIGNA — PPO: $518.02
  • HUMANA — HMO: $127.58
  • HUMANA — PPO: $127.58
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO DX DIGITAL UNI RT $1,824 Not listed in the file $34.49 – $1,459.20
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,258.56
  • AETNA — MANAGED_CARE: $603.28
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $34.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $139.55
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $34.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $34.49
  • CIGNA — HMO: $576.38
  • CIGNA — PPO: $518.02
  • HUMANA — HMO: $127.58
  • HUMANA — PPO: $127.58
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO DX DIGITAL UNI LT $1,824 Not listed in the file $34.49 – $1,459.20
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,258.56
  • AETNA — MANAGED_CARE: $603.28
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $34.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $139.55
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $34.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $34.49
  • CIGNA — HMO: $576.38
  • CIGNA — PPO: $518.02
  • HUMANA — HMO: $127.58
  • HUMANA — PPO: $127.58
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DX DIGITAL BIL $3,060 Not listed in the file $42.58 – $2,448
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $768.78
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $42.58
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $176.40
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $42.58
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $42.58
  • CIGNA — HMO: $966.96
  • CIGNA — PPO: $869.04
  • HUMANA — HMO: $160.79
  • HUMANA — PPO: $160.79
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: MAMMO DX DIG BIL SAMEDAY SCRN $1,183 Not listed in the file $42.58 – $946.40
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $816.27
  • AETNA — MANAGED_CARE: $768.78
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $42.58
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $176.40
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $42.58
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $42.58
  • CIGNA — HMO: $373.83
  • CIGNA — PPO: $335.97
  • HUMANA — HMO: $160.79
  • HUMANA — PPO: $160.79
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO SCREEN DIGITAL BIL $1,330 Not listed in the file $32.35 – $1,064
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $917.70
  • AETNA — MANAGED_CARE: $635.47
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $32.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $142.19
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $32.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $32.35
  • CIGNA — HMO: $420.28
  • CIGNA — PPO: $377.72
  • HUMANA — HMO: $130.63
  • HUMANA — PPO: $130.63
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: MAMMO SCRN DIGITAL UNI RIGHT $834 Not listed in the file $32.35 – $667.20
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $575.46
  • AETNA — MANAGED_CARE: $635.47
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $32.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $142.19
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $32.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $32.35
  • CIGNA — HMO: $263.54
  • CIGNA — PPO: $236.86
  • HUMANA — HMO: $130.63
  • HUMANA — PPO: $130.63
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: MAMMO SCRN DIGITAL UNI LEFT $834 Not listed in the file $32.35 – $667.20
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $575.46
  • AETNA — MANAGED_CARE: $635.47
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $32.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $142.19
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $32.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $32.35
  • CIGNA — HMO: $263.54
  • CIGNA — PPO: $236.86
  • HUMANA — HMO: $130.63
  • HUMANA — PPO: $130.63

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LT HEART CATH W/VENTRICLGRM $62,049 Not listed in the file $788.91 – $49,639.20
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $5,512
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,459.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $792.85
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,533.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,459.44
  • CIGNA — HMO: $5,988
  • CIGNA — PPO: $5,389
  • HUMANA — HMO: $917.74
  • HUMANA — PPO: $917.74
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: EVAL EP COMP W/O INDUCTION CS $61,960 Not listed in the file $407.54 – $49,568
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $5,512
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $620.31
  • CIGNA — HMO: $5,988
  • CIGNA — PPO: $5,389
  • HUMANA — HMO: $407.54
  • HUMANA — PPO: $407.54
  • MOLINA — MEDICAID: $617.22
  • MULTIPLAN — MANAGED_CARE: $49,568
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $11,979
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: EP ABLATE AFIB VIA PULMVEIN $167,730 Not listed in the file $961.73 – $134,184
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $5,512
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $8,909.83
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1,013.12
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $11,067.10
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $8,909.83
  • CIGNA — HMO: $5,988
  • CIGNA — PPO: $5,389
  • HUMANA — HMO: $961.73
  • HUMANA — PPO: $961.73

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: EXERCISE THERAPEUTIC 15MIN CQ $453 Not listed in the file $28.19 – $362.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • AETNA — FIRST_HEALTH: $312.57
  • AETNA — MANAGED_CARE: $177.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $28.33
  • CIGNA — HMO: $143.15
  • CIGNA — PPO: $128.65
  • HUMANA — HMO: $29.85
  • HUMANA — PPO: $29.85
  • MOLINA — MEDICAID: $28.19
  • MULTIPLAN — MANAGED_CARE: $362.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $317.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: OT THERAPEUTIC EXER 15MIN CO $453 Not listed in the file $28.19 – $362.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • AETNA — FIRST_HEALTH: $312.57
  • AETNA — MANAGED_CARE: $177.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $28.33
  • CIGNA — HMO: $143.15
  • CIGNA — PPO: $128.65
  • HUMANA — HMO: $29.85
  • HUMANA — PPO: $29.85
  • MOLINA — MEDICAID: $28.19
  • MULTIPLAN — MANAGED_CARE: $362.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $317.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT THERAPEUTIC EXER 15MIN 420 $453 Not listed in the file $28.19 – $362.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • AETNA — FIRST_HEALTH: $312.57
  • AETNA — MANAGED_CARE: $177.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $28.33
  • CIGNA — HMO: $143.15
  • CIGNA — PPO: $128.65
  • HUMANA — HMO: $29.85
  • HUMANA — PPO: $29.85
  • MOLINA — MEDICAID: $28.19
  • MULTIPLAN — MANAGED_CARE: $362.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $317.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEXITY $913 Not listed in the file $70.55 – $730.40
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • AETNA — FIRST_HEALTH: $629.97
  • AETNA — MANAGED_CARE: $602.94
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $70.90
  • CIGNA — HMO: $288.51
  • CIGNA — PPO: $259.29
  • HUMANA — HMO: $101.79
  • HUMANA — PPO: $101.79
  • MOLINA — MEDICAID: $70.55
  • MULTIPLAN — MANAGED_CARE: $730.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $639.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MODERATE COMPLEXITY $1,097 Not listed in the file $70.55 – $877.60
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • AETNA — FIRST_HEALTH: $756.93
  • AETNA — MANAGED_CARE: $602.94
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $70.90
  • CIGNA — HMO: $346.65
  • CIGNA — PPO: $311.55
  • HUMANA — HMO: $101.79
  • HUMANA — PPO: $101.79
  • MOLINA — MEDICAID: $70.55
  • MULTIPLAN — MANAGED_CARE: $877.60
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $767.90
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEXITY $1,648 Not listed in the file $70.55 – $1,318.40
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,137.12
  • AETNA — MANAGED_CARE: $602.94
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $70.90
  • CIGNA — HMO: $520.77
  • CIGNA — PPO: $468.03
  • HUMANA — HMO: $101.79
  • HUMANA — PPO: $101.79
  • MOLINA — MEDICAID: $70.55
  • MULTIPLAN — MANAGED_CARE: $1,318.40
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,153.60

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: Replacement of thigh bone and hip joint with prosthesis Not listed in the file Not listed in the file $1,294.96 – $25,720
Total hip replacement: 10 of 13 insurance plan rates
  • AETNA — MANAGED_CARE: $4,636
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $7,352.25
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1,301.43
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $9,129.20
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $7,352.25
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
  • MOLINA — MEDICAID: $1,294.96
  • SIERRA_HEALTH_OPTIONS — MANAGED_CARE: $3,685
  • SIERRA_HEALTH_PLAN_OF_NEVADA — MANAGED_CARE: $7,328
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: Replacement of knee joint, both sides of knee Not listed in the file Not listed in the file $1,294.26 – $25,720
Total knee replacement: 10 of 14 insurance plan rates
  • AETNA — MANAGED_CARE: $4,636
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $7,906.66
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1,300.73
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $9,823.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $7,906.66
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $4,543
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
  • MOLINA — MEDICAID: $1,294.26
  • SIERRA_HEALTH_OPTIONS — MANAGED_CARE: $3,685
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope Not listed in the file Not listed in the file $168.17 – $2,790
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • AETNA — MANAGED_CARE: $2,546
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $169.01
  • CIGNA — HMO: $2,637
  • CIGNA — PPO: $2,373
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,790
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
  • MOLINA — MEDICAID: $168.17
  • NEVADA_PREFERRED_PROVIDERS — MANAGED_CARE: $1,037
  • SIERRA_HEALTH_OPTIONS — MANAGED_CARE: $2,625
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: Removal of knee cartilage using an endoscope Not listed in the file Not listed in the file $516.15 – $5,533.06
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $3,133
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,459.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1,064.11
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,533.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,459.44
  • CIGNA — HMO: $3,156
  • CIGNA — PPO: $2,840
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $3,443
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,320
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: Removal of tonsils and adenoid glands (younger than 12 years) Not listed in the file Not listed in the file $279.56 – $5,808.75
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $2,546
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,678.80
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $718.22
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,808.75
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,678.80
  • CIGNA — HMO: $2,637
  • CIGNA — PPO: $2,373
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,790
  • HUMANA — HMO: $2,030
  • HUMANA — PPO: $2,221
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD 450 $27,536 Not listed in the file $126.03 – $22,028.80
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,688
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $3,562.93
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $331.09
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $4,424.22
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $3,562.93
  • CIGNA — HMO: $1,780
  • CIGNA — PPO: $1,602
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $1,817
  • HUMANA — HMO: $1,129
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Diagnostic exam of large bowel using a flexible endoscope Not listed in the file Not listed in the file $205.06 – $4,424.22
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $2,238
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $3,562.93
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $334.37
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $4,424.22
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $3,562.93
  • CIGNA — HMO: $1,995
  • CIGNA — PPO: $1,796
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,449
  • HUMANA — HMO: $1,388
  • HUMANA — PPO: $1,597
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: Biopsy of large bowel using a flexible endoscope Not listed in the file Not listed in the file $244.72 – $5,117.49
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $2,238
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,119.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $334.37
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,117.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,119.35
  • CIGNA — HMO: $1,995
  • CIGNA — PPO: $1,796
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,449
  • HUMANA — HMO: $1,388
  • HUMANA — PPO: $1,597
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare Not listed in the file Not listed in the file $290.70 – $5,117.49
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $2,238
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,119.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $334.37
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,117.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,119.35
  • CIGNA — HMO: $1,995
  • CIGNA — PPO: $1,796
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,449
  • HUMANA — HMO: $1,388
  • HUMANA — PPO: $1,597
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: Ultrasound exam of large bowel using a flexible endoscope Not listed in the file Not listed in the file $278.37 – $5,117.49
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $2,238
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,119.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $279.76
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,117.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,119.35
  • CIGNA — HMO: $1,995
  • CIGNA — PPO: $1,796
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,449
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: REP ING HERNIA AGE 5OR>RED $12,871 Not listed in the file $491.19 – $10,296.80
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $3,133
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,459.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1,160.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,533.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,459.44
  • CIGNA — HMO: $3,156
  • CIGNA — PPO: $2,840
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $3,443
  • HUMANA — HMO: $2,616
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope Not listed in the file Not listed in the file $1,378.71 – $9,823.44
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates
  • AETNA — MANAGED_CARE: $3,978
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $7,906.66
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $1,633.61
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $9,823.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $7,906.66
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $3,920
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
  • MOLINA — MEDICAID: $1,378.71
  • SIERRA_HEALTH_OPTIONS — MANAGED_CARE: $3,685
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope Not listed in the file Not listed in the file $256.65 – $7,207
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates
  • AETNA — MANAGED_CARE: $2,546
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,119.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $826.72
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,117.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,119.35
  • CIGNA — HMO: $2,637
  • CIGNA — PPO: $2,373
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $2,790
  • HUMANA — HMO: $2,030
  • HUMANA — PPO: $2,221
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: INJ SNGL STER/ANEST LUM/SACR $3,049 Not listed in the file $258.63 – $7,328
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,980
  • AETNA — MANAGED_CARE: $1,688
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $3,562.93
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $259.92
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $4,424.22
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $3,562.93
  • CIGNA — HMO: $1,780
  • CIGNA — PPO: $1,602
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $1,817
  • HUMANA — HMO: $2,516
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier LT In the file: INJ TRAN EPI ANES L-S SNGL LT $2,121 Not listed in the file $107.49 – $4,424.22
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,463.49
  • AETNA — MANAGED_CARE: $1,688
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $3,562.93
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $259.92
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $4,424.22
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $3,562.93
  • CIGNA — HMO: $1,780
  • CIGNA — PPO: $1,602
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $1,817
  • HUMANA — HMO: $1,174
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier RT In the file: INJ TRAN EPI ANES L-S SNGL RT $2,121 Not listed in the file $107.49 – $4,424.22
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates
  • AETNA — FIRST_HEALTH: $1,463.49
  • AETNA — MANAGED_CARE: $1,688
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $3,562.93
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $259.92
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $4,424.22
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $3,562.93
  • CIGNA — HMO: $1,780
  • CIGNA — PPO: $1,602
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $1,817
  • HUMANA — HMO: $1,174
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: Removal of cataract with insertion of prosthetic lens Not listed in the file Not listed in the file $626.43 – $5,351
Cataract removal with lens implant: 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $3,978
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,119.35
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $775.43
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,117.49
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,119.35
  • CIGNA — HMO: $4,057
  • CIGNA — PPO: $3,651
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $5,351
  • HUMANA — HMO: $3,969
  • HUMANA — PPO: $4,344

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: Vaginal delivery with care before and after delivery Not listed in the file Not listed in the file $2,031.86 – $7,328
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,459.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $2,042.02
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,533.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,459.44
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
  • MOLINA — MEDICAID: $2,031.86
  • SIERRA_HEALTH_OPTIONS — MANAGED_CARE: $3,685
  • SIERRA_HEALTH_PLAN_OF_NEVADA — MANAGED_CARE: $7,328
  • SILVER_SUMMIT — MEDICAID: $2,072.50
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: Cesarean delivery with care before and after delivery Not listed in the file Not listed in the file $2,247.10 – $7,328
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,459.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $2,258.34
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,533.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,459.44
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
  • MOLINA — MEDICAID: $2,247.10
  • SIERRA_HEALTH_OPTIONS — MANAGED_CARE: $3,685
  • SIERRA_HEALTH_PLAN_OF_NEVADA — MANAGED_CARE: $7,328
  • SILVER_SUMMIT — MEDICAID: $2,292.04
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery Not listed in the file Not listed in the file $2,130.82 – $7,328
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — HMO: $4,459.44
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICAID: $2,141.47
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — PPO: $5,533.06
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — QHP: $4,459.44
  • HUMANA — HMO: $2,516
  • HUMANA — PPO: $2,516
  • MOLINA — MEDICAID: $2,130.82
  • SIERRA_HEALTH_OPTIONS — MANAGED_CARE: $3,685
  • SIERRA_HEALTH_PLAN_OF_NEVADA — MANAGED_CARE: $7,328
  • SILVER_SUMMIT — MEDICAID: $2,173.44

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $2,646 – $185,139.38
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates
  • AETNA — FIRST_HEALTH: $2,646
  • AETNA — MANAGED_CARE: $168,798
  • AETNA — MEDICARE: $94,943.27
  • AETNA — QHP: $166,150.72
  • ALIGNMENT_HEALTH — MEDICARE: $96,842.14
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICARE: $94,943.27
  • CAREMORE_HEALTH — MEDICARE: $94,943.27
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $119,658
  • HUMANA — GOLD|MEDICARE: $96,842.14
  • HUMANA — SENIOR_ADVANTAGE|MEDICARE: $94,943.27
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $18,393.85 – $60,482
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates
  • AETNA — MANAGED_CARE: $60,482
  • AETNA — MEDICARE: $19,464.39
  • AETNA — QHP: $34,062.68
  • ALIGNMENT_HEALTH — MEDICARE: $19,853.68
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICARE: $19,464.39
  • CAREMORE_HEALTH — MEDICARE: $19,464.39
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $52,453
  • HUMANA — GOLD|MEDICARE: $19,853.68
  • HUMANA — SENIOR_ADVANTAGE|MEDICARE: $19,464.39
  • MOLINA — MEDICARE: $19,464.39
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $23,047.36 – $47,558.04
Neck (cervical) spinal fusion, without complications: 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $42,592
  • AETNA — MEDICARE: $24,388.74
  • AETNA — QHP: $42,680.30
  • ALIGNMENT_HEALTH — MEDICARE: $24,876.52
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICARE: $24,388.74
  • CAREMORE_HEALTH — MEDICARE: $24,388.74
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $38,745
  • HUMANA — GOLD|MEDICARE: $24,876.52
  • HUMANA — SENIOR_ADVANTAGE|MEDICARE: $24,388.74
  • MOLINA — MEDICARE: $24,388.74
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $10,940 – $25,058.51
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates
  • AETNA — MANAGED_CARE: $13,798
  • AETNA — MEDICARE: $12,850.52
  • AETNA — QHP: $22,488.41
  • ALIGNMENT_HEALTH — MEDICARE: $13,107.53
  • ANTHEM_BLUE_CROSS_BLUE_SHIELD — MEDICARE: $12,850.52
  • CAREMORE_HEALTH — MEDICARE: $12,850.52
  • HEALTH_SERVICES_COALITION — MANAGED_CARE: $10,940
  • HUMANA — GOLD|MEDICARE: $13,107.53
  • HUMANA — SENIOR_ADVANTAGE|MEDICARE: $12,850.52
  • MOLINA — MEDICARE: $12,850.52

Source: Henderson Hospital’s standard charges file (uhsfilecdn.eskycity.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address1050 West Galleria Drive, Henderson, NV 89011
CountyClark County
StateNevada
Phone(702) 963‑7000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number290057
Name in Medicare recordsHENDERSON HOSPITAL
Profile levelMedicare data + hospital website
Official websitehendersonhospital.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Acute and Emergency Care in Henderson — valleyhealthsystemlv.com
  2. Henderson Hospital — hendersonhospital.com
  3. Neurology & Stroke Services | Henderson Hospital, Henderson, NV — hendersonhospital.com
  4. ER at Henderson Hospital | Henderson Hospital — hendersonhospital.com
  5. Emergency Services | Henderson Hospital, Henderson, NV — hendersonhospital.com
  6. Cardiology | Henderson Hospital, Henderson, Nevada — hendersonhospital.com
  7. Neurology Services | Henderson Hospital, Henderson, NV — hendersonhospital.com
  8. Awards and Accreditations | Henderson Hospital — hendersonhospital.com
  9. Orthopedics | Henderson Hospital, Henderson, Nevada — hendersonhospital.com
  10. Total Joint Services | Henderson Hospital — hendersonhospital.com
  11. Sports Medicine | Henderson Hospital — hendersonhospital.com
  12. Spine Surgery | Henderson Hospital — hendersonhospital.com
  13. Radiology | Henderson Hospital, Henderson, Nevada — hendersonhospital.com
  14. Selective Internal Radiation Therapy (SIRT) | Henderson Hospital — hendersonhospital.com