Observation direct referral from physician office for admission at Rose de Lima Hospital
102 E Lake Mead Pkwy, Henderson, NV · CommonSpirit Health · · NPI 1447393152
$517.95
Cash price 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.
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What you pay up front if you don't use insurance.
$1,811.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$225.00 with Sierra Health Options vs $9,068.00 with BCBS - Anthem — 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 →
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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 ?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 ?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 | $225.00 | ↓ -57% |
| United | Commercial|DH Employees | $532.50 | ↑ +3% |
| Health Services Coalition | Commercial|All Plans | $603.50 | ↑ +17% |
| Aetna | Medicare|All Plans | $677.59 | ↑ +31% |
| BCBS - Anthem | Medicare|All Plans | $677.59 | ↑ +31% |
| Humana | Medicare|All Plans | $677.59 | ↑ +31% |
| Intermountain | Medicare|All Plans | $691.14 | ↑ +33% |
| CareMore | Medicare|All Plans | $691.14 | ↑ +33% |
| United | Medicare|All Plans | $691.15 | ↑ +33% |
| Cigna | Commercial|All Other Plans | $692.25 | ↑ +34% |
| Cigna | Commercial|PPO | $692.25 | ↑ +34% |
| Aetna | Commercial|HMO | $745.50 | ↑ +44% |
| Sierra Health Options | Commercial|State of NV | $816.50 | ↑ +58% |
| Coventry | Commercial|All Plans | $887.50 | ↑ +71% |
| Health Plan of NV | Commercial|All Plans | $940.75 | ↑ +82% |
| Aetna | Commercial|All Other Plans | $994.00 | ↑ +92% |
| Aetna | Commercial|PPO | $994.00 | ↑ +92% |
| Teachers Health Trust | Commercial|All Plans | $1,011.75 | ↑ +95% |
| MultiPlan | Commercial|All Plans | $1,224.75 | ↑ +136% |
| United | Commercial|Options | $1,278.00 | ↑ +147% |
| BCBS - Anthem | Commercial|HMO | $3,185.00 | ↑ +515% |
| United | Commercial|All Payer | $6,002.00 | ↑ +1059% |
| BCBS - Anthem | Commercial|PPO | $9,068.00 | ↑ +1651% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Siena Hospital | Henderson | $411.10 | $543.30 – $1,249.59 |
| Banner Churchill Community Hospital | Fallon | $548.05 | $170.04 – $627.84 |
| San Martin Hospital | Las Vegas | $371.26 | $543.30 – $1,249.59 |