Does Valley Hospital Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Valley Hospital Medical Center. In a medical emergency, call 911.

Where is Valley Hospital Medical Center?

620 Shadow Lane, Las Vegas, NV 89106, in Clark County, Nevada.

What is the phone number of Valley Hospital Medical Center?

(702) 388-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Valley Hospital Medical Center?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Valley Hospital Medical Center — Las Vegas, NV

Quick answers

Does Valley Hospital Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Valley Hospital Medical Center. In a medical emergency, call 911.
Where is Valley Hospital Medical Center?: 620 Shadow Lane, Las Vegas, NV 89106, in Clark County, Nevada.
What is the phone number of Valley Hospital Medical Center?: (702) 388-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Valley Hospital Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Programs and centers^[4]

Emergency Services
Stroke

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Advanced Comprehensive Stroke Center (Joint Commission)

Recognition^[4][5]

Advanced Comprehensive Stroke Center (Joint Commission)
Chest Pain Center with PCI (American College of Cardiology)
Certified Comprehensive Stroke Center (DNV)

Doctors and clinicians (466)

466 doctors and other clinicians list Valley Hospital 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 (466)

Abel A. Gonzalez Longoria, MDPathology
Abhinav Sinha, MDInternal Medicine
Ada I. Vera, DPMPodiatry
Adrian Mercado-Alamo, MDCardiovascular Disease (Cardiology)
Ahmed A. Jaradat, MDInternal Medicine
Aimee C. Fleury, MDObstetrics/Gynecology
Ajit K. Amesur, DOOrthopedic Surgery
Alex P. Pallas, DOInterventional Radiology
Alexander B. Gidaya, MDVascular Surgery
Alexander LuongAnesthesiology
Alexandra N. Spirtos, MDGynecological Oncology
Ali Namazi, MDCardiac Electrophysiology
Allan J. Stahl, MDCardiovascular Disease (Cardiology)
Allen Khakshooy, MDInternal Medicine
Allison M. Hone, NPNurse Practitioner
Alysse A. ThummelPhysician Assistant
Aman Gupta, MDNephrology
Amira N. Ibrahim, MDEndocrinology
Amish Prasad, DOCardiovascular Disease (Cardiology)
Amit K. Sharma, MDDiagnostic Radiology
Andres Sepulveda Estrada, MDAnesthesiology
Andrew H. Kim, DOInternal Medicine
Andrew Johnson Cowley, CNACertified Registered Nurse Anesthetist (CRNA)
Andrew P. Rogers, MDGeneral Surgery

And 442 more: the button below opens the full list.

Other emergency rooms nearby

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

University Medical Center0.4 mi · Las Vegas, NV · Acute Care Hospital
Sunrise Hospital and Medical Center2.7 mi · Las Vegas, NV · Acute Care Hospital
North Vista Hospital3.2 mi · North las Vegas, NV · Acute Care Hospital
Saint Rose Dominican Hospitals - North Las Vegas5.2 mi · North las Vegas, NV · Acute Care Hospital
Mountainview Hospital5.8 mi · Las Vegas, NV · Acute Care Hospital

Other hospitals nearby

Horizon Specialty Hospital0.3 mi · Las Vegas, NV · Long-Term Acute Care Hospital
Encompass Health Rehabilitation Hospital of LV1.6 mi · Las Vegas, NV · Inpatient Rehabilitation Hospital
Desert Parkway Behavioral Healthcare Hospital, LLC2.8 mi · Las Vegas, NV · Psychiatric Hospital
Kindred Hospital - Las Vegas (Sahara Campus)2.8 mi · Las Vegas, NV · Long-Term Acute Care Hospital

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

Saint Joseph Transitional Rehabilitation Center0.4 mi · Las Vegas, NV · 4 of 5 stars
Silver State Pediatric Skilled Nursing Facility0.9 mi · Las Vegas, NV · 5 of 5 stars
Horizon Health and Rehabilitation Center1.0 mi · Las Vegas, NV · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Loving Soul Home Health Inc1.3 mi · Las Vegas, NV
Amore Hospice Care1.7 mi · Las Vegas, NV
Ample Care Hospice LLC1.7 mi · Las Vegas, NV

All hospice providers in the state →

Home health agencies

Loving Soul Home Health, Inc1.3 mi · Las Vegas, NV
Mojave Home Healthcare LLC1.3 mi · Las Vegas, NV
Accessible Healthcare, LLC1.7 mi · Las Vegas, NV

All home health agencies in the state →

Dialysis facilities

292519 Lake Mead North (FMC)1.3 mi · Las Vegas, NV · 1 of 5 stars
DaVita South Las Vegas Dialysis Center1.7 mi · Las Vegas, NV · 2 of 5 stars
DaVita Las Vegas Dialysis Center2.5 mi · Las Vegas, NV · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Alta Rose Surgery Center1.3 mi · Las Vegas, NV
Kidney Specialists Surgical Center1.3 mi · Las Vegas, NV
Precision Surgery Center1.3 mi · Las Vegas, NV

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

FirstMed Shadow Lane0.2 mi · Las Vegas, NV · Community health center
Southern Nevada Health District, Mobile Unit0.2 mi · Las Vegas, NV · Community health center
First Person Care Clinic1.0 mi · Las Vegas, NV · Community health center

Clinics and urgent care

Liggons & Clark Healthcare Group PLLC1.3 mi · Las Vegas, NV · Urgent care center
University Medical Center of Southern Nevada1.3 mi · Las Vegas, NV · Urgent care center
Sahara Urgent Care1.7 mi · Las Vegas, NV · Urgent care center

Pharmacies

Costco Wholesale Corporation1.3 mi · Las Vegas, NV · Community/retail pharmacy
Emerald Lake, I NC1.3 mi · Las Vegas, NV · Community/retail pharmacy
Nevada Health Centers Inc1.3 mi · Las Vegas, NV · Clinic pharmacy

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 Valley Hospital 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 hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	56%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	70%National average: 80%
Doctors “always” communicated well	70%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	80%National average: 86%
Room and bathroom “always” clean	62%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	376Response rate: 11%

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)	0.285Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.139Better than the national benchmark
Surgical site infections after colon surgery	1.27No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.448No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.039Better 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 patients	10%
Deaths within 30 days: heart failure patients	9.8%
Deaths within 30 days: pneumonia patients	12.9%
Deaths within 30 days: COPD patients	8.7%
Deaths within 30 days: stroke patients	14.5%
Deaths within 30 days: coronary bypass surgery (CABG)	2.8%
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Complications after hip or knee replacement	3.9%

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 attack	14.7%
Readmitted within 30 days: heart failure	22.8%
Readmitted within 30 days: pneumonia	18%
Readmitted within 30 days: COPD	19.9%
Readmitted within 30 days: coronary bypass surgery	10.9%
Readmitted within 30 days: hip or knee replacement	6%

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)	169 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)	81%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 Vegas Best hospitals in Las Vegas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 62 common services exactly as Valley Hospital 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

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

Lab tests

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

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

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

Heart tests and sleep study

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

Physical therapy and mental health

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

Procedures and surgery

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

Pregnancy and childbirth

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

Hospital stays (whole stay, MS-DRG)

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

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

Found through the price transparency link on the hospital’s website (centennialhillshospital.com), because the hospital has no cms-hpt.txt file; both are 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 type	Acute Care Hospital
Address	620 Shadow Lane, Las Vegas, NV 89106
County	Clark County
State	Nevada
Phone	(702) 388‑4000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
CMS Certification Number	290021
Name in Medicare records	VALLEY HOSPITAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	valleyhealthsystemlv.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Valley Hospital Medical Center — valleyhealthsystemlv.com
Stroke Services | Valley Health Systems, Las Vegas, Nevada — valleyhealthsystemlv.com

Valley Hospital Medical Center

Summary

Profile from official sources

At a glance