Manipulation chest wall demonstration/evaluation subsequent at Rose de Lima Hospital

102 E Lake Mead Pkwy, Henderson, NV · CommonSpirit Health · · NPI 1447393152

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$28.60

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$100.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.00 with Sierra Health Options vs $3,164.00 with United — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Sierra Health Options Commercial|Prime $17.00 ↓ -41%
Sierra Health Options Commercial|State of NV $21.00 ↓ -27%
Sierra Health Plan NV Medicaid|All Plans $26.36 ↓ -8%
United Commercial|DH Employees $30.00 ↑ +5%
Cigna Commercial|PPO $34.00 ↑ +19%
Cigna Commercial|All Other Plans $34.00 ↑ +19%
Coventry Commercial|All Plans $50.00 ↑ +75%
MultiPlan Commercial|All Plans $69.00 ↑ +141%
United Commercial|Options $72.00 ↑ +152%
Humana Medicare|All Plans $100.00 ↑ +250%
Aetna Medicare|All Plans $100.00 ↑ +250%
BCBS - Anthem Medicare|All Plans $100.00 ↑ +250%
United Medicare|All Plans $102.00 ↑ +257%
CareMore Medicare|All Plans $102.00 ↑ +257%
Intermountain Medicare|All Plans $102.00 ↑ +257%
Teachers Health Trust Commercial|All Plans $180.69 ↑ +532%
BCBS - Anthem Commercial|HMO $213.00 ↑ +645%
BCBS - Anthem Commercial|PPO $382.00 ↑ +1236%
United Commercial|All Payer $3,164.00 ↑ +10963%

Visitor-reported prices

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Manipulation chest wall demonstration/evaluation subsequent at other Nevada hospitals

Hospital City Cash price Negotiated range
Siena Hospital Henderson $22.70 $26.36 – $180.69
Banner Churchill Community Hospital Fallon $45.46 $30.94 – $114.24
San Martin Hospital Las Vegas $20.50 $26.36 – $180.69

All Nevada hospitals for this procedure →