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Acute Care Hospital

Sunrise Hospital and Medical Center

Las Vegas, Nevada · Clark County · Emergency services listed

Summary

Sunrise Hospital and Medical Center is an acute care hospital in Las Vegas, Nevada. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 78 services, specialties and programs. Medicare lists 714 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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

Call(702) 731‑8000 Directions Website Medicare profile
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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
714Doctors and clinicians
78Services listed

Quick answers

Does Sunrise Hospital and Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Sunrise Hospital and Medical Center. In a medical emergency, call 911.
Where is Sunrise Hospital and Medical Center?
3186 S Maryland Pkwy, Las Vegas, NV 89109, in Clark County, Nevada.
What is the phone number of Sunrise Hospital and Medical Center?
(702) 731-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Sunrise Hospital and Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5]

Conditions treated[13][14][15][18][20]

Treatments[5][13][14][20]

Procedures[5][13][14][16][19]

  • Heart and vascular surgery
  • Minimally invasive surgery
  • Chiari malformation surgery
  • Robot-assisted surgery
  • Robotic hysterectomy
  • Robotic prostatectomy
  • Hernia surgery
  • Gallbladder removal
  • Appendectomy
  • Colonoscopy
  • Brain tumor surgery
  • Spinal disorder surgery
  • Transcatheter mitral valve therapy
  • Traditional heart surgery
  • Adult cardiothoracic surgery
  • Beating heart coronary artery bypass surgery
  • Minimally invasive mitral valve repair
  • Peripheral vascular surgery

Programs and centers[5][10][11][12][13][14][15][19]

  • Breast health
  • Lung cancer program
  • Labor and delivery
  • Level I trauma center
  • Burn and wound care program
  • Young Stroke Specialty Program
  • FLEX orthopedic program
  • Own the Bone geriatric fracture program
  • Level III epilepsy center
  • Sunny Babies prenatal program
  • Perinatal Center for high-risk pregnancy
  • Comprehensive ECMO program

Emergency care (hospital website)[5][6][9][10][11][13]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I
Stroke designationAdvanced Comprehensive Stroke Center

Visiting and practical information

VisitingPublic entrances open 4:30 a.m.-9 p.m.; visitors allowed 24 hours on medical, surgical, maternity floors and generally in ICU[7]
ParkingParking and valet on campus; main entrance valet Mon-Fri 8 a.m.-5 p.m[4]

Recognition[6][9][10][12][13][14][18][20]

  • Level I Trauma Center (American College of Surgeons)
  • Advanced Comprehensive Stroke Center
  • Commission on Cancer accredited Comprehensive Community Cancer Program
  • National Accreditation Program for Breast Centers
  • American College of Surgeons verified Level I Trauma Center
  • Commission on Cancer accredited cancer program
  • CARF accredited rehabilitation center
  • ACR accreditation for breast imaging
  • Joint Commission certification for chest pain care
  • National Association of Epilepsy Centers accredited Level III epilepsy center
  • Designated Lung Cancer Screening Center of Excellence (GO2 Center of Excellence Network)
  • Joint Commission hospital accreditation

Doctors and clinicians (714)

714 doctors and other clinicians list Sunrise Hospital and Medical Center 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 (714)

And 690 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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 Sunrise Hospital and Medical Center 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 well1 of 5 stars
Doctors communicated well1 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1060%National average: 72%
Would definitely recommend the hospital56%National average: 71%
Nurses “always” communicated well68%National average: 80%
Doctors “always” communicated well63%National average: 80%
Staff “always” explained medicines before giving them52%National average: 62%
Were given information about recovery at home79%National average: 86%
Room and bathroom “always” clean66%National average: 74%
Area around the room “always” quiet at night50%National average: 60%
Completed surveys664Response rate: 13%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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)0.551Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.328Better than the national benchmark
Surgical site infections after colon surgery0.845No different from the national benchmark
Surgical site infections after abdominal hysterectomy1.917No different from the national benchmark
MRSA bloodstream infections0.542No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.017Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patients13.1%
Deaths within 30 days: heart failure patients8.5%
Deaths within 30 days: pneumonia patients15%
Deaths within 30 days: COPD patients10.9%
Deaths within 30 days: stroke patients10.8%
Deaths within 30 days: coronary bypass surgery (CABG)3.2%
Serious complications (patient safety indicator PSI-90)1.04No different from the national rate
Complications after hip or knee replacement4.4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)Not reported to Medicare
Readmitted within 30 days: heart attack15.1%
Readmitted within 30 days: heart failure22.5%
Readmitted within 30 days: pneumonia17.7%
Readmitted within 30 days: COPD20.5%
Readmitted within 30 days: coronary bypass surgery13%
Readmitted within 30 days: hip or knee replacement5.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)165 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)68%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Las VegasBest hospitals in Las Vegas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Sunrise Hospital and Medical Center 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT LEVEL 3 NP $1,725 $1,725 $234.60 – $1,725
New patient office visit (about 30–44 minutes): 10 of 21 insurance plan rates
  • Aetna — HMO: $520.95
  • Aetna — PPO: $520.95
  • Centene — HIX: $362.25
  • CMN Global — COMM: $724.50
  • Elevance (Anthem BCBS) — MCR: $1,725
  • First Health — COMM: $1,138.50
  • First Health — WC: $1,380
  • Health Services Coalition — COMM: $234.60
  • Hometown Health Providers — HMO/PPO/POS: $862.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $862.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $190 $190 $76.87 – $127.86
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $127.86
  • Aetna — MCR: $78.44
  • Alignment Health Plan — MCR: $78.44
  • Anthem — Commercial: $117.94
  • Anthem — MCR: $78.44
  • Anthem — MGMCD: $111.34
  • CareMore — MCR: $82.36
  • CIGNA — Commercial: $105.36
  • Culinary Health Fund — COMM: $73.57
  • Health Plan Nevada — MCD: $111.34
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $262 $262 $255.17
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $95.50
  • Aetna — MCR: $108.20
  • Alignment Health Plan — MCR: $108.20
  • Anthem — Commercial: $217.53
  • Anthem — MCR: $108.20
  • Anthem — MGMCD: $111.34
  • CareMore — MCR: $113.61
  • CIGNA — Commercial: $148.72
  • Culinary Health Fund — COMM: $162.30
  • Health Plan Nevada — MCD: $111.34
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT LEVEL 4 NP $1,893 $1,893 $257.45 – $1,893
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates
  • Aetna — HMO: $571.69
  • Aetna — PPO: $571.69
  • Centene — HIX: $397.53
  • CMN Global — COMM: $795.06
  • Elevance (Anthem BCBS) — MCR: $1,893
  • First Health — COMM: $1,249.38
  • First Health — WC: $1,514.40
  • Health Services Coalition — COMM: $257.45
  • Hometown Health Providers — HMO/PPO/POS: $946.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $946.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $307 $307 $159.81
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $190.30
  • Aetna — MCR: $127.85
  • Alignment Health Plan — MCR: $127.85
  • Anthem — Commercial: $261.17
  • Anthem — MCR: $127.85
  • Anthem — MGMCD: $170.64
  • CareMore — MCR: $134.24
  • CIGNA — Commercial: $180.19
  • Culinary Health Fund — COMM: $191.78
  • Health Plan Nevada — MCD: $170.64
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $388 $388 $230.31
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $154.12
  • Aetna — MCR: $162.14
  • Alignment Health Plan — MCR: $162.14
  • Anthem — Commercial: $230.31
  • Anthem — MCR: $162.14
  • Anthem — MGMCD: $170.64
  • CareMore — MCR: $170.25
  • CIGNA — Commercial: $336.96
  • Culinary Health Fund — COMM: $243.21
  • Health Plan Nevada — MCD: $170.64
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT LEVEL 5 NP $2,066 $2,066 $280.98 – $2,066
New patient office visit (about 60–74 minutes): 10 of 21 insurance plan rates
  • Aetna — HMO: $623.93
  • Aetna — PPO: $623.93
  • Centene — HIX: $433.86
  • CMN Global — COMM: $867.72
  • Elevance (Anthem BCBS) — MCR: $2,066
  • First Health — COMM: $1,363.56
  • First Health — WC: $1,652.80
  • Health Services Coalition — COMM: $280.98
  • Hometown Health Providers — HMO/PPO/POS: $1,033
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $1,033
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $416 $416 $260.89
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $251.70
  • Aetna — MCR: $173.93
  • Alignment Health Plan — MCR: $173.93
  • Anthem — Commercial: $354.40
  • Anthem — MCR: $173.93
  • Anthem — MGMCD: $212.26
  • CareMore — MCR: $182.62
  • CIGNA — Commercial: $235.28
  • Culinary Health Fund — COMM: $260.89
  • Health Plan Nevada — MCD: $212.26
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $512 $512 $267.54
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $209.05
  • Aetna — MCR: $214.04
  • Alignment Health Plan — MCR: $214.04
  • Anthem — Commercial: $428.46
  • Anthem — MCR: $214.04
  • Anthem — MGMCD: $212.26
  • CareMore — MCR: $224.74
  • CIGNA — Commercial: $319.34
  • Culinary Health Fund — COMM: $177.09
  • Health Plan Nevada — MCD: $212.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT LEVEL 3 EST $1,383 $1,383 $188.09 – $1,383
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates
  • Aetna — HMO: $417.67
  • Aetna — PPO: $417.67
  • Centene — HIX: $290.43
  • CMN Global — COMM: $580.86
  • Elevance (Anthem BCBS) — MCR: $1,383
  • First Health — COMM: $912.78
  • First Health — WC: $1,106.40
  • Health Services Coalition — COMM: $188.09
  • Hometown Health Providers — HMO/PPO/POS: $691.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $691.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history $212 $212 $115
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $75.84
  • Aetna — MCR: $88.45
  • Alignment Health Plan — MCR: $88.45
  • Anthem — Commercial: $128.57
  • Anthem — MCR: $88.45
  • Anthem — MGMCD: $75.16
  • CareMore — MCR: $92.87
  • CIGNA — Commercial: $115
  • Culinary Health Fund — COMM: $132.67
  • Health Plan Nevada — MCD: $75.16
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history $151 $151 $72.70 – $126.18
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $102.87
  • Aetna — MCR: $63.22
  • Alignment Health Plan — MCR: $63.22
  • Anthem — Commercial: $128.93
  • Anthem — MCR: $63.22
  • Anthem — MGMCD: $75.16
  • CareMore — MCR: $66.38
  • CIGNA — Commercial: $71.34
  • Culinary Health Fund — COMM: $36.18
  • Health Plan Nevada — MCD: $75.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP VISIT LEVEL 4 EST $1,552 $1,552 $211.07 – $1,552
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates
  • Aetna — HMO: $468.70
  • Aetna — PPO: $468.70
  • Centene — HIX: $325.92
  • CMN Global — COMM: $651.84
  • Elevance (Anthem BCBS) — MCR: $1,552
  • First Health — COMM: $1,024.32
  • First Health — WC: $1,241.60
  • Health Services Coalition — COMM: $211.07
  • Hometown Health Providers — HMO/PPO/POS: $776
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $776
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history $298 $298 $217.74
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $110.88
  • Aetna — MCR: $124.42
  • Alignment Health Plan — MCR: $124.42
  • Anthem — Commercial: $176.26
  • Anthem — MCR: $124.42
  • Anthem — MGMCD: $110.75
  • CareMore — MCR: $130.65
  • CIGNA — Commercial: $150.08
  • Culinary Health Fund — COMM: $186.64
  • Health Plan Nevada — MCD: $110.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history $221 $221 $91.19 – $144.77
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $144.77
  • Aetna — MCR: $93.05
  • Alignment Health Plan — MCR: $93.05
  • Anthem — Commercial: $134.42
  • Anthem — MCR: $93.05
  • Anthem — MGMCD: $110.75
  • CareMore — MCR: $97.70
  • CIGNA — Commercial: $121.82
  • Culinary Health Fund — COMM: $139.57
  • Health Plan Nevada — MCD: $110.75
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination $278 $278 $253.86
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • Aetna — Commercial: $12.82
  • Aetna — MCR: $108.73
  • Alignment Health Plan — MCR: $108.73
  • Anthem — MCR: $108.73
  • Anthem — MGMCD: $129
  • CareMore — MCR: $114.16
  • CIGNA — Commercial: $253.86
  • Culinary Health Fund — COMM: $163.09
  • Health Plan Nevada — MCD: $129
  • Healthcare Partners of NV — Commercial: $106.55
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination $214 $214 $105.58
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • Aetna — Commercial: $16.23
  • Aetna — MCR: $84.47
  • Alignment Health Plan — MCR: $84.47
  • Anthem — MCR: $84.47
  • Anthem — MGMCD: $129
  • CareMore — MCR: $88.69
  • CIGNA — Commercial: $199.72
  • Culinary Health Fund — COMM: $126.70
  • Health Plan Nevada — MCD: $129
  • Healthcare Partners of NV — Commercial: $82.78
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $94.53
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • CareSource — MGMCD: $94.53
  • Centene — MCD: $95.43
  • Community Care Health — MGMCD: $90.89
  • CorVel — WORKERSCOMP: $286.33
  • Molina Healthcare — MCD: $94.53
  • Olympus MedSave USA — WCOMP: $301.40
  • Sierra HPN — MCD: $90.89
  • United — MGMCD: 14% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination $411 $411 $20.46 – $255.17
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • Aetna — Commercial: $20.46
  • Aetna — MCR: $154.78
  • Alignment Health Plan — MCR: $154.78
  • Anthem — MCR: $154.78
  • Anthem — MGMCD: $190.22
  • CareMore — MCR: $162.52
  • CIGNA — Commercial: $256.98
  • Culinary Health Fund — COMM: $232.17
  • Health Plan Nevada — MCD: $190.22
  • Healthcare Partners of NV — Commercial: $151.68
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination $341 $341 $147.49 – $258.61
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • Aetna — Commercial: $24.17
  • Aetna — MCR: $128.26
  • Alignment Health Plan — MCR: $128.26
  • Anthem — MCR: $128.26
  • Anthem — MGMCD: $190.22
  • CareMore — MCR: $134.67
  • CIGNA — Commercial: $321.53
  • Culinary Health Fund — COMM: $140.94
  • Health Plan Nevada — MCD: $190.22
  • Healthcare Partners of NV — Commercial: $125.69
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $143.73 – $383.60
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • CareSource — MGMCD: $149.48
  • Centene — MCD: $150.92
  • Community Care Health — MGMCD: $143.73
  • CorVel — WORKERSCOMP: $364.42
  • Molina Healthcare — MCD: $143.73
  • Olympus MedSave USA — WCOMP: $383.60
  • Sierra HPN — MCD: $143.73
  • United — MGMCD: 14% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin $305 $305 $185.61
Preventive checkup, new patient, age 18–39: 10 of 20 insurance plan rates
  • Aetna — Commercial: $99.89
  • Aetna — MCR: $125.50
  • Alignment Health Plan — MCR: $125.50
  • Anthem — Commercial: $185.61
  • Anthem — MCR: $125.50
  • Anthem — MGMCD: $136
  • CareMore — MCR: $131.77
  • CIGNA — Commercial: $204.48
  • Culinary Health Fund — COMM: $188.24
  • Health Plan Nevada — MCD: $136
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin $219 $219 $88.12 – $142.80
Preventive checkup, new patient, age 18–39: 10 of 20 insurance plan rates
  • Aetna — Commercial: $134.69
  • Aetna — MCR: $89.91
  • Alignment Health Plan — MCR: $89.91
  • Anthem — Commercial: $136.79
  • Anthem — MCR: $89.91
  • Anthem — MGMCD: $136
  • CareMore — MCR: $94.41
  • CIGNA — Commercial: $138.23
  • Culinary Health Fund — COMM: $134.87
  • Health Plan Nevada — MCD: $136
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $95.08
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans
  • CareSource — MGMCD: $95.08
  • Centene — MCD: $95.99
  • Community Care Health — MGMCD: $91.42
  • CorVel — WORKERSCOMP: $338.39
  • Health Net — Tricare: $69.29
  • Molina Healthcare — MCD: $95.08
  • Olympus MedSave USA — WCOMP: $356.20
  • Sierra HPN — MCD: $91.42
  • United — MGMCD: 14% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin $352 $352 $236.71
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates
  • Aetna — Commercial: $120.99
  • Aetna — MCR: $144.48
  • Alignment Health Plan — MCR: $144.48
  • Anthem — Commercial: $208.69
  • Anthem — MCR: $144.48
  • Anthem — MGMCD: $156.73
  • CareMore — MCR: $151.70
  • CIGNA — Commercial: $236.71
  • Culinary Health Fund — COMM: $216.72
  • Health Plan Nevada — MCD: $156.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin $265 $265 $125.23 – $217.85
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates
  • Aetna — Commercial: $155.80
  • Aetna — MCR: $108.90
  • Alignment Health Plan — MCR: $108.90
  • Anthem — Commercial: $165.79
  • Anthem — MCR: $108.90
  • Anthem — MGMCD: $156.73
  • CareMore — MCR: $114.34
  • CIGNA — Commercial: $248.49
  • Culinary Health Fund — COMM: $163.35
  • Health Plan Nevada — MCD: $156.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $115.23
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans
  • CareSource — MGMCD: $115.23
  • Centene — MCD: $116.34
  • Community Care Health — MGMCD: $110.80
  • CorVel — WORKERSCOMP: $351.40
  • Health Net — Tricare: $84.19
  • Molina Healthcare — MCD: $115.23
  • Olympus MedSave USA — WCOMP: $369.90
  • Sierra HPN — MCD: $110.80
  • United — MGMCD: 14% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $162 $162 $63.05 – $80.93
Emergency room visit (moderate): 10 of 20 insurance plan rates
  • Aetna — Commercial: $83.07
  • Aetna — MCR: $67.44
  • Alignment Health Plan — MCR: $67.44
  • Anthem — Commercial: $139.51
  • Anthem — MCR: $67.44
  • Anthem — MGMCD: $62.81
  • CareMore — MCR: $70.82
  • CIGNA — Commercial: $134.44
  • Culinary Health Fund — COMM: $63.05
  • Health Plan Nevada — MCD: $62.81
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $162 $162 $61.40
Emergency room visit (moderate): 10 of 19 insurance plan rates
  • Aetna — Commercial: $83.07
  • Aetna — MCR: $67.44
  • Alignment Health Plan — MCR: $67.44
  • Anthem — MCR: $67.44
  • Anthem — MGMCD: $62.81
  • CareMore — MCR: $70.82
  • CIGNA — Commercial: $90.75
  • Culinary Health Fund — COMM: $61.40
  • Health Plan Nevada — MCD: $62.81
  • Healthcare Partners of NV — Commercial: $66.09
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LVL 3 EMER DEPT $5,102 $5,102 $1,066.32 – $4,081.60
Emergency room visit (moderate): rates for 10 insurance plans
  • CMN Global — COMM: $2,142.84
  • First Health — COMM: $3,367.32
  • First Health — WC: $4,081.60
  • MedCare International — COMM: $3,826.50
  • MultiPlan — COMPLEMENTARY: $3,724.46
  • MultiPlan — INTERNATIONAL: $3,214.26
  • NV Health & Welfare Trust — COMM: $3,061.20
  • Olympus MedSave USA — COMM: $3,826.50
  • United — GlobalBenefitPlan: $2,295.90
  • United — OptionsPPO: $1,066.32
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $272 $272 $112.68 – $164.91
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • Aetna — Commercial: $139.83
  • Aetna — MCR: $114.98
  • Alignment Health Plan — MCR: $114.98
  • Anthem — Commercial: $167.33
  • Anthem — MCR: $114.98
  • Anthem — MGMCD: $119.85
  • CareMore — MCR: $120.73
  • CIGNA — Commercial: $247.25
  • Culinary Health Fund — COMM: $103.92
  • Health Plan Nevada — MCD: $119.85
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $272 $272 $93.53
Emergency room visit (moderately high): 10 of 19 insurance plan rates
  • Aetna — Commercial: $139.83
  • Aetna — MCR: $114.98
  • Alignment Health Plan — MCR: $114.98
  • Anthem — MCR: $114.98
  • Anthem — MGMCD: $119.85
  • CareMore — MCR: $120.73
  • CIGNA — Commercial: $166.89
  • Culinary Health Fund — COMM: $93.53
  • Health Plan Nevada — MCD: $119.85
  • Healthcare Partners of NV — Commercial: $112.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LVL 4 EMER DEPT $5,766 $5,766 $1,205.09 – $4,612.80
Emergency room visit (moderately high): rates for 10 insurance plans
  • CMN Global — COMM: $2,421.72
  • First Health — COMM: $3,805.56
  • First Health — WC: $4,612.80
  • MedCare International — COMM: $4,324.50
  • MultiPlan — COMPLEMENTARY: $4,209.18
  • MultiPlan — INTERNATIONAL: $3,632.58
  • NV Health & Welfare Trust — COMM: $3,459.60
  • Olympus MedSave USA — COMM: $4,324.50
  • United — GlobalBenefitPlan: $2,594.70
  • United — OptionsPPO: $1,205.09
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $394 $394 $163.35 – $239.56
Emergency room visit (high): 10 of 20 insurance plan rates
  • Aetna — Commercial: $203.25
  • Aetna — MCR: $166.68
  • Alignment Health Plan — MCR: $166.68
  • Anthem — Commercial: $341.84
  • Anthem — MCR: $166.68
  • Anthem — MGMCD: $176.04
  • CareMore — MCR: $175.01
  • CIGNA — Commercial: $359.25
  • Culinary Health Fund — COMM: $206.81
  • Health Plan Nevada — MCD: $176.04
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $394 $394 $163.23
Emergency room visit (high): 10 of 19 insurance plan rates
  • Aetna — Commercial: $203.25
  • Aetna — MCR: $166.68
  • Alignment Health Plan — MCR: $166.68
  • Anthem — MCR: $166.68
  • Anthem — MGMCD: $176.04
  • CareMore — MCR: $175.01
  • CIGNA — Commercial: $359.25
  • Culinary Health Fund — COMM: $163.23
  • Health Plan Nevada — MCD: $176.04
  • Healthcare Partners of NV — Commercial: $163.35
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LVL 5 EMER DEPT $6,233 $6,233 $1,302.70 – $4,986.40
Emergency room visit (high): rates for 10 insurance plans
  • CMN Global — COMM: $2,617.86
  • First Health — COMM: $4,113.78
  • First Health — WC: $4,986.40
  • MedCare International — COMM: $4,674.75
  • MultiPlan — COMPLEMENTARY: $4,550.09
  • MultiPlan — INTERNATIONAL: $3,926.79
  • NV Health & Welfare Trust — COMM: $3,739.80
  • Olympus MedSave USA — COMM: $4,674.75
  • United — GlobalBenefitPlan: $2,804.85
  • United — OptionsPPO: $1,302.70

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BMP TOTAL CALCIUM $1,651 $1,651 $345.06 – $1,320.80
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • CMN Global — COMM: $693.42
  • First Health — COMM: $1,089.66
  • First Health — WC: $1,320.80
  • Hometown Health Providers — HMO/PPO/POS: $825.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $825.50
  • MedCare International — COMM: $1,238.25
  • MultiPlan — COMPLEMENTARY: $1,205.23
  • MultiPlan — INTERNATIONAL: $1,040.13
  • MultiPlan — PRIMARY: $1,040.13
  • NV Health & Welfare Trust — COMM: $990.60
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $26 $26 $7.51
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $8.65
  • Anthem — Commercial: $4.18
  • Anthem — MGMCD: $6.06
  • CIGNA — Commercial: $7.51
  • Health Plan Nevada — MCD: $6.06
  • Molina — MCD: $6.36
  • Select Health — COMM: $18.29
  • Sierra — COMM: $10.62
  • Silver Summit — MGMCD: $6.36
  • United — Commercial: $3.55
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $26 $26 $7.51
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $8.65
  • Anthem — MGMCD: $6.06
  • CIGNA — Commercial: $7.51
  • Health Plan Nevada — MCD: $6.06
  • Molina — MCD: $6.36
  • Select Health — COMM: $17.07
  • Sierra — COMM: $10.62
  • Silver Summit — MGMCD: $6.36
  • United — Commercial: $3.55
  • United — MGMCR: $3.55
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL $2,361 $2,361 $493.45 – $1,888.80
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • CMN Global — COMM: $991.62
  • First Health — COMM: $1,558.26
  • First Health — WC: $1,888.80
  • Hometown Health Providers — HMO/PPO/POS: $1,180.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $1,180.50
  • MedCare International — COMM: $1,770.75
  • MultiPlan — COMPLEMENTARY: $1,723.53
  • MultiPlan — INTERNATIONAL: $1,487.43
  • MultiPlan — PRIMARY: $1,487.43
  • NV Health & Welfare Trust — COMM: $1,416.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $32 $32 $5.95
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $10.79
  • Anthem — Commercial: $5.22
  • Anthem — MGMCD: $7.57
  • CIGNA — Commercial: $5.95
  • Health Plan Nevada — MCD: $7.57
  • Molina — MCD: $7.95
  • Select Health — COMM: $19.97
  • Sierra — COMM: $13.71
  • Silver Summit — MGMCD: $7.95
  • United — Commercial: $4.44
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $32 $32 $5.95
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $10.79
  • Anthem — MGMCD: $7.57
  • CIGNA — Commercial: $5.95
  • Health Plan Nevada — MCD: $7.57
  • Molina — MCD: $7.95
  • Select Health — COMM: $19.97
  • Sierra — COMM: $13.71
  • Silver Summit — MGMCD: $7.95
  • United — Commercial: $4.44
  • United — MGMCR: $4.44
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PANEL $5,346 $5,346 $1,117.31 – $4,276.80
Obstetric blood test panel: 10 of 16 insurance plan rates
  • CMN Global — COMM: $2,245.32
  • First Health — COMM: $3,528.36
  • First Health — WC: $4,276.80
  • Hometown Health Providers — HMO/PPO/POS: $2,673
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $2,673
  • MedCare International — COMM: $4,009.50
  • MultiPlan — COMPLEMENTARY: $3,902.58
  • MultiPlan — INTERNATIONAL: $3,367.98
  • MultiPlan — PRIMARY: $3,367.98
  • NV Health & Welfare Trust — COMM: $3,207.60
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $144 $144 $23.61
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $48.85
  • Anthem — Commercial: $23.61
  • Anthem — MGMCD: $34.19
  • CIGNA — Commercial: $26.53
  • Health Plan Nevada — MCD: $34.19
  • Molina — MCD: $35.90
  • Select Health — COMM: $98.20
  • Sierra — COMM: $61.04
  • Silver Summit — MGMCD: $35.90
  • United — Commercial: $20.08
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $144 $144 $20.08 – $61.04
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — Commercial: $48.85
  • Anthem — MGMCD: $34.19
  • CIGNA — Commercial: $26.53
  • Health Plan Nevada — MCD: $34.19
  • Molina — MCD: $35.90
  • Select Health — COMM: $105.21
  • Sierra — COMM: $61.04
  • Silver Summit — MGMCD: $35.90
  • United — Commercial: $20.08
  • United — MGMCR: $20.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $3,578 $3,578 $747.80 – $2,862.40
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • CMN Global — COMM: $1,502.76
  • First Health — COMM: $2,361.48
  • First Health — WC: $2,862.40
  • Hometown Health Providers — HMO/PPO/POS: $1,789
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $1,789
  • MedCare International — COMM: $2,683.50
  • MultiPlan — COMPLEMENTARY: $2,611.94
  • MultiPlan — INTERNATIONAL: $2,254.14
  • MultiPlan — PRIMARY: $2,254.14
  • NV Health & Welfare Trust — COMM: $2,146.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester $41 $41 $29.75
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — Commercial: $13.68
  • Anthem — Commercial: $9.04
  • Anthem — MGMCD: $9.60
  • CIGNA — Commercial: $11.84
  • Health Plan Nevada — MCD: $9.60
  • Molina — MCD: $10.08
  • Select Health — COMM: $29.75
  • Sierra — COMM: $17.25
  • Silver Summit — MGMCD: $10.08
  • United — Commercial: $5.62
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester $41 $41 $5.62 – $17.25
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Commercial: $13.68
  • Anthem — MGMCD: $9.60
  • CIGNA — Commercial: $11.84
  • Health Plan Nevada — MCD: $9.60
  • Molina — MCD: $10.08
  • Select Health — COMM: $25.12
  • Sierra — COMM: $17.25
  • Silver Summit — MGMCD: $10.08
  • United — Commercial: $5.62
  • United — MGMCR: $5.62
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $2,315 $2,315 $483.83 – $1,852
Kidney function panel: 10 of 16 insurance plan rates
  • CMN Global — COMM: $972.30
  • First Health — COMM: $1,527.90
  • First Health — WC: $1,852
  • Hometown Health Providers — HMO/PPO/POS: $1,157.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $1,157.50
  • MedCare International — COMM: $1,736.25
  • MultiPlan — COMPLEMENTARY: $1,689.95
  • MultiPlan — INTERNATIONAL: $1,458.45
  • MultiPlan — PRIMARY: $1,458.45
  • NV Health & Welfare Trust — COMM: $1,389
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $27 $27 $4.87
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $8.87
  • Anthem — Commercial: $4.29
  • Anthem — MGMCD: $6.23
  • CIGNA — Commercial: $4.87
  • Health Plan Nevada — MCD: $6.23
  • Molina — MCD: $6.54
  • Select Health — COMM: $17.79
  • Sierra — COMM: $11.05
  • Silver Summit — MGMCD: $6.54
  • United — Commercial: $3.65
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $27 $27 $19.06
Kidney function panel: rates for 10 insurance plans
  • Aetna — Commercial: $8.87
  • Anthem — MGMCD: $6.23
  • CIGNA — Commercial: $4.87
  • Health Plan Nevada — MCD: $6.23
  • Molina — MCD: $6.54
  • Select Health — COMM: $19.06
  • Sierra — COMM: $11.05
  • Silver Summit — MGMCD: $6.54
  • United — Commercial: $3.65
  • United — MGMCR: $3.65
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $1,392 $1,392 $290.93 – $1,113.60
Liver function panel: 10 of 16 insurance plan rates
  • CMN Global — COMM: $584.64
  • First Health — COMM: $918.72
  • First Health — WC: $1,113.60
  • Hometown Health Providers — HMO/PPO/POS: $696
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $696
  • MedCare International — COMM: $1,044
  • MultiPlan — COMPLEMENTARY: $1,016.16
  • MultiPlan — INTERNATIONAL: $876.96
  • MultiPlan — PRIMARY: $876.96
  • NV Health & Welfare Trust — COMM: $835.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase $25 $25 $17.07
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $8.34
  • Anthem — Commercial: $4.04
  • Anthem — MGMCD: $5.85
  • CIGNA — Commercial: $4.51
  • Health Plan Nevada — MCD: $5.85
  • Molina — MCD: $6.14
  • Select Health — COMM: $17.07
  • Sierra — COMM: $10.62
  • Silver Summit — MGMCD: $6.14
  • United — Commercial: $3.43
Liver function panel CPT 80076 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase $25 $25 $15.45
Liver function panel: rates for 10 insurance plans
  • Aetna — Commercial: $8.34
  • Anthem — MGMCD: $5.85
  • CIGNA — Commercial: $4.51
  • Health Plan Nevada — MCD: $5.85
  • Molina — MCD: $6.14
  • Select Health — COMM: $15.45
  • Sierra — COMM: $10.62
  • Silver Summit — MGMCD: $6.14
  • United — Commercial: $3.43
  • United — MGMCR: $3.43
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W MICRO AUTO $750 $750 $156.75 – $600
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • CMN Global — COMM: $315
  • First Health — COMM: $495
  • First Health — WC: $600
  • Hometown Health Providers — HMO/PPO/POS: $375
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $375
  • MedCare International — COMM: $562.50
  • MultiPlan — COMPLEMENTARY: $547.50
  • MultiPlan — INTERNATIONAL: $472.50
  • MultiPlan — PRIMARY: $472.50
  • NV Health & Welfare Trust — COMM: $450
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $10 $10 $2.89
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $3.24
  • Anthem — Commercial: $1.57
  • Anthem — MGMCD: $2.27
  • CIGNA — Commercial: $2.89
  • Health Plan Nevada — MCD: $2.27
  • Molina — MCD: $2.38
  • Select Health — COMM: $5.80
  • Sierra — COMM: $3.97
  • Silver Summit — MGMCD: $2.38
  • United — Commercial: $1.90
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $10 $10 $6.86
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — Commercial: $3.24
  • Anthem — MGMCD: $2.27
  • CIGNA — Commercial: $2.89
  • Health Plan Nevada — MCD: $2.27
  • Molina — MCD: $2.38
  • Select Health — COMM: $6.86
  • Sierra — COMM: $3.97
  • Silver Summit — MGMCD: $2.38
  • United — Commercial: $1.90
  • United — MGMCR: $1.90
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $11 $11 $1.39
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $3.55
  • Anthem — Commercial: $1.39
  • Anthem — MGMCD: $1.84
  • CIGNA — Commercial: $2.89
  • Health Plan Nevada — MCD: $1.84
  • Molina — MCD: $1.93
  • Select Health — COMM: $7.63
  • Sierra — COMM: $4.42
  • Silver Summit — MGMCD: $1.93
  • United — Commercial: $2.09
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $11 $11 $7.63
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Commercial: $3.55
  • Anthem — MGMCD: $1.84
  • CIGNA — Commercial: $2.89
  • Health Plan Nevada — MCD: $1.84
  • Molina — MCD: $1.93
  • Select Health — COMM: $7.63
  • Sierra — COMM: $4.42
  • Silver Summit — MGMCD: $1.93
  • United — Commercial: $2.09
  • United — MGMCR: $2.09
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, Not listed in the file Not listed in the file $3.48 – $4.35
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — HMO: $5.72
  • Aetna — MCR: $0.52
  • Aetna — PPO: $5.72
  • Alignment Health Plan — MCR: $3.48
  • Anthem — HIX: $3.48
  • Anthem — HMO: $3.48
  • Anthem — Pathway: $3.48
  • Anthem — PPO: $4.35
  • CareMore — MCR: $3.55
  • CareSource — MGMCD: $1.82
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W O MICRO AUTO $375 $375 $78.37 – $300
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • CMN Global — COMM: $157.50
  • First Health — COMM: $247.50
  • First Health — WC: $300
  • Hometown Health Providers — HMO/PPO/POS: $187.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $187.50
  • MedCare International — COMM: $281.25
  • MultiPlan — COMPLEMENTARY: $273.75
  • MultiPlan — INTERNATIONAL: $236.25
  • MultiPlan — PRIMARY: $236.25
  • NV Health & Welfare Trust — COMM: $225
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $7 $7 $1.11
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $2.31
  • Anthem — Commercial: $1.11
  • Anthem — MGMCD: $1.61
  • CIGNA — Commercial: $2.02
  • Health Plan Nevada — MCD: $1.61
  • Molina — MCD: $1.69
  • Select Health — COMM: $5.33
  • Sierra — COMM: $3.09
  • Silver Summit — MGMCD: $1.69
  • United — Commercial: $1.35
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $7 $7 $2.02
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — Commercial: $2.31
  • Anthem — MGMCD: $1.61
  • CIGNA — Commercial: $2.02
  • Health Plan Nevada — MCD: $1.61
  • Molina — MCD: $1.69
  • Select Health — COMM: $5.33
  • Sierra — COMM: $3.09
  • Silver Summit — MGMCD: $1.69
  • United — Commercial: $1.35
  • United — MGMCR: $1.35
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROS SPEC AG (PSA) TOTAL $2,714 $2,714 $567.23 – $2,171.20
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • CMN Global — COMM: $1,139.88
  • First Health — COMM: $1,791.24
  • First Health — WC: $2,171.20
  • Hometown Health Providers — HMO/PPO/POS: $1,357
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $1,357
  • MedCare International — COMM: $2,035.50
  • MultiPlan — COMPLEMENTARY: $1,981.22
  • MultiPlan — INTERNATIONAL: $1,709.82
  • MultiPlan — PRIMARY: $1,709.82
  • NV Health & Welfare Trust — COMM: $1,628.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prostate specific antigen (PSA); total Non-Facility $56 $56 $7.72 – $23.44
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna — Commercial: $18.79
  • Anthem — MGMCD: $13.18
  • Health Plan Nevada — MCD: $13.18
  • Molina — MCD: $13.84
  • Sierra — COMM: $23.44
  • Silver Summit — MGMCD: $13.84
  • United — Commercial: $7.72
  • United — MGMCR: $7.72
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Prostate specific antigen (PSA); total Facility $56 $56 $7.72 – $23.44
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna — Commercial: $18.79
  • Anthem — MGMCD: $13.18
  • Health Plan Nevada — MCD: $13.18
  • Molina — MCD: $13.84
  • Sierra — COMM: $23.44
  • Silver Summit — MGMCD: $13.84
  • United — Commercial: $7.72
  • United — MGMCR: $7.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $813 $813 $169.92 – $650.40
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • CMN Global — COMM: $341.46
  • First Health — COMM: $536.58
  • First Health — WC: $650.40
  • Hometown Health Providers — HMO/PPO/POS: $406.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $406.50
  • MedCare International — COMM: $609.75
  • MultiPlan — COMPLEMENTARY: $593.49
  • MultiPlan — INTERNATIONAL: $512.19
  • MultiPlan — PRIMARY: $512.19
  • NV Health & Welfare Trust — COMM: $487.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Thyroid stimulating hormone (TSH) Facility $51 $51 $7.06 – $21.67
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna — Commercial: $17.16
  • Anthem — MGMCD: $12.04
  • Health Plan Nevada — MCD: $12.04
  • Molina — MCD: $12.64
  • Sierra — COMM: $21.67
  • Silver Summit — MGMCD: $12.64
  • United — Commercial: $7.06
  • United — MGMCR: $7.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Thyroid stimulating hormone (TSH) Non-Facility $51 $51 $7.06 – $21.67
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna — Commercial: $17.16
  • Anthem — MGMCD: $12.04
  • Health Plan Nevada — MCD: $12.04
  • Molina — MCD: $12.64
  • Sierra — COMM: $21.67
  • Silver Summit — MGMCD: $12.64
  • United — Commercial: $7.06
  • United — MGMCR: $7.06
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Non-Facility Mid Levels $24 $24 $6.93
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Aetna — Commercial: $7.94
  • Anthem — Commercial: $3.84
  • Anthem — MGMCD: $5.58
  • CIGNA — Commercial: $6.93
  • Health Plan Nevada — MCD: $5.58
  • Molina — MCD: $5.86
  • Select Health — COMM: $14.17
  • Sierra — COMM: $9.73
  • Silver Summit — MGMCD: $5.86
  • United — Commercial: $3.26
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Facility Mid Levels $24 $24 $6.93
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Commercial: $7.94
  • Anthem — MGMCD: $5.58
  • CIGNA — Commercial: $6.93
  • Health Plan Nevada — MCD: $5.58
  • Molina — MCD: $5.86
  • Select Health — COMM: $15.67
  • Sierra — COMM: $9.73
  • Silver Summit — MGMCD: $5.86
  • United — Commercial: $3.26
  • United — MGMCR: $3.26
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Not listed in the file Not listed in the file $8.16
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates
  • Aetna — HMO: $12.79
  • Aetna — MCR: $1.17
  • Aetna — PPO: $12.79
  • Alignment Health Plan — MCR: $7.77
  • Anthem — HIX: $7.77
  • Anthem — HMO: $7.77
  • Anthem — Pathway: $7.77
  • Anthem — PPO: $9.71
  • CareMore — MCR: $7.93
  • CareSource — MGMCD: $5.52
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTOMATED $742 $742 $155.08 – $593.60
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • CMN Global — COMM: $311.64
  • First Health — COMM: $489.72
  • First Health — WC: $593.60
  • Hometown Health Providers — HMO/PPO/POS: $371
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $371
  • MedCare International — COMM: $556.50
  • MultiPlan — COMPLEMENTARY: $541.66
  • MultiPlan — INTERNATIONAL: $467.46
  • MultiPlan — PRIMARY: $467.46
  • NV Health & Welfare Trust — COMM: $445.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Non-facility All Other Specialists $20 $20 $12.24
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — Commercial: $6.62
  • Anthem — Commercial: $3.19
  • Anthem — MGMCD: $4.64
  • CIGNA — Commercial: $5.77
  • Health Plan Nevada — MCD: $4.64
  • Molina — MCD: $4.87
  • Select Health — COMM: $12.24
  • Sierra — COMM: $8.41
  • Silver Summit — MGMCD: $4.87
  • United — Commercial: $2.72
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Facility MD DO $20 $20 $5.77
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Commercial: $6.62
  • Anthem — MGMCD: $4.64
  • CIGNA — Commercial: $5.77
  • Health Plan Nevada — MCD: $4.64
  • Molina — MCD: $4.87
  • Select Health — COMM: $12.24
  • Sierra — COMM: $8.41
  • Silver Summit — MGMCD: $4.87
  • United — Commercial: $2.72
  • United — MGMCR: $2.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME $685 $685 $143.16 – $548
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • CMN Global — COMM: $287.70
  • First Health — COMM: $452.10
  • First Health — WC: $548
  • Hometown Health Providers — HMO/PPO/POS: $342.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $342.50
  • MedCare International — COMM: $513.75
  • MultiPlan — COMPLEMENTARY: $500.05
  • MultiPlan — INTERNATIONAL: $431.55
  • MultiPlan — PRIMARY: $431.55
  • NV Health & Welfare Trust — COMM: $411
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prothrombin time; Non-Facility $13 $13 $2.57 – $5.30
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna — Commercial: $4.39
  • Anthem — MGMCD: $2.82
  • Health Plan Nevada — MCD: $2.82
  • Molina — MCD: $2.96
  • Sierra — COMM: $5.30
  • Silver Summit — MGMCD: $2.96
  • United — Commercial: $2.57
  • United — MGMCR: $2.57
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Prothrombin time; Facility $13 $13 $2.57 – $5.30
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna — Commercial: $4.39
  • Anthem — MGMCD: $2.82
  • Health Plan Nevada — MCD: $2.82
  • Molina — MCD: $2.96
  • Sierra — COMM: $5.30
  • Silver Summit — MGMCD: $2.96
  • United — Commercial: $2.57
  • United — MGMCR: $2.57
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT $627 $627 $131.04 – $501.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • CMN Global — COMM: $263.34
  • First Health — COMM: $413.82
  • First Health — WC: $501.60
  • Hometown Health Providers — HMO/PPO/POS: $313.50
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $313.50
  • MedCare International — COMM: $470.25
  • MultiPlan — COMPLEMENTARY: $457.71
  • MultiPlan — INTERNATIONAL: $395.01
  • MultiPlan — PRIMARY: $395.01
  • NV Health & Welfare Trust — COMM: $376.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood Non-Facility $19 $19 $2.52 – $7.51
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna — Commercial: $6.14
  • Anthem — MGMCD: $4.31
  • Health Plan Nevada — MCD: $4.31
  • Molina — MCD: $4.53
  • Sierra — COMM: $7.51
  • Silver Summit — MGMCD: $4.53
  • United — Commercial: $2.52
  • United — MGMCR: $2.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood Facility $19 $19 $2.52 – $7.51
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna — Commercial: $6.14
  • Anthem — MGMCD: $4.31
  • Health Plan Nevada — MCD: $4.31
  • Molina — MCD: $4.53
  • Sierra — COMM: $7.51
  • Silver Summit — MGMCD: $4.53
  • United — Commercial: $2.52
  • United — MGMCR: $2.52

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 (hospital stay) · Doctor (professional) fee In the file: Computed tomography, head or brain; without contrast material Facility $404 $404 $75.78 – $171.61
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $171.61
  • Aetna — MCR: $104.87
  • Alignment Health Plan — MCR: $104.87
  • Anthem — MCR: $104.87
  • Anthem — MGMCD: $136.86
  • CareMore — MCR: $110.12
  • Health Plan Nevada — MCD: $136.86
  • Healthcare Partners of NV — Commercial: $102.78
  • Healthcare Partners of NV — MCR: $102.78
  • Molina — MCD: $143.70
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O CONT $9,448 $9,448 $1,974.63 – $7,558.40
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Centene — HIX: $1,984.08
  • CMN Global — COMM: $3,968.16
  • First Health — COMM: $6,235.68
  • First Health — WC: $7,558.40
  • MedCare International — COMM: $7,086
  • MultiPlan — COMPLEMENTARY: $6,897.04
  • MultiPlan — INTERNATIONAL: $5,952.24
  • MultiPlan — PRIMARY: $5,952.24
  • NV Health & Welfare Trust — COMM: $5,668.80
  • Olympus MedSave USA — COMM: $7,086
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Computed tomography, head or brain; without contrast material Non-Facility $404 $404 $75.78 – $171.61
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $171.61
  • Aetna — MCR: $104.87
  • Alignment Health Plan — MCR: $104.87
  • Anthem — MCR: $104.87
  • Anthem — MGMCD: $136.86
  • CareMore — MCR: $110.12
  • Health Plan Nevada — MCD: $136.86
  • Healthcare Partners of NV — Commercial: $102.78
  • Healthcare Partners of NV — MCR: $102.78
  • Molina — MCD: $143.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $1,243 $1,243 $760.61
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • Aetna — Commercial: $730.72
  • Aetna — MCR: $313.28
  • Alignment Health Plan — MCR: $313.28
  • Anthem — Commercial: $317.82
  • Anthem — MCR: $313.28
  • Anthem — MGMCD: $435.70
  • CareMore — MCR: $328.94
  • CIGNA — Commercial: $408.74
  • Culinary Health Fund — COMM: $1,134.05
  • Health Plan Nevada — MCD: $435.70
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $1,243 $1,243 $1,322.43
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $730.72
  • Aetna — MCR: $313.28
  • Alignment Health Plan — MCR: $313.28
  • Anthem — MCR: $313.28
  • Anthem — MGMCD: $435.70
  • CareMore — MCR: $328.94
  • CIGNA — Commercial: $408.74
  • Culinary Health Fund — COMM: $1,322.43
  • Health Plan Nevada — MCD: $435.70
  • Healthcare Partners of NV — Commercial: $307.01
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W&WO CONT $13,166 $13,166 $2,751.69 – $10,532.80
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Centene — HIX: $2,764.86
  • CMN Global — COMM: $5,529.72
  • First Health — COMM: $8,689.56
  • First Health — WC: $10,532.80
  • MedCare International — COMM: $9,874.50
  • MultiPlan — COMPLEMENTARY: $9,611.18
  • MultiPlan — INTERNATIONAL: $8,294.58
  • MultiPlan — PRIMARY: $8,294.58
  • NV Health & Welfare Trust — COMM: $7,899.60
  • Olympus MedSave USA — COMM: $9,874.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST XRAY 2 V $2,010 $2,010 $420.09 – $1,608
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Centene — HIX: $422.10
  • CMN Global — COMM: $844.20
  • First Health — COMM: $1,326.60
  • First Health — WC: $1,608
  • MedCare International — COMM: $1,507.50
  • MultiPlan — COMPLEMENTARY: $1,467.30
  • MultiPlan — INTERNATIONAL: $1,266.30
  • MultiPlan — PRIMARY: $1,266.30
  • NV Health & Welfare Trust — COMM: $1,206
  • Olympus MedSave USA — COMM: $1,507.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Radiologic examination, chest; 2 views Facility $125 $125 $23.47 – $44.59
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $44.33
  • Aetna — MCR: $32.57
  • Alignment Health Plan — MCR: $32.57
  • Anthem — MCR: $32.57
  • Anthem — MGMCD: $32.69
  • CareMore — MCR: $34.20
  • Health Plan Nevada — MCD: $32.69
  • Healthcare Partners of NV — Commercial: $31.92
  • Healthcare Partners of NV — MCR: $31.92
  • Molina — MCD: $34.32
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Radiologic examination, chest; 2 views Non-Facility $125 $125 $23.47 – $44.59
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $44.33
  • Aetna — MCR: $32.57
  • Alignment Health Plan — MCR: $32.57
  • Anthem — MCR: $32.57
  • Anthem — MGMCD: $32.69
  • CareMore — MCR: $34.20
  • Health Plan Nevada — MCD: $32.69
  • Healthcare Partners of NV — Commercial: $31.92
  • Healthcare Partners of NV — MCR: $31.92
  • Molina — MCD: $34.32
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR L-SPINE 4 + VIEWS $3,133 $3,133 $654.80 – $2,506.40
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Centene — HIX: $657.93
  • CMN Global — COMM: $1,315.86
  • First Health — COMM: $2,067.78
  • First Health — WC: $2,506.40
  • MedCare International — COMM: $2,349.75
  • MultiPlan — COMPLEMENTARY: $2,287.09
  • MultiPlan — INTERNATIONAL: $1,973.79
  • MultiPlan — PRIMARY: $1,973.79
  • NV Health & Welfare Trust — COMM: $1,879.80
  • Olympus MedSave USA — COMM: $2,349.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views Facility $192 $192 $36.27 – $68.04
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $67.65
  • Aetna — MCR: $50.36
  • Alignment Health Plan — MCR: $50.36
  • Anthem — MCR: $50.36
  • Anthem — MGMCD: $55.40
  • CareMore — MCR: $52.88
  • Health Plan Nevada — MCD: $55.40
  • Healthcare Partners of NV — Commercial: $49.35
  • Healthcare Partners of NV — MCR: $49.35
  • Molina — MCD: $58.17
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views Non-Facility $192 $192 $36.27 – $68.04
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $67.65
  • Aetna — MCR: $50.36
  • Alignment Health Plan — MCR: $50.36
  • Anthem — MCR: $50.36
  • Anthem — MGMCD: $55.40
  • CareMore — MCR: $52.88
  • Health Plan Nevada — MCD: $55.40
  • Healthcare Partners of NV — Commercial: $49.35
  • Healthcare Partners of NV — MCR: $49.35
  • Molina — MCD: $58.17
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Non-Facility Colon and Rectal Surgery $743 $743 $681.11
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • Aetna — Commercial: $438.29
  • Aetna — MCR: $187.80
  • Alignment Health Plan — MCR: $187.80
  • Anthem — Commercial: $190.50
  • Anthem — MCR: $187.80
  • Anthem — MGMCD: $269.83
  • CareMore — MCR: $197.19
  • CIGNA — Commercial: $243.65
  • Culinary Health Fund — COMM: $681.11
  • Health Plan Nevada — MCD: $269.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Facility Neurology $743 $743 $225.36 – $595.15
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $438.29
  • Aetna — MCR: $187.80
  • Alignment Health Plan — MCR: $187.80
  • Anthem — MCR: $187.80
  • Anthem — MGMCD: $269.83
  • CareMore — MCR: $197.19
  • CIGNA — Commercial: $243.65
  • Culinary Health Fund — COMM: $595.15
  • Health Plan Nevada — MCD: $269.83
  • Healthcare Partners of NV — Commercial: $184.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L-SPINE W/O CONT $9,140 $9,140 $1,910.26 – $7,312
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Centene — HIX: $1,919.40
  • CMN Global — COMM: $3,838.80
  • First Health — COMM: $6,032.40
  • First Health — WC: $7,312
  • MedCare International — COMM: $6,855
  • MultiPlan — COMPLEMENTARY: $6,672.20
  • MultiPlan — INTERNATIONAL: $5,758.20
  • MultiPlan — PRIMARY: $5,758.20
  • NV Health & Welfare Trust — COMM: $5,484
  • Olympus MedSave USA — COMM: $6,855
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Computed tomography, pelvis; with contrast material(s) Facility $864 $864 $163.99 – $361.13
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $361.13
  • Aetna — MCR: $222.84
  • Alignment Health Plan — MCR: $222.84
  • Anthem — MCR: $222.84
  • Anthem — MGMCD: $261.29
  • CareMore — MCR: $233.98
  • Health Plan Nevada — MCD: $261.29
  • Healthcare Partners of NV — Commercial: $218.38
  • Healthcare Partners of NV — MCR: $218.38
  • Molina — MCD: $274.35
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST $10,804 $10,804 $2,258.04 – $8,643.20
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Centene — HIX: $2,268.84
  • CMN Global — COMM: $4,537.68
  • First Health — COMM: $7,130.64
  • First Health — WC: $8,643.20
  • MedCare International — COMM: $8,103
  • MultiPlan — COMPLEMENTARY: $7,886.92
  • MultiPlan — INTERNATIONAL: $6,806.52
  • MultiPlan — PRIMARY: $6,806.52
  • NV Health & Welfare Trust — COMM: $6,482.40
  • Olympus MedSave USA — COMM: $8,103
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Computed tomography, pelvis; with contrast material(s) Non-Facility $864 $864 $163.99 – $361.13
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $361.13
  • Aetna — MCR: $222.84
  • Alignment Health Plan — MCR: $222.84
  • Anthem — MCR: $222.84
  • Anthem — MGMCD: $261.29
  • CareMore — MCR: $233.98
  • Health Plan Nevada — MCD: $261.29
  • Healthcare Partners of NV — Commercial: $218.38
  • Healthcare Partners of NV — MCR: $218.38
  • Molina — MCD: $274.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Non-Facility Neurosurgery $788 $788 $752.77
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • Aetna — Commercial: $462.18
  • Aetna — MCR: $199.77
  • Alignment Health Plan — MCR: $199.77
  • Anthem — Commercial: $200.98
  • Anthem — MCR: $199.77
  • Anthem — MGMCD: $282.79
  • CareMore — MCR: $209.76
  • CIGNA — Commercial: $256.29
  • Culinary Health Fund — COMM: $752.77
  • Health Plan Nevada — MCD: $282.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Facility PCP and Mid-Levels $788 $788 $449.67
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $462.18
  • Aetna — MCR: $199.77
  • Alignment Health Plan — MCR: $199.77
  • Anthem — MCR: $199.77
  • Anthem — MGMCD: $282.79
  • CareMore — MCR: $209.76
  • CIGNA — Commercial: $256.29
  • Culinary Health Fund — COMM: $503.71
  • Health Plan Nevada — MCD: $282.79
  • Healthcare Partners of NV — Commercial: $195.78
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Not listed in the file Not listed in the file $399.50 – $517.79
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Aetna — HMO: $1,292
  • Aetna — PPO: $1,292
  • Anthem — HIX: $214.35
  • Anthem — HMO: $214.35
  • Anthem — Pathway: $214.35
  • Anthem — PPO: $267.94
  • Centene — MCD: $282.80
  • CIGNA — OAP: $325.06
  • CorVel — WORKERSCOMP: $2,259.76
  • Olympus MedSave USA — WCOMP: $2,378.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) Non-Facility $1,202 $1,202 $217.23 – $504.55
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $504.55
  • Aetna — MCR: $296.66
  • Alignment Health Plan — MCR: $296.66
  • Anthem — MCR: $296.66
  • Anthem — MGMCD: $359.22
  • CareMore — MCR: $311.49
  • Health Plan Nevada — MCD: $359.22
  • Healthcare Partners of NV — Commercial: $290.73
  • Healthcare Partners of NV — MCR: $290.73
  • Molina — MCD: $377.18
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) Facility $1,202 $1,202 $217.23 – $504.55
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $504.55
  • Aetna — MCR: $296.66
  • Alignment Health Plan — MCR: $296.66
  • Anthem — MCR: $296.66
  • Anthem — MGMCD: $359.22
  • CareMore — MCR: $311.49
  • Health Plan Nevada — MCD: $359.22
  • Healthcare Partners of NV — Commercial: $290.73
  • Healthcare Partners of NV — MCR: $290.73
  • Molina — MCD: $377.18
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD&PELVIS W/CONT $22,398 $22,398 $4,681.18 – $17,918.40
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Centene — HIX: $4,703.58
  • CMN Global — COMM: $9,407.16
  • First Health — COMM: $14,782.68
  • First Health — WC: $17,918.40
  • MedCare International — COMM: $16,798.50
  • MultiPlan — COMPLEMENTARY: $16,350.54
  • MultiPlan — INTERNATIONAL: $14,110.74
  • MultiPlan — PRIMARY: $14,110.74
  • NV Health & Welfare Trust — COMM: $13,438.80
  • Olympus MedSave USA — COMM: $16,798.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ultrasound, abdominal, real time with image documentation; complete Non-Facility Critical Care Intensivists $438 $438 $268
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates
  • Aetna — Commercial: $156.18
  • Aetna — MCR: $111.62
  • Alignment Health Plan — MCR: $111.62
  • Anthem — Commercial: $112.08
  • Anthem — MCR: $111.62
  • Anthem — MGMCD: $156.79
  • CareMore — MCR: $117.20
  • CIGNA — Commercial: $138.19
  • Culinary Health Fund — COMM: $134.76
  • Health Plan Nevada — MCD: $156.79
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Ultrasound, abdominal, real time with image documentation; complete Facility $438 $438 $81.11 – $164.63
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Aetna — Commercial: $156.18
  • Aetna — MCR: $111.62
  • Alignment Health Plan — MCR: $111.62
  • Anthem — MCR: $111.62
  • Anthem — MGMCD: $156.79
  • CareMore — MCR: $117.20
  • Health Plan Nevada — MCD: $156.79
  • Healthcare Partners of NV — Commercial: $109.38
  • Healthcare Partners of NV — MCR: $109.38
  • Molina — MCD: $164.63
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $4,801 $4,801 $1,003.41 – $3,840.80
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Centene — HIX: $1,008.21
  • CMN Global — COMM: $2,016.42
  • First Health — COMM: $3,168.66
  • First Health — WC: $3,840.80
  • MedCare International — COMM: $3,600.75
  • MultiPlan — COMPLEMENTARY: $3,504.73
  • MultiPlan — INTERNATIONAL: $3,024.63
  • MultiPlan — PRIMARY: $3,024.63
  • NV Health & Welfare Trust — COMM: $2,880.60
  • Olympus MedSave USA — COMM: $3,600.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day $502 $502 $140.41 – $155.68
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates
  • Aetna — Commercial: $179.09
  • Aetna — MCR: $129.73
  • Alignment Health Plan — MCR: $129.73
  • Anthem — Commercial: $128.59
  • Anthem — MCR: $129.73
  • Anthem — MGMCD: $161.95
  • CareMore — MCR: $136.22
  • CIGNA — Commercial: $157.28
  • Culinary Health Fund — COMM: $140.41
  • Health Plan Nevada — MCD: $161.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day $502 $502 $162.16
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • Aetna — Commercial: $179.09
  • Aetna — MCR: $129.73
  • Alignment Health Plan — MCR: $129.73
  • Anthem — MCR: $129.73
  • Anthem — MGMCD: $161.95
  • CareMore — MCR: $136.22
  • CIGNA — Commercial: $157.28
  • Culinary Health Fund — COMM: $151.59
  • Health Plan Nevada — MCD: $161.95
  • Healthcare Partners of NV — Commercial: $127.14
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREG AFTER 1ST TRI $3,310 $3,310 $691.79 – $2,648
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Centene — HIX: $695.10
  • CMN Global — COMM: $1,390.20
  • First Health — COMM: $2,184.60
  • First Health — WC: $2,648
  • MedCare International — COMM: $2,482.50
  • MultiPlan — COMPLEMENTARY: $2,416.30
  • MultiPlan — INTERNATIONAL: $2,085.30
  • MultiPlan — PRIMARY: $2,085.30
  • NV Health & Welfare Trust — COMM: $1,986
  • Olympus MedSave USA — COMM: $2,482.50
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Ultrasound, transvaginal Facility $451 $451 $83.24 – $160.59
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — Commercial: $159.68
  • Aetna — MCR: $113.93
  • Alignment Health Plan — MCR: $113.93
  • Anthem — MCR: $113.93
  • Anthem — MGMCD: $140.34
  • CareMore — MCR: $119.63
  • Health Plan Nevada — MCD: $140.34
  • Healthcare Partners of NV — Commercial: $111.65
  • Healthcare Partners of NV — MCR: $111.65
  • Molina — MCD: $147.36
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $523 $523 $109.31 – $418.40
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Centene — HIX: $109.83
  • CMN Global — COMM: $219.66
  • First Health — COMM: $345.18
  • First Health — WC: $418.40
  • MedCare International — COMM: $392.25
  • MultiPlan — COMPLEMENTARY: $381.79
  • MultiPlan — INTERNATIONAL: $329.49
  • MultiPlan — PRIMARY: $329.49
  • NV Health & Welfare Trust — COMM: $313.80
  • Olympus MedSave USA — COMM: $392.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ultrasound, transvaginal Non-Facility $451 $451 $83.24 – $160.59
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — Commercial: $159.68
  • Aetna — MCR: $113.93
  • Alignment Health Plan — MCR: $113.93
  • Anthem — MCR: $113.93
  • Anthem — MGMCD: $140.34
  • CareMore — MCR: $119.63
  • Health Plan Nevada — MCD: $140.34
  • Healthcare Partners of NV — Commercial: $111.65
  • Healthcare Partners of NV — MCR: $111.65
  • Molina — MCD: $147.36
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Non-Facility Trauma Critical Care $468 $468 $150.50
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • Aetna — Commercial: $166.29
  • Aetna — MCR: $121.64
  • Alignment Health Plan — MCR: $121.64
  • Anthem — Commercial: $119.38
  • Anthem — MCR: $121.64
  • Anthem — MGMCD: $145.80
  • CareMore — MCR: $127.73
  • CIGNA — Commercial: $150.50
  • Culinary Health Fund — COMM: $182.47
  • Health Plan Nevada — MCD: $145.80
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Facility $468 $468 $87.43 – $167.25
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $166.29
  • Aetna — MCR: $121.64
  • Alignment Health Plan — MCR: $121.64
  • Anthem — MCR: $121.64
  • Anthem — MGMCD: $145.80
  • CareMore — MCR: $127.73
  • CIGNA — Commercial: $150.50
  • Culinary Health Fund — COMM: $182.47
  • Health Plan Nevada — MCD: $145.80
  • Healthcare Partners of NV — Commercial: $119.21
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Not listed in the file Not listed in the file $129.91 – $162.39
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
  • Aetna — HMO: $185.83
  • Aetna — MCR: $12.93
  • Aetna — PPO: $185.83
  • Alignment Health Plan — MCR: $86.20
  • Anthem — HIX: $129.91
  • Anthem — HMO: $129.91
  • Anthem — Pathway: $129.91
  • Anthem — PPO: $162.39
  • CareMore — MCR: $87.92
  • Centene — MCD: $145.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $1,719 $1,719 $164.57 – $263
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
  • Aetna — HMO: $236.81
  • Aetna — MCR: $16.58
  • Aetna — PPO: $236.81
  • Alignment Health Plan — MCR: $110.56
  • Anthem — HIX: $164.57
  • Anthem — HMO: $164.57
  • Anthem — Pathway: $164.57
  • Anthem — PPO: $205.71
  • CareMore — MCR: $112.77
  • Centene — MCD: $184.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Non-Facility ICC $1,719 $1,719 $150.81
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Commercial: $210.02
  • Aetna — MCR: $153.34
  • Alignment Health Plan — MCR: $153.34
  • Anthem — Commercial: $150.81
  • Anthem — MCR: $153.34
  • Anthem — MGMCD: $184.30
  • CareMore — MCR: $161.01
  • CIGNA — Commercial: $189.43
  • Culinary Health Fund — COMM: $230.01
  • Health Plan Nevada — MCD: $184.30
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Facility MD DO $591 $591 $189.43
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • Aetna — Commercial: $210.02
  • Aetna — MCR: $153.34
  • Alignment Health Plan — MCR: $153.34
  • Anthem — MCR: $153.34
  • Anthem — MGMCD: $184.30
  • CareMore — MCR: $161.01
  • CIGNA — Commercial: $189.43
  • Culinary Health Fund — COMM: $230.01
  • Health Plan Nevada — MCD: $184.30
  • Healthcare Partners of NV — Commercial: $150.28
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $1,552 $1,552 $132.58 – $217.46
Screening mammogram, both breasts: 10 of 27 insurance plan rates
  • Aetna — HMO: $195.74
  • Aetna — MCR: $13.68
  • Aetna — PPO: $195.74
  • Alignment Health Plan — MCR: $91.22
  • Anthem — HIX: $132.58
  • Anthem — HMO: $132.58
  • Anthem — Pathway: $132.58
  • Anthem — PPO: $165.73
  • CareMore — MCR: $93.04
  • Centene — MCD: $148.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Non-Facility Special $1,552 $1,552 $121.60
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Commercial: $169.36
  • Aetna — MCR: $124.28
  • Alignment Health Plan — MCR: $124.28
  • Anthem — Commercial: $121.60
  • Anthem — MCR: $124.28
  • Anthem — MGMCD: $148.55
  • CareMore — MCR: $130.50
  • CIGNA — Commercial: $153.67
  • Culinary Health Fund — COMM: $186.42
  • Health Plan Nevada — MCD: $148.55
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Facility Critical Ca $478 $478 $293.92
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • Aetna — Commercial: $169.36
  • Aetna — MCR: $124.28
  • Alignment Health Plan — MCR: $124.28
  • Anthem — MCR: $124.28
  • Anthem — MGMCD: $148.55
  • CareMore — MCR: $130.50
  • CIGNA — Commercial: $153.67
  • Culinary Health Fund — COMM: $186.42
  • Health Plan Nevada — MCD: $148.55
  • Healthcare Partners of NV — Commercial: $121.80

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Non-Facility Colon and Rectal Surgery $51 $51 $36.11
Electrocardiogram (ECG/EKG) with reading: 10 of 20 insurance plan rates
  • Aetna — Commercial: $19.40
  • Aetna — MCR: $13.81
  • Alignment Health Plan — MCR: $13.81
  • Anthem — Commercial: $19.74
  • Anthem — MCR: $13.81
  • Anthem — MGMCD: $15.59
  • CareMore — MCR: $14.50
  • CIGNA — Commercial: $26.16
  • Culinary Health Fund — COMM: $36.11
  • Health Plan Nevada — MCD: $15.59
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Facility Trauma Critical Care $51 $51 $34.88
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • Aetna — Commercial: $19.40
  • Aetna — MCR: $13.81
  • Alignment Health Plan — MCR: $13.81
  • Anthem — MCR: $13.81
  • Anthem — MGMCD: $15.59
  • CareMore — MCR: $14.50
  • CIGNA — Commercial: $34.88
  • Culinary Health Fund — COMM: $43.60
  • Health Plan Nevada — MCD: $15.59
  • Healthcare Partners of NV — Commercial: $13.53
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Not listed in the file Not listed in the file $15.44
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Aetna — HMO: $31.25
  • Aetna — PPO: $31.25
  • CareSource — MGMCD: $15.44
  • Centene — MCD: $15.59
  • Community Care Health — MGMCD: $14.85
  • CorVel — WORKERSCOMP: $101.52
  • Health Net — Tricare: $12.97
  • Molina Healthcare — MCD: $15.44
  • Olympus MedSave USA — WCOMP: $106.86
  • Sierra HPN — MCD: $14.85
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe $3,509 $3,509 $1,879.34
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates
  • Aetna — Commercial: $1,282.88
  • Aetna — MCR: $825.62
  • Alignment Health Plan — MCR: $825.62
  • Anthem — Commercial: $1,848.72
  • Anthem — MCR: $825.62
  • Anthem — MGMCD: $828.35
  • CareMore — MCR: $866.90
  • CIGNA — Commercial: $1,879.34
  • Culinary Health Fund — COMM: $952.30
  • Health Plan Nevada — MCD: $828.35
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe $3,509 $3,509 $952.30
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,282.88
  • Aetna — MCR: $825.62
  • Alignment Health Plan — MCR: $825.62
  • Anthem — MCR: $825.62
  • Anthem — MGMCD: $828.35
  • CareMore — MCR: $866.90
  • CIGNA — Commercial: $1,879.34
  • Culinary Health Fund — COMM: $952.30
  • Health Plan Nevada — MCD: $828.35
  • Healthcare Partners of NV — Commercial: $809.11
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe Not listed in the file Not listed in the file $6,741 – $12,125
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates
  • Aetna — HMO: $6,741
  • Aetna — PPO: $6,741
  • Anthem — HIX: $7,580
  • Anthem — HMO: $7,580
  • Anthem — Pathway: $7,580
  • Anthem — PPO: $9,475
  • Centene — HIX: $4,115
  • CIGNA — OAP: $25,832
  • CorVel — WORKERSCOMP: $1,530.56
  • Health Services Coalition — COMM: $8,597
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor $37,650 $37,650 $13,432 – $20,767
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates
  • Aetna — HMO: $27,000
  • Aetna — PPO: $27,000
  • Anthem — HIX: $16,614
  • Anthem — HMO: $16,614
  • Anthem — Pathway: $16,614
  • Anthem — PPO: $20,767
  • Centene — HIX: $8,600
  • CIGNA — OAP: $27,602
  • CorVel — WORKERSCOMP: $976.13
  • Health Services Coalition — COMM: $25,723
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP W/O ARRHYTHMIA $37,650 $37,650 $7,868.85 – $30,120
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • CMN Global — COMM: $15,813
  • First Health — WC: $30,120
  • Hometown Health Providers — HMO/PPO/POS: $18,825
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $18,825
  • MedCare International — COMM: $28,237.50
  • MultiPlan — COMPLEMENTARY: $27,484.50
  • MultiPlan — INTERNATIONAL: $23,719.50
  • NV Health & Welfare Trust — COMM: $22,590
  • Olympus MedSave USA — COMM: $28,237.50
  • Select Health — COMM: $8,678.33
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor $37,650 $37,650 $1,089.90
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
  • Aetna — Commercial: $935.54
  • Anthem — Commercial: $965.75
  • Anthem — MGMCD: $614.19
  • CIGNA — Commercial: $1,089.90
  • Culinary Health Fund — COMM: $736.11
  • Health Plan Nevada — MCD: $614.19
  • Molina — MCD: $644.90
  • Silver Summit — MGMCD: $644.90
  • United — Commercial: $1,007.92
  • United — MGMCR: $386.61
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, $57,648 $57,648 $1,048.40 – $21,728
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates
  • Aetna — HMO: $27,000
  • Aetna — PPO: $27,000
  • Anthem — HIX: $14,769
  • Anthem — HMO: $14,769
  • Anthem — Pathway: $14,769
  • Anthem — PPO: $18,462
  • CareSource — MGMCD: $1,048.40
  • Centene — HIX: $8,600
  • CIGNA — OAP: $55,580
  • Community Care Health — MGMCD: $1,008.08
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, $3,871 $3,871 $1,096.77
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates
  • Aetna — Commercial: $1,567.04
  • Aetna — MCR: $877.42
  • Alignment Health Plan — MCR: $877.42
  • Anthem — Commercial: $1,588.32
  • Anthem — MCR: $877.42
  • Anthem — MGMCD: $1,058.48
  • CareMore — MCR: $921.29
  • CIGNA — Commercial: $1,800.97
  • Culinary Health Fund — COMM: $1,316.13
  • Health Plan Nevada — MCD: $1,058.48
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, $3,871 $3,871 $1,009.03 – $1,827.29
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,567.04
  • Aetna — MCR: $877.42
  • Alignment Health Plan — MCR: $877.42
  • Anthem — MCR: $877.42
  • Anthem — MGMCD: $1,058.48
  • CareMore — MCR: $921.29
  • CIGNA — Commercial: $2,401.29
  • Culinary Health Fund — COMM: $1,316.13
  • Health Plan Nevada — MCD: $1,058.48
  • Healthcare Partners of NV — Commercial: $859.87
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist Non-Facility $2,260 $2,260 $549.61
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates
  • Aetna — Commercial: $818.41
  • Aetna — MCR: $607.23
  • Alignment Health Plan — MCR: $607.23
  • Anthem — Commercial: $621.94
  • Anthem — MCR: $607.23
  • Anthem — MGMCD: $580.91
  • CareMore — MCR: $637.59
  • CIGNA — Commercial: $840.24
  • Culinary Health Fund — COMM: $549.61
  • Health Plan Nevada — MCD: $580.91
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist Facility Neur $2,260 $2,260 $583.45
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
  • Aetna — Commercial: $818.41
  • Aetna — MCR: $607.23
  • Alignment Health Plan — MCR: $607.23
  • Anthem — MCR: $607.23
  • Anthem — MGMCD: $580.91
  • CareMore — MCR: $637.59
  • CIGNA — Commercial: $933.60
  • Culinary Health Fund — COMM: $583.45
  • Health Plan Nevada — MCD: $580.91
  • Healthcare Partners of NV — Commercial: $595.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist Not listed in the file Not listed in the file $2,928
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates
  • Aetna — HMO: $1,060.86
  • Aetna — PPO: $1,060.86
  • Anthem — HIX: $3,140
  • Anthem — HMO: $3,140
  • Anthem — Pathway: $3,140
  • Anthem — PPO: $3,925
  • Centene — MCD: $580.91
  • CorVel — WORKERSCOMP: $741.85
  • Health Services Coalition — COMM: $2,928
  • Hometown Health Providers — HMO/PPO/POS: $3,740

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $104 $104 $19.52
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $33.88
  • Aetna — MCR: $28.74
  • Alignment Health Plan — MCR: $28.74
  • Anthem — Commercial: $57.52
  • Anthem — MCR: $28.74
  • Anthem — MGMCD: $29.59
  • CareMore — MCR: $30.17
  • CIGNA — Commercial: $25.25
  • Culinary Health Fund — COMM: $19.52
  • Health Plan Nevada — MCD: $29.59
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $104 $104 $22.08
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Aetna — Commercial: $33.88
  • Aetna — MCR: $28.74
  • Alignment Health Plan — MCR: $28.74
  • Anthem — MCR: $28.74
  • Anthem — MGMCD: $29.59
  • CareMore — MCR: $30.17
  • CIGNA — Commercial: $25.25
  • Culinary Health Fund — COMM: $22.08
  • Health Plan Nevada — MCD: $29.59
  • Healthcare Partners of NV — Commercial: $28.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib Not listed in the file Not listed in the file $29.32
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 23 insurance plan rates
  • Aetna — HMO: $54.56
  • Aetna — MCR: $4.35
  • Aetna — PPO: $54.56
  • Alignment Health Plan — MCR: $29.02
  • CareMore — MCR: $29.60
  • CareSource — MGMCD: $29.32
  • Centene — MCD: $29.60
  • Centene — MCR: $29.02
  • Community Care Health — MGMCD: $28.19
  • CorVel — WORKERSCOMP: $65.08
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact $352 $352 $112.48 – $193.40
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • Aetna — Commercial: $115.31
  • Aetna — MCR: $97.81
  • Alignment Health Plan — MCR: $97.81
  • Anthem — Commercial: $143.08
  • Anthem — MCR: $97.81
  • Anthem — MGMCD: $73.94
  • CareMore — MCR: $102.70
  • CIGNA — Commercial: $70.48
  • Culinary Health Fund — COMM: $146.71
  • Health Plan Nevada — MCD: $73.94
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact $352 $352 $122.26
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Aetna — Commercial: $115.31
  • Aetna — MCR: $97.81
  • Alignment Health Plan — MCR: $97.81
  • Anthem — MCR: $97.81
  • Anthem — MGMCD: $73.94
  • CareMore — MCR: $102.70
  • CIGNA — Commercial: $70.48
  • Culinary Health Fund — COMM: $146.71
  • Health Plan Nevada — MCD: $73.94
  • Healthcare Partners of NV — Commercial: $95.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact Not listed in the file Not listed in the file $73.37
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates
  • Aetna — HMO: $185.72
  • Aetna — MCR: $14.68
  • Aetna — PPO: $185.72
  • Alignment Health Plan — MCR: $97.85
  • CareMore — MCR: $99.81
  • CareSource — MGMCD: $73.37
  • Centene — MCD: $74.08
  • Centene — MCR: $97.85
  • Community Care Health — MGMCD: $70.55
  • CorVel — WORKERSCOMP: $65.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or $352 $352 $70.48
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
  • Aetna — Commercial: $115.31
  • Aetna — MCR: $97.81
  • Alignment Health Plan — MCR: $97.81
  • Anthem — Commercial: $195.72
  • Anthem — MCR: $97.81
  • Anthem — MGMCD: $73.94
  • CareMore — MCR: $102.70
  • CIGNA — Commercial: $70.48
  • Culinary Health Fund — COMM: $146.71
  • Health Plan Nevada — MCD: $73.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or $352 $352 $70.48
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Aetna — Commercial: $115.31
  • Aetna — MCR: $97.81
  • Alignment Health Plan — MCR: $97.81
  • Anthem — MCR: $97.81
  • Anthem — MGMCD: $73.94
  • CareMore — MCR: $102.70
  • CIGNA — Commercial: $70.48
  • Culinary Health Fund — COMM: $146.71
  • Health Plan Nevada — MCD: $73.94
  • Healthcare Partners of NV — Commercial: $95.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or Not listed in the file Not listed in the file $73.37
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates
  • Aetna — HMO: $185.72
  • Aetna — MCR: $14.68
  • Aetna — PPO: $185.72
  • Alignment Health Plan — MCR: $97.85
  • CareMore — MCR: $99.81
  • CareSource — MGMCD: $73.37
  • Centene — MCD: $74.08
  • Centene — MCR: $97.85
  • Community Care Health — MGMCD: $70.55
  • CorVel — WORKERSCOMP: $104.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o $352 $352 $70.48
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
  • Aetna — Commercial: $115.31
  • Aetna — MCR: $97.81
  • Alignment Health Plan — MCR: $97.81
  • Anthem — Commercial: $143.08
  • Anthem — MCR: $97.81
  • Anthem — MGMCD: $73.94
  • CareMore — MCR: $102.70
  • CIGNA — Commercial: $70.48
  • Culinary Health Fund — COMM: $146.71
  • Health Plan Nevada — MCD: $73.94
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o $352 $352 $146.71
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Aetna — Commercial: $115.31
  • Aetna — MCR: $97.81
  • Alignment Health Plan — MCR: $97.81
  • Anthem — MCR: $97.81
  • Anthem — MGMCD: $73.94
  • CareMore — MCR: $102.70
  • CIGNA — Commercial: $70.48
  • Culinary Health Fund — COMM: $146.71
  • Health Plan Nevada — MCD: $73.94
  • Healthcare Partners of NV — Commercial: $95.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o Not listed in the file Not listed in the file $73.37
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates
  • Aetna — HMO: $185.72
  • Aetna — MCR: $14.68
  • Aetna — PPO: $185.72
  • Alignment Health Plan — MCR: $97.85
  • CareMore — MCR: $99.81
  • CareSource — MGMCD: $73.37
  • Centene — MCD: $74.08
  • Centene — MCR: $97.85
  • Community Care Health — MGMCD: $70.55
  • CorVel — WORKERSCOMP: $208.24
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Psychotherapy, 30 minutes with patient Facility $224 $224 $58.56 – $96.60
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
  • Aetna — Commercial: $96.60
  • Aetna — MCR: $68.70
  • Alignment Health Plan — MCR: $68.70
  • Anthem — MCR: $68.70
  • Anthem — MGMCD: $58.56
  • CareMore — MCR: $72.13
  • Health Plan Nevada — MCD: $58.56
  • Healthcare Partners of NV — Commercial: $67.32
  • Healthcare Partners of NV — MCR: $67.32
  • Molina — MCD: $61.49
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 30 minutes with patient Non-Facility $258 $258 $58.56 – $100.97
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
  • Aetna — Commercial: $96.60
  • Aetna — MCR: $78.72
  • Alignment Health Plan — MCR: $78.72
  • Anthem — MCR: $78.72
  • Anthem — MGMCD: $58.56
  • CareMore — MCR: $82.66
  • Health Plan Nevada — MCD: $58.56
  • Healthcare Partners of NV — Commercial: $77.15
  • Healthcare Partners of NV — MCR: $77.15
  • Molina — MCD: $61.49
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 30 minutes with patient Non-Facility PCP and Mid-Levels $258 $258 $158.97
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • Select Health — COMM: $158.97
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 45 minutes with patient Non-Facility $340 $340 $77.63 – $141.68
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
  • Aetna — Commercial: $141.68
  • Aetna — MCR: $103.90
  • Alignment Health Plan — MCR: $103.90
  • Anthem — MCR: $103.90
  • Anthem — MGMCD: $77.63
  • CareMore — MCR: $109.10
  • Health Plan Nevada — MCD: $77.63
  • Healthcare Partners of NV — Commercial: $101.83
  • Healthcare Partners of NV — MCR: $101.83
  • Molina — MCD: $81.51
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Psychotherapy, 45 minutes with patient Facility $295 $295 $77.63 – $141.68
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
  • Aetna — Commercial: $141.68
  • Aetna — MCR: $90.64
  • Alignment Health Plan — MCR: $90.64
  • Anthem — MCR: $90.64
  • Anthem — MGMCD: $77.63
  • CareMore — MCR: $95.17
  • Health Plan Nevada — MCD: $77.63
  • Healthcare Partners of NV — Commercial: $88.83
  • Healthcare Partners of NV — MCR: $88.83
  • Molina — MCD: $81.51
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 45 minutes with patient Non-Facility Specialists $340 $340 $143.56
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • Anthem — Commercial: $143.56
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Psychotherapy, 60 minutes with patient Facility $431 $431 $116.09 – $192.16
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
  • Aetna — Commercial: $192.16
  • Aetna — MCR: $134.16
  • Alignment Health Plan — MCR: $134.16
  • Anthem — MCR: $134.16
  • Anthem — MGMCD: $116.09
  • CareMore — MCR: $140.87
  • Health Plan Nevada — MCD: $116.09
  • Healthcare Partners of NV — Commercial: $131.47
  • Healthcare Partners of NV — MCR: $131.47
  • Molina — MCD: $121.89
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 60 minutes with patient Non-Facility $498 $498 $116.09 – $195.27
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
  • Aetna — Commercial: $192.16
  • Aetna — MCR: $153.89
  • Alignment Health Plan — MCR: $153.89
  • Anthem — MCR: $153.89
  • Anthem — MGMCD: $116.09
  • CareMore — MCR: $161.58
  • Health Plan Nevada — MCD: $116.09
  • Healthcare Partners of NV — Commercial: $150.81
  • Healthcare Partners of NV — MCR: $150.81
  • Molina — MCD: $121.89
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psychotherapy, 60 minutes with patient Non-Facility PCP and Mid-Levels $498 $498 $309.41
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • Select Health — COMM: $309.41
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family psychotherapy (without the patient present), 50 minutes Non-Facility $320 $320 $96.39 – $145.72
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
  • Aetna — Commercial: $145.72
  • Aetna — MCR: $98.35
  • Alignment Health Plan — MCR: $98.35
  • Anthem — MCR: $98.35
  • Anthem — MGMCD: $97.02
  • CareMore — MCR: $103.27
  • Health Plan Nevada — MCD: $97.02
  • Healthcare Partners of NV — Commercial: $96.39
  • Healthcare Partners of NV — MCR: $96.39
  • Molina — MCD: $101.87
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Family psychotherapy (without the patient present), 50 minutes Facility $318 $318 $96.07 – $145.72
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
  • Aetna — Commercial: $145.72
  • Aetna — MCR: $98.03
  • Alignment Health Plan — MCR: $98.03
  • Anthem — MCR: $98.03
  • Anthem — MGMCD: $97.02
  • CareMore — MCR: $102.93
  • Health Plan Nevada — MCD: $97.02
  • Healthcare Partners of NV — Commercial: $96.07
  • Healthcare Partners of NV — MCR: $96.07
  • Molina — MCD: $101.87
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family psychotherapy (without the patient present), 50 minutes Non-Facility Wound Care $320 $320 $147.53
Family psychotherapy, without the patient: rates for 1 insurance plan
  • Culinary Health Fund — COMM: $147.53
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes Non-Facility Hospitalists - Internal Medicine Critical Care $331 $331 $179.48
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna — Commercial: $145.72
  • Aetna — MCR: $102.56
  • Alignment Health Plan — MCR: $102.56
  • Anthem — Commercial: $142.11
  • Anthem — MCR: $102.56
  • Anthem — MGMCD: $97.02
  • CareMore — MCR: $107.69
  • CIGNA — Commercial: $215.94
  • Culinary Health Fund — COMM: $153.84
  • Health Plan Nevada — MCD: $97.02
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes Facility Cardiovascular Thoracic Surgery $330 $330 $127.79
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna — Commercial: $145.72
  • Aetna — MCR: $102.24
  • Alignment Health Plan — MCR: $102.24
  • Anthem — Commercial: $137.71
  • Anthem — MCR: $102.24
  • Anthem — MGMCD: $97.02
  • CareMore — MCR: $107.35
  • CIGNA — Commercial: $145.27
  • Culinary Health Fund — COMM: $153.35
  • Health Plan Nevada — MCD: $97.02
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes Not listed in the file Not listed in the file $95.43
Family psychotherapy, with the patient: rates for 8 insurance plans
  • CareSource — MGMCD: $95.43
  • Centene — MCD: $96.35
  • Community Care Health — MGMCD: $91.76
  • CorVel — WORKERSCOMP: $163.99
  • Molina Healthcare — MCD: $95.43
  • Olympus MedSave USA — WCOMP: $172.62
  • Sierra HPN — MCD: $91.76
  • United — MGMCD: $96.88
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Group psychotherapy (other than of a multiple-family group) Facility $78 $78 $23.68 – $80.96
Group psychotherapy: 10 of 15 insurance plan rates
  • Aetna — Commercial: $80.96
  • Aetna — MCR: $24.16
  • Alignment Health Plan — MCR: $24.16
  • Anthem — MCR: $24.16
  • Anthem — MGMCD: $23.98
  • CareMore — MCR: $25.37
  • Health Plan Nevada — MCD: $23.98
  • Healthcare Partners of NV — Commercial: $23.68
  • Healthcare Partners of NV — MCR: $23.68
  • Molina — MCD: $25.18
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Group psychotherapy (other than of a multiple-family group) Non-Facility $91 $91 $23.98 – $80.96
Group psychotherapy: 10 of 15 insurance plan rates
  • Aetna — Commercial: $80.96
  • Aetna — MCR: $28.04
  • Alignment Health Plan — MCR: $28.04
  • Anthem — MCR: $28.04
  • Anthem — MGMCD: $23.98
  • CareMore — MCR: $29.44
  • Health Plan Nevada — MCD: $23.98
  • Healthcare Partners of NV — Commercial: $27.48
  • Healthcare Partners of NV — MCR: $27.48
  • Molina — MCD: $25.18
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy (other than of a multiple-family group) Not listed in the file Not listed in the file $23.10
Group psychotherapy: rates for 8 insurance plans
  • CareSource — MGMCD: $23.10
  • Centene — MCD: $23.32
  • Community Care Health — MGMCD: $22.21
  • CorVel — WORKERSCOMP: $44.25
  • Molina Healthcare — MCD: $23.10
  • Olympus MedSave USA — WCOMP: $46.58
  • Sierra HPN — MCD: $22.21
  • United — MGMCD: $54.28

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 $1,492 $1,492 $466.18 – $816.49
Removal of breast growth (open surgery): 10 of 20 insurance plan rates
  • Aetna — Commercial: $641.15
  • Aetna — MCR: $405.37
  • Alignment Health Plan — MCR: $405.37
  • Anthem — Commercial: $584.24
  • Anthem — MCR: $405.37
  • Anthem — MGMCD: $495.79
  • CareMore — MCR: $425.64
  • CIGNA — Commercial: $594.61
  • Culinary Health Fund — COMM: $480.66
  • Health Plan Nevada — MCD: $495.79
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 $1,891 $1,891 $1,120.90
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — Commercial: $517.08
  • Aetna — MCR: $503.06
  • Alignment Health Plan — MCR: $503.06
  • Anthem — Commercial: $751.14
  • Anthem — MCR: $503.06
  • Anthem — MGMCD: $431.12
  • CareMore — MCR: $528.21
  • CIGNA — Commercial: $1,062.79
  • Culinary Health Fund — COMM: $419.42
  • Healthcare Partners of NV — Commercial: $493
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 Not listed in the file Not listed in the file $1,005.72 – $6,752
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • Aetna — HMO: $2,599
  • Aetna — PPO: $2,599
  • Anthem — HIX: $3,671
  • Anthem — HMO: $3,671
  • Anthem — Pathway: $3,671
  • Anthem — PPO: $4,589
  • CareSource — MGMCD: $1,005.72
  • Centene — HIX: $3,076
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $967.04
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Facili $4,533 $4,533 $1,940.42
Total hip replacement: 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,630.58
  • Aetna — MCR: $1,239.12
  • Alignment Health Plan — MCR: $1,239.12
  • Anthem — MCR: $1,239.12
  • Anthem — MGMCD: $1,435.25
  • CareMore — MCR: $1,301.07
  • CIGNA — Commercial: $1,940.42
  • Culinary Health Fund — COMM: $2,585.77
  • Health Plan Nevada — MCD: $1,435.25
  • Healthcare Partners of NV — Commercial: $1,214.33
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Non-Fa $4,533 $4,533 $2,156.02
Total hip replacement: 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,630.58
  • Aetna — MCR: $1,239.12
  • Alignment Health Plan — MCR: $1,239.12
  • Anthem — Commercial: $2,513.88
  • Anthem — MCR: $1,239.12
  • Anthem — MGMCD: $1,650.54
  • CareMore — MCR: $1,301.07
  • CIGNA — Commercial: $2,156.02
  • Culinary Health Fund — COMM: $3,069.87
  • Healthcare Partners of NV — Commercial: $1,214.33
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Not listed in the file Not listed in the file $6,752
Total hip replacement: 10 of 25 insurance plan rates
  • Aetna — HMO: $3,959
  • Aetna — PPO: $3,959
  • Anthem — HIX: $19,061
  • Anthem — HMO: $19,061
  • Anthem — Pathway: $19,061
  • Anthem — PPO: $23,826
  • CareSource — MGMCD: $1,346.76
  • Centene — HIX: $2,626
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $1,294.96
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Non-F $4,528 $4,528 $2,284.75
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,628.79
  • Aetna — MCR: $1,237.55
  • Alignment Health Plan — MCR: $1,237.55
  • Anthem — Commercial: $2,511.24
  • Anthem — MCR: $1,237.55
  • Anthem — MGMCD: $1,649.64
  • CareMore — MCR: $1,299.43
  • CIGNA — Commercial: $2,870.90
  • Culinary Health Fund — COMM: $2,284.75
  • Healthcare Partners of NV — Commercial: $1,212.80
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Facil $4,528 $4,528 $2,284.75
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,628.79
  • Aetna — MCR: $1,237.55
  • Alignment Health Plan — MCR: $1,237.55
  • Anthem — MCR: $1,237.55
  • Anthem — MGMCD: $1,434.47
  • CareMore — MCR: $1,299.43
  • CIGNA — Commercial: $1,937.86
  • Culinary Health Fund — COMM: $2,284.75
  • Health Plan Nevada — MCD: $1,434.47
  • Healthcare Partners of NV — Commercial: $1,212.80
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Not listed in the file Not listed in the file $2,626 – $24,082
Total knee replacement: 10 of 25 insurance plan rates
  • Aetna — HMO: $3,959
  • Aetna — PPO: $3,959
  • Anthem — HIX: $19,266
  • Anthem — HMO: $19,266
  • Anthem — Pathway: $19,266
  • Anthem — PPO: $24,082
  • CareSource — MGMCD: $1,346.03
  • Centene — HIX: $2,626
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $1,294.26
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele $602 $602 $245.41
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • Aetna — Commercial: $219.70
  • Aetna — MCR: $163.61
  • Alignment Health Plan — MCR: $163.61
  • Anthem — MCR: $163.61
  • Anthem — MGMCD: $186.38
  • CareMore — MCR: $171.79
  • CIGNA — Commercial: $250.24
  • Culinary Health Fund — COMM: $245.41
  • Health Plan Nevada — MCD: $186.38
  • Healthcare Partners of NV — Commercial: $160.34
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele $602 $602 $245.41
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • Aetna — Commercial: $219.70
  • Aetna — MCR: $163.61
  • Alignment Health Plan — MCR: $163.61
  • Anthem — Commercial: $239.71
  • Anthem — MCR: $163.61
  • Anthem — MGMCD: $186.38
  • CareMore — MCR: $171.79
  • CIGNA — Commercial: $370.72
  • Culinary Health Fund — COMM: $245.41
  • Healthcare Partners of NV — Commercial: $160.34
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele Not listed in the file Not listed in the file $174.90 – $5,307
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates
  • Aetna — HMO: $2,599
  • Aetna — PPO: $2,599
  • CareSource — MGMCD: $174.90
  • Centene — HIX: $3,076
  • CIGNA — OAP: $8,768
  • Community Care Health — MGMCD: $168.17
  • CorVel — WORKERSCOMP: $1,738.16
  • Health Services Coalition — COMM: $7,156
  • Hometown Health Providers — HMO/PPO/POS: $2,253
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $2,619
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula $1,945 $1,945 $1,313.84
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — Commercial: $686.89
  • Aetna — MCR: $531.23
  • Alignment Health Plan — MCR: $531.23
  • Anthem — MCR: $531.23
  • Anthem — MGMCD: $657.87
  • CareMore — MCR: $557.79
  • CIGNA — Commercial: $855.59
  • Culinary Health Fund — COMM: $1,313.84
  • Health Plan Nevada — MCD: $657.87
  • Healthcare Partners of NV — Commercial: $520.61
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula $1,945 $1,945 $1,182.46
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — Commercial: $686.89
  • Aetna — MCR: $531.23
  • Alignment Health Plan — MCR: $531.23
  • Anthem — Commercial: $757.67
  • Anthem — MCR: $531.23
  • Anthem — MGMCD: $572.06
  • CareMore — MCR: $557.79
  • CIGNA — Commercial: $770.03
  • Culinary Health Fund — COMM: $1,182.46
  • Healthcare Partners of NV — Commercial: $520.61
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula Not listed in the file Not listed in the file $3,335 – $5,307
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates
  • Aetna — HMO: $4,131
  • Aetna — PPO: $4,131
  • Anthem — HIX: $3,671
  • Anthem — HMO: $3,671
  • Anthem — Pathway: $3,671
  • Anthem — PPO: $4,589
  • CareSource — MGMCD: $1,101.17
  • Centene — HIX: $3,335
  • CIGNA — OAP: $8,768
  • Community Care Health — MGMCD: $1,058.82
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 Facility $1,029 $1,029 $278.79 – $403.01
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates
  • Aetna — Commercial: $400.83
  • Aetna — MCR: $284.48
  • Alignment Health Plan — MCR: $284.48
  • Anthem — MCR: $284.48
  • Anthem — MGMCD: $309.84
  • CareMore — MCR: $298.71
  • Health Plan Nevada — MCD: $309.84
  • Healthcare Partners of NV — Commercial: $278.79
  • Healthcare Partners of NV — MCR: $278.79
  • Molina — MCD: $325.33
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 Non-Facility $1,029 $1,029 $278.79 – $403.01
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates
  • Aetna — Commercial: $400.83
  • Aetna — MCR: $284.48
  • Alignment Health Plan — MCR: $284.48
  • Anthem — MCR: $284.48
  • Anthem — MGMCD: $309.84
  • CareMore — MCR: $298.71
  • Healthcare Partners of NV — Commercial: $278.79
  • Healthcare Partners of NV — MCR: $278.79
  • Molina — MCD: $325.33
  • Sierra — COMM: $391.04
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 Non-Facility Internal Medicine $1,029 $1,029 $272.43
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Culinary Health Fund — COMM: $272.43
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep $423 $423 $229.70
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
  • Aetna — Commercial: $416.54
  • Aetna — MCR: $116.70
  • Alignment Health Plan — MCR: $116.70
  • Anthem — Commercial: $168.74
  • Anthem — MCR: $116.70
  • Anthem — MGMCD: $160.62
  • CareMore — MCR: $122.54
  • CIGNA — Commercial: $174.53
  • Culinary Health Fund — COMM: $229.70
  • Health Plan Nevada — MCD: $160.62
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep $1,129 $1,129 $349.49
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Commercial: $167.20
  • Aetna — MCR: $274.88
  • Alignment Health Plan — MCR: $274.88
  • Anthem — Commercial: $427.25
  • Anthem — MCR: $274.88
  • Anthem — MGMCD: $139.67
  • CareMore — MCR: $288.62
  • CIGNA — Commercial: $579.03
  • Culinary Health Fund — COMM: $349.49
  • Healthcare Partners of NV — Commercial: $269.38
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep Not listed in the file Not listed in the file $342.62 – $6,752
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — HMO: $1,706
  • Aetna — PPO: $1,706
  • Anthem — HIX: $2,976
  • Anthem — HMO: $2,976
  • Anthem — Pathway: $2,976
  • Anthem — PPO: $3,720
  • CareSource — MGMCD: $342.62
  • Centene — HIX: $2,213
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $329.44
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Facility Trauma Critical Care $475 $475 $291.31
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates
  • Aetna — Commercial: $532.07
  • Aetna — MCR: $131.16
  • Alignment Health Plan — MCR: $131.16
  • Anthem — Commercial: $189.89
  • Anthem — MCR: $131.16
  • Anthem — MGMCD: $156.08
  • CareMore — MCR: $137.72
  • CIGNA — Commercial: $291.31
  • Culinary Health Fund — COMM: $165.05
  • Health Plan Nevada — MCD: $156.08
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Non-Facility Cardio and Thoracic Surgery $1,449 $1,449 $374.71
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Commercial: $187.99
  • Aetna — MCR: $355.64
  • Alignment Health Plan — MCR: $355.64
  • Anthem — Commercial: $546.64
  • Anthem — MCR: $355.64
  • Anthem — MGMCD: $179.49
  • CareMore — MCR: $373.42
  • CIGNA — Commercial: $770.58
  • Culinary Health Fund — COMM: $374.71
  • Healthcare Partners of NV — Commercial: $348.53
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Not listed in the file Not listed in the file $2,016 – $5,307
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • Aetna — HMO: $2,138
  • Aetna — PPO: $2,138
  • Anthem — HIX: $2,976
  • Anthem — HMO: $2,976
  • Anthem — Pathway: $2,976
  • Anthem — PPO: $3,720
  • CareSource — MGMCD: $342.62
  • Centene — HIX: $2,550
  • CIGNA — OAP: $2,532
  • Community Care Health — MGMCD: $329.44
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Facility $634 $634 $263.89
Colonoscopy (diagnostic): 10 of 20 insurance plan rates
  • Aetna — Commercial: $474.95
  • Aetna — MCR: $175.09
  • Alignment Health Plan — MCR: $175.09
  • Anthem — Commercial: $357.05
  • Anthem — MCR: $175.09
  • Anthem — MGMCD: $227.27
  • CareMore — MCR: $183.84
  • CIGNA — Commercial: $263.89
  • Culinary Health Fund — COMM: $340.48
  • Health Plan Nevada — MCD: $227.27
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Non-Facil $1,266 $1,266 $780.10
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Commercial: $251.91
  • Aetna — MCR: $325.50
  • Alignment Health Plan — MCR: $325.50
  • Anthem — Commercial: $498.83
  • Anthem — MCR: $325.50
  • Anthem — MGMCD: $261.36
  • CareMore — MCR: $341.78
  • CIGNA — Commercial: $513.54
  • Culinary Health Fund — COMM: $312.71
  • Healthcare Partners of NV — Commercial: $318.99
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Not listed in the file Not listed in the file $346.02 – $6,752
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — HMO: $2,138
  • Aetna — PPO: $2,138
  • Anthem — HIX: $2,976
  • Anthem — HMO: $2,976
  • Anthem — Pathway: $2,976
  • Anthem — PPO: $3,720
  • CareSource — MGMCD: $346.02
  • Centene — HIX: $2,550
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $332.71
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple Facility $688 $688 $186.61 – $610.28
Colonoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — Commercial: $610.28
  • Aetna — MCR: $190.41
  • Alignment Health Plan — MCR: $190.41
  • Anthem — MCR: $190.41
  • Anthem — MGMCD: $271.23
  • CareMore — MCR: $199.93
  • Health Plan Nevada — MCD: $271.23
  • Healthcare Partners of NV — Commercial: $186.61
  • Healthcare Partners of NV — MCR: $186.61
  • Molina — MCD: $284.79
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple Non-Facility $1,642 $1,642 $271.23 – $595.37
Colonoscopy with biopsy: 10 of 14 insurance plan rates
  • Aetna — Commercial: $272.99
  • Aetna — MCR: $412.31
  • Alignment Health Plan — MCR: $412.31
  • Anthem — MCR: $412.31
  • Anthem — MGMCD: $271.23
  • CareMore — MCR: $432.93
  • Healthcare Partners of NV — Commercial: $404.06
  • Healthcare Partners of NV — MCR: $404.06
  • Molina — MCD: $284.79
  • Sierra — COMM: $595.37
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple Non-Facility Cardio and Thoracic Surgery $1,642 $1,642 $501.24
Colonoscopy with biopsy: rates for 1 insurance plan
  • Culinary Health Fund — COMM: $501.24
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Facility Internal Medicine $873 $873 $481.86
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates
  • Aetna — Commercial: $636.59
  • Aetna — MCR: $240.10
  • Alignment Health Plan — MCR: $240.10
  • Anthem — Commercial: $360.11
  • Anthem — MCR: $240.10
  • Anthem — MGMCD: $322.19
  • CareMore — MCR: $252.10
  • CIGNA — Commercial: $362.28
  • Culinary Health Fund — COMM: $481.86
  • Health Plan Nevada — MCD: $322.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Non-Facility Ped Enhance $1,692 $1,692 $370.52 – $389.05
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — Commercial: $347.37
  • Aetna — MCR: $432.56
  • Alignment Health Plan — MCR: $432.56
  • Anthem — Commercial: $668.49
  • Anthem — MCR: $432.56
  • Anthem — MGMCD: $370.52
  • CareMore — MCR: $454.19
  • CIGNA — Commercial: $920.71
  • Culinary Health Fund — COMM: $515.32
  • Healthcare Partners of NV — Commercial: $423.91
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Not listed in the file Not listed in the file $346.02 – $5,307
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • Aetna — HMO: $2,138
  • Aetna — PPO: $2,138
  • Anthem — HIX: $3,072
  • Anthem — HMO: $3,072
  • Anthem — Pathway: $3,072
  • Anthem — PPO: $3,839
  • CareSource — MGMCD: $346.02
  • Centene — HIX: $2,550
  • CIGNA — OAP: $2,532
  • Community Care Health — MGMCD: $332.71
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and $883 $883 $315.41
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
  • Aetna — Commercial: $350.99
  • Aetna — MCR: $243.43
  • Alignment Health Plan — MCR: $243.43
  • Anthem — MCR: $243.43
  • Anthem — MGMCD: $354.80
  • CareMore — MCR: $255.60
  • CIGNA — Commercial: $366
  • Culinary Health Fund — COMM: $315.41
  • Health Plan Nevada — MCD: $354.80
  • Healthcare Partners of NV — Commercial: $238.56
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and $883 $883 $498.54
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
  • Aetna — Commercial: $350.99
  • Aetna — MCR: $243.43
  • Alignment Health Plan — MCR: $243.43
  • Anthem — Commercial: $498.54
  • Anthem — MCR: $243.43
  • Anthem — MGMCD: $308.52
  • CareMore — MCR: $255.60
  • CIGNA — Commercial: $406.67
  • Culinary Health Fund — COMM: $288.39
  • Healthcare Partners of NV — Commercial: $238.56
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and Not listed in the file Not listed in the file $289.50 – $6,752
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates
  • Aetna — HMO: $2,138
  • Aetna — PPO: $2,138
  • Anthem — HIX: $3,072
  • Anthem — HMO: $3,072
  • Anthem — Pathway: $3,072
  • Anthem — PPO: $3,839
  • CareSource — MGMCD: $289.50
  • Centene — HIX: $2,550
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $278.37
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Non-Facility Internal Medicine $1,267 $1,267 $381.92
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — Commercial: $252.52
  • Aetna — MCR: $325.77
  • Alignment Health Plan — MCR: $325.77
  • Anthem — Commercial: $683.02
  • Anthem — MCR: $325.77
  • CareMore — MCR: $342.06
  • Culinary Health Fund — COMM: $381.92
  • Healthcare Partners of NV — Commercial: $319.26
  • Healthcare Partners of NV — MCR: $319.26
  • Hometown Health Providers — Commercial: $570.10
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Facility All Other Specialists $636 $636 $201.67 – $352.34
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — Commercial: $475.57
  • Aetna — MCR: $175.36
  • Alignment Health Plan — MCR: $175.36
  • Anthem — Commercial: $357.71
  • Anthem — MCR: $175.36
  • CareMore — MCR: $184.13
  • Culinary Health Fund — COMM: $282.02
  • Healthcare Partners of NV — Commercial: $171.85
  • Healthcare Partners of NV — MCR: $171.85
  • Hometown Health Providers — Commercial: $201.67
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Not listed in the file Not listed in the file $1,865 – $4,260
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates
  • Aetna — HMO: $2,138
  • Aetna — PPO: $2,138
  • Anthem — HIX: $2,976
  • Anthem — HMO: $2,976
  • Anthem — Pathway: $2,976
  • Anthem — PPO: $3,720
  • Centene — HIX: $2,550
  • Health Services Coalition — COMM: $4,260
  • Hometown Health Providers — HMO/PPO/POS: $2,016
  • Hometown Health Providers — ThirdPartyAdministratior(TPA): $2,339
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Laparoscopy, surgical; cholecystectomy Facility $2,354 $2,354 $622.94 – $939.70
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Aetna — Commercial: $939.70
  • Aetna — MCR: $635.65
  • Alignment Health Plan — MCR: $635.65
  • Anthem — MCR: $635.65
  • Anthem — MGMCD: $688.30
  • CareMore — MCR: $667.43
  • Health Plan Nevada — MCD: $688.30
  • Healthcare Partners of NV — Commercial: $622.94
  • Healthcare Partners of NV — MCR: $622.94
  • Molina — MCD: $722.72
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laparoscopy, surgical; cholecystectomy Non-Facility $2,354 $2,354 $622.94 – $939.70
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates
  • Aetna — Commercial: $939.70
  • Aetna — MCR: $635.65
  • Alignment Health Plan — MCR: $635.65
  • Anthem — MCR: $635.65
  • Anthem — MGMCD: $688.30
  • CareMore — MCR: $667.43
  • Healthcare Partners of NV — Commercial: $622.94
  • Healthcare Partners of NV — MCR: $622.94
  • Molina — MCD: $722.72
  • Sierra — COMM: $916.75
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laparoscopy, surgical; cholecystectomy Non-Facility MD DO $2,354 $2,354 $1,058.70
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • CIGNA — Commercial: $1,058.70
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible Facility $1,872 $1,872 $495.45 – $743.24
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
  • Aetna — Commercial: $743.24
  • Aetna — MCR: $505.56
  • Alignment Health Plan — MCR: $505.56
  • Anthem — MCR: $505.56
  • Anthem — MGMCD: $544.39
  • CareMore — MCR: $530.84
  • Health Plan Nevada — MCD: $544.39
  • Healthcare Partners of NV — Commercial: $495.45
  • Healthcare Partners of NV — MCR: $495.45
  • Molina — MCD: $571.61
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible Non-Facility $1,872 $1,872 $495.45 – $743.24
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates
  • Aetna — Commercial: $743.24
  • Aetna — MCR: $505.56
  • Alignment Health Plan — MCR: $505.56
  • Anthem — MCR: $505.56
  • Anthem — MGMCD: $544.39
  • CareMore — MCR: $530.84
  • Healthcare Partners of NV — Commercial: $495.45
  • Healthcare Partners of NV — MCR: $495.45
  • Molina — MCD: $571.61
  • Sierra — COMM: $725.09
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible Non-Facility Neurosurgery E&M $1,872 $1,872 $606.04
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • Culinary Health Fund — COMM: $606.04
  • Hometown Health Providers — Commercial: $606.67
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Non-Facility Physical Medicine and Rehab $881 $881 $138.54
Prostate biopsy: 10 of 19 insurance plan rates
  • Aetna — Commercial: $176.55
  • Aetna — MCR: $231.75
  • Alignment Health Plan — MCR: $231.75
  • Anthem — Commercial: $477.39
  • Anthem — MCR: $231.75
  • Anthem — MGMCD: $166.91
  • CareMore — MCR: $243.34
  • CIGNA — Commercial: $386.32
  • Culinary Health Fund — COMM: $138.54
  • Healthcare Partners of NV — Commercial: $227.12
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Facility $440 $440 $120.93 – $332.49
Prostate biopsy: 10 of 15 insurance plan rates
  • Aetna — Commercial: $332.49
  • Aetna — MCR: $123.39
  • Alignment Health Plan — MCR: $123.39
  • Anthem — MCR: $123.39
  • Anthem — MGMCD: $145.14
  • CareMore — MCR: $129.56
  • Health Plan Nevada — MCD: $145.14
  • Healthcare Partners of NV — Commercial: $120.93
  • Healthcare Partners of NV — MCR: $120.93
  • Molina — MCD: $152.40
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Not listed in the file Not listed in the file $692.44 – $4,260
Prostate biopsy: 10 of 17 insurance plan rates
  • Aetna — HMO: $2,138
  • Aetna — PPO: $2,138
  • Anthem — HIX: $3,072
  • Anthem — HMO: $3,072
  • Anthem — Pathway: $3,072
  • Anthem — PPO: $3,839
  • CareSource — MGMCD: $692.44
  • Community Care Health — MGMCD: $665.81
  • CorVel — WORKERSCOMP: $1,520.04
  • Health Services Coalition — COMM: $4,260
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Facility Hosp $4,908 $4,908 $2,000.05
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,963.15
  • Aetna — MCR: $1,142.88
  • Alignment Health Plan — MCR: $1,142.88
  • Anthem — MCR: $1,142.88
  • Anthem — MGMCD: $2,071.81
  • CareMore — MCR: $1,200.03
  • CIGNA — Commercial: $3,045.88
  • Culinary Health Fund — COMM: $1,665.10
  • Health Plan Nevada — MCD: $2,071.81
  • Healthcare Partners of NV — Commercial: $1,120.03
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Non-Facility $4,908 $4,908 $1,120.03 – $2,034.07
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,963.15
  • Aetna — MCR: $1,142.88
  • Alignment Health Plan — MCR: $1,142.88
  • Anthem — Commercial: $1,975.97
  • Anthem — MCR: $1,142.88
  • Anthem — MGMCD: $1,801.57
  • CareMore — MCR: $1,200.03
  • CIGNA — Commercial: $2,055.97
  • Culinary Health Fund — COMM: $1,714.33
  • Healthcare Partners of NV — Commercial: $1,120.03
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Not listed in the file Not listed in the file $1,433.86 – $10,160
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates
  • Aetna — HMO: $3,906
  • Aetna — PPO: $3,906
  • Anthem — HIX: $8,128
  • Anthem — HMO: $8,128
  • Anthem — Pathway: $8,128
  • Anthem — PPO: $10,160
  • CareSource — MGMCD: $1,433.86
  • Centene — HIX: $2,626
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $1,378.71
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Facility Mid Levels $798 $798 $333.25
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates
  • Aetna — Commercial: $1,687.57
  • Aetna — MCR: $220.90
  • Alignment Health Plan — MCR: $220.90
  • Anthem — Commercial: $449.62
  • Anthem — MCR: $220.90
  • Anthem — MGMCD: $284.45
  • CareMore — MCR: $231.95
  • CIGNA — Commercial: $333.25
  • Culinary Health Fund — COMM: $226.47
  • Health Plan Nevada — MCD: $284.45
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Non-Facility Colon and Rectal Surger $5,260 $5,260 $237.68
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • Aetna — Commercial: $284.69
  • Aetna — MCR: $1,203.59
  • Alignment Health Plan — MCR: $1,203.59
  • Anthem — Commercial: $2,748.61
  • Anthem — MCR: $1,203.59
  • Anthem — MGMCD: $327.12
  • CareMore — MCR: $1,263.77
  • CIGNA — Commercial: $1,934.70
  • Culinary Health Fund — COMM: $237.68
  • Healthcare Partners of NV — Commercial: $1,179.52
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Not listed in the file Not listed in the file $855.51 – $6,752
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • Aetna — HMO: $2,599
  • Aetna — PPO: $2,599
  • Anthem — HIX: $3,072
  • Anthem — HMO: $3,072
  • Anthem — Pathway: $3,072
  • Anthem — PPO: $3,839
  • CareSource — MGMCD: $855.51
  • Centene — HIX: $3,076
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $822.61
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur $341 $341 $140.66
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates
  • Aetna — Commercial: $339.62
  • Aetna — MCR: $95.21
  • Alignment Health Plan — MCR: $95.21
  • Anthem — Commercial: $140.66
  • Anthem — MCR: $95.21
  • Anthem — MGMCD: $104.21
  • CareMore — MCR: $99.97
  • CIGNA — Commercial: $208.64
  • Culinary Health Fund — COMM: $142.82
  • Health Plan Nevada — MCD: $104.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur $970 $970 $367.09
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — Commercial: $128.59
  • Aetna — MCR: $245.95
  • Alignment Health Plan — MCR: $245.95
  • Anthem — Commercial: $367.09
  • Anthem — MCR: $245.95
  • Anthem — MGMCD: $119.84
  • CareMore — MCR: $258.24
  • CIGNA — Commercial: $396.30
  • Culinary Health Fund — COMM: $368.92
  • Healthcare Partners of NV — Commercial: $241.03
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur Not listed in the file Not listed in the file $268.98 – $6,752
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates
  • Aetna — HMO: $1,706
  • Aetna — PPO: $1,706
  • Anthem — HIX: $2,976
  • Anthem — HMO: $2,976
  • Anthem — Pathway: $2,976
  • Anthem — PPO: $3,720
  • CareSource — MGMCD: $268.98
  • Centene — HIX: $2,626
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $258.63
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing $384 $384 $91.14
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates
  • Aetna — Commercial: $323.70
  • Aetna — MCR: $106.91
  • Alignment Health Plan — MCR: $106.91
  • Anthem — Commercial: $215.55
  • Anthem — MCR: $106.91
  • Anthem — MGMCD: $136.99
  • CareMore — MCR: $112.25
  • CIGNA — Commercial: $233.93
  • Culinary Health Fund — COMM: $91.14
  • Health Plan Nevada — MCD: $136.99
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing $920 $920 $91.14
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — Commercial: $143.68
  • Aetna — MCR: $235.32
  • Alignment Health Plan — MCR: $235.32
  • Anthem — Commercial: $491.93
  • Anthem — MCR: $235.32
  • Anthem — MGMCD: $136.99
  • CareMore — MCR: $247.09
  • CIGNA — Commercial: $488
  • Culinary Health Fund — COMM: $91.14
  • Healthcare Partners of NV — Commercial: $230.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing Not listed in the file Not listed in the file $268.98 – $6,752
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • Aetna — HMO: $1,706
  • Aetna — PPO: $1,706
  • Anthem — HIX: $2,976
  • Anthem — HMO: $2,976
  • Anthem — Pathway: $2,976
  • Anthem — PPO: $3,720
  • CareSource — MGMCD: $268.98
  • Centene — HIX: $2,213
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $258.63
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Facility $1,577 $1,577 $422.73 – $603.54
Carpal tunnel release: 10 of 15 insurance plan rates
  • Aetna — Commercial: $585.39
  • Aetna — MCR: $431.36
  • Alignment Health Plan — MCR: $431.36
  • Anthem — MCR: $431.36
  • Anthem — MGMCD: $447.93
  • CareMore — MCR: $452.93
  • Health Plan Nevada — MCD: $447.93
  • Healthcare Partners of NV — Commercial: $422.73
  • Healthcare Partners of NV — MCR: $422.73
  • Molina — MCD: $470.33
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Non-Facility $1,609 $1,609 $430.02 – $611.82
Carpal tunnel release: 10 of 14 insurance plan rates
  • Aetna — Commercial: $574.62
  • Aetna — MCR: $438.80
  • Alignment Health Plan — MCR: $438.80
  • Anthem — MCR: $438.80
  • Anthem — MGMCD: $447.93
  • CareMore — MCR: $460.74
  • Healthcare Partners of NV — Commercial: $430.02
  • Healthcare Partners of NV — MCR: $430.02
  • Molina — MCD: $470.33
  • Sierra — COMM: $601.15
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Non-Facility Neurosurgery $1,609 $1,609 $564.47
Carpal tunnel release: rates for 2 insurance plans
  • Culinary Health Fund — COMM: $564.47
  • Hometown Health Providers — Commercial: $526.56
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or $1,097 $1,097 $236.68 – $357.14
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates
  • Aetna — Commercial: $446.76
  • Aetna — MCR: $297.62
  • Alignment Health Plan — MCR: $297.62
  • Anthem — Commercial: $597.72
  • Anthem — MCR: $297.62
  • Anthem — MGMCD: $335.90
  • CareMore — MCR: $312.50
  • CIGNA — Commercial: $431.54
  • Culinary Health Fund — COMM: $236.68
  • Health Plan Nevada — MCD: $335.90
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or $1,188 $1,188 $408.43
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — Commercial: $414.58
  • Aetna — MCR: $318.65
  • Alignment Health Plan — MCR: $318.65
  • Anthem — Commercial: $471.27
  • Anthem — MCR: $318.65
  • Anthem — MGMCD: $386.29
  • CareMore — MCR: $334.58
  • CIGNA — Commercial: $460.29
  • Culinary Health Fund — COMM: $408.43
  • Healthcare Partners of NV — Commercial: $312.27
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or Not listed in the file Not listed in the file $194.64 – $1,600.04
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates
  • Aetna — HMO: $2,138
  • Aetna — PPO: $2,138
  • Anthem — HIX: $2,976
  • Anthem — HMO: $2,976
  • Anthem — Pathway: $2,976
  • Anthem — PPO: $3,720
  • CareSource — MGMCD: $202.43
  • Centene — HIX: $2,550
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $194.64
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga $1,885 $1,885 $1,039.99
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — Commercial: $724.14
  • Aetna — MCR: $518.97
  • Alignment Health Plan — MCR: $518.97
  • Anthem — Commercial: $739.82
  • Anthem — MCR: $518.97
  • Anthem — MGMCD: $694.29
  • CareMore — MCR: $544.92
  • CIGNA — Commercial: $757.53
  • Culinary Health Fund — COMM: $1,039.99
  • Healthcare Partners of NV — Commercial: $508.59
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga $1,885 $1,885 $1,039.99
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — Commercial: $724.14
  • Aetna — MCR: $518.97
  • Alignment Health Plan — MCR: $518.97
  • Anthem — MCR: $518.97
  • Anthem — MGMCD: $798.43
  • CareMore — MCR: $544.92
  • CIGNA — Commercial: $757.53
  • Culinary Health Fund — COMM: $1,039.99
  • Health Plan Nevada — MCD: $798.43
  • Healthcare Partners of NV — Commercial: $508.59
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga Not listed in the file Not listed in the file $771.57 – $3,569.59
Cataract removal with lens implant: 10 of 25 insurance plan rates
  • Aetna — HMO: $3,906
  • Aetna — PPO: $3,906
  • Anthem — HIX: $3,072
  • Anthem — HMO: $3,072
  • Anthem — Pathway: $3,072
  • Anthem — PPO: $3,839
  • CareSource — MGMCD: $802.43
  • Centene — HIX: $4,600
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $771.57

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Facility $8,489 $8,489 $2,281.25
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,685.50
  • Aetna — MCR: $2,304.71
  • Alignment Health Plan — MCR: $2,304.71
  • Anthem — MCR: $2,304.71
  • Anthem — MGMCD: $2,251.97
  • CareMore — MCR: $2,419.94
  • CIGNA — Commercial: $4,526.76
  • Culinary Health Fund — COMM: $2,281.25
  • Health Plan Nevada — MCD: $2,251.97
  • Healthcare Partners of NV — Commercial: $2,258.61
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Non-Faci $8,489 $8,489 $1,700.44 – $2,765.65
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,685.50
  • Aetna — MCR: $2,304.71
  • Alignment Health Plan — MCR: $2,304.71
  • Anthem — Commercial: $4,700.47
  • Anthem — MCR: $2,304.71
  • Anthem — MGMCD: $2,251.97
  • CareMore — MCR: $2,419.94
  • CIGNA — Commercial: $3,395.07
  • Culinary Health Fund — COMM: $1,700.44
  • Healthcare Partners of NV — Commercial: $2,258.61
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Not listed in the file Not listed in the file $2,113.13 – $6,752
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates
  • Anthem — HIX: $3,671
  • Anthem — HMO: $3,671
  • Anthem — Pathway: $3,671
  • Anthem — PPO: $4,589
  • CareSource — MGMCD: $2,113.13
  • Centene — HIX: $2,626
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $2,031.86
  • Health Services Coalition — COMM: $4,260
  • Molina Healthcare — MCD: $2,113.13
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Facility General Surgery $9,380 $9,380 $1,598.53
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,685.50
  • Aetna — MCR: $2,554.44
  • Alignment Health Plan — MCR: $2,554.44
  • Anthem — MCR: $2,554.44
  • Anthem — MGMCD: $2,490.53
  • CareMore — MCR: $2,682.16
  • CIGNA — Commercial: $3,393.35
  • Culinary Health Fund — COMM: $1,598.53
  • Health Plan Nevada — MCD: $2,490.53
  • Healthcare Partners of NV — Commercial: $2,503.35
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Non-Facility Critical Care Intensivists $9,380 $9,380 $6,153.30
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,685.50
  • Aetna — MCR: $2,554.44
  • Alignment Health Plan — MCR: $2,554.44
  • Anthem — Commercial: $3,689.67
  • Anthem — MCR: $2,554.44
  • Anthem — MGMCD: $2,490.53
  • CareMore — MCR: $2,682.16
  • CIGNA — Commercial: $3,393.35
  • Culinary Health Fund — COMM: $2,104.25
  • Healthcare Partners of NV — Commercial: $2,503.35
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Not listed in the file Not listed in the file $2,626 – $5,307
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates
  • Anthem — HIX: $3,671
  • Anthem — HMO: $3,671
  • Anthem — Pathway: $3,671
  • Anthem — PPO: $4,589
  • Centene — HIX: $2,626
  • CIGNA — OAP: $6,752
  • Health Services Coalition — COMM: $4,260
  • Select Health — COMM: $5,307
  • Select Health — HIX: $4,882
  • Centene — MCD: 11% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p $8,883 $8,883 $3,612.23
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,685.50
  • Aetna — MCR: $2,408.15
  • Alignment Health Plan — MCR: $2,408.15
  • Anthem — Commercial: $3,494.14
  • Anthem — MCR: $2,408.15
  • Anthem — MGMCD: $2,361.65
  • CareMore — MCR: $2,528.56
  • CIGNA — Commercial: $3,577.87
  • Culinary Health Fund — COMM: $3,612.23
  • Healthcare Partners of NV — Commercial: $2,359.99
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p $8,883 $8,883 $3,010.19
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,685.50
  • Aetna — MCR: $2,408.15
  • Alignment Health Plan — MCR: $2,408.15
  • Anthem — MCR: $2,408.15
  • Anthem — MGMCD: $2,361.65
  • CareMore — MCR: $2,528.56
  • CIGNA — Commercial: $4,770.49
  • Culinary Health Fund — COMM: $1,795.70
  • Health Plan Nevada — MCD: $2,361.65
  • Healthcare Partners of NV — Commercial: $2,359.99
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p Not listed in the file Not listed in the file $2,626 – $5,307
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates
  • Anthem — HIX: $3,671
  • Anthem — HMO: $3,671
  • Anthem — Pathway: $3,671
  • Anthem — PPO: $4,589
  • CareSource — MGMCD: $2,216.05
  • Centene — HIX: $2,626
  • CIGNA — OAP: $6,752
  • Community Care Health — MGMCD: $2,130.82
  • Health Services Coalition — COMM: $4,260
  • Molina Healthcare — MCD: $2,216.05

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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Not listed in the file Not listed in the file $1,550 – $279,413
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 42 insurance plan rates
  • Aetna — HMO: $114,882
  • Aetna — MCR: $85,237.70
  • Aetna — PPO: $114,882
  • Alignment Health Plan — MCR: $85,237.70
  • Anthem — HIX: $96,208
  • Anthem — HMO: $96,208
  • Anthem — Pathway: $96,208
  • Anthem — PPO: $120,260
  • CareMore — MCR: $86,942.45
  • Centene — HIX: $153,427.86
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $2,680
Spinal fusion (not neck), without major complications: rates for 2 insurance plans
  • Sierra — HMO: $2,680
  • Sierra — PPO: $2,680
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Not listed in the file Not listed in the file $3,186
Hip or knee replacement (major joint of the leg), without major complications: 10 of 41 insurance plan rates
  • Aetna — HMO: $32,954
  • Aetna — MCR: $17,936.21
  • Aetna — PPO: $32,954
  • Alignment Health Plan — MCR: $17,936.21
  • Anthem — HIX: $34,150
  • Anthem — HMO: $34,150
  • Anthem — Pathway: $34,150
  • Anthem — PPO: $42,687
  • CareMore — MCR: $18,294.93
  • Centene — HIX: $32,285.18
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $3,186
Neck (cervical) spinal fusion, without complications: 10 of 42 insurance plan rates
  • Aetna — HMO: $28,267
  • Aetna — MCR: $22,327.05
  • Aetna — PPO: $28,267
  • Alignment Health Plan — MCR: $22,327.05
  • Anthem — HIX: $35,438
  • Anthem — HMO: $35,438
  • Anthem — Pathway: $35,438
  • Anthem — PPO: $44,298
  • CareMore — MCR: $22,773.59
  • Centene — HIX: $40,188.69
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $3,186 – $4,612
Uterus and ovary surgery (not for cancer), without complications: 10 of 41 insurance plan rates
  • Aetna — HMO: $22,885
  • Aetna — MCR: $12,038.89
  • Aetna — PPO: $22,885
  • Alignment Health Plan — MCR: $12,038.89
  • Anthem — HIX: $19,080.73
  • Anthem — HMO: $19,080.73
  • Anthem — Pathway: $19,080.73
  • Anthem — PPO: $23,849.98
  • CareMore — MCR: $12,279.67
  • Centene — HIX: $21,670

Source: Sunrise Hospital and Medical Center’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 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
Address3186 S Maryland Pkwy, Las Vegas, NV 89109
CountyClark County
StateNevada
Phone(702) 731‑8000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
CMS Certification Number290003
Name in Medicare recordsSUNRISE HOSPITAL AND MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(702) 961‑5000[4][8]
Name on the hospital’s websiteSunrise Hospital & Medical Center
Official websitesunrisehealthinfo.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  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. For Patients - Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  2. Specialties — sunrisehealthinfo.com
  3. Awards and Recognition — sunrisehealthinfo.com
  4. For Visitors — sunrisehealthinfo.com
  5. Contact Us — sunrisehealthinfo.com
  6. Sunrise Hospital and Medical Center — sunrisehealthinfo.com
  7. Emergency Room in Las Vegas | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  8. Trauma Center | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  9. Inpatient Physical Rehabilitation | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  10. Neurological Care | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  11. Cardiology | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  12. Orthopedic Care | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  13. Surgery | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  14. Women's Care | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  15. Labor and Delivery | Sunrise Hospital & Medical Center — sunrisehealthinfo.com
  16. Lung cancer | Sunrise Hospital & Medical Center — sunrisehealthinfo.com