Anca screen with reflex to titer -quest at Siena Hospital

3001 St Rose Pkwy, Henderson, NV · CommonSpirit Health · · NPI 1770626426

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

$15.44

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.

$68.00

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.

$7.19 with BCBS - Anthem vs $54.67 with Cigna — 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
BCBS - Anthem Commercial|HMO $7.19 ↓ -53%
BCBS - Anthem Commercial|PPO $7.19 ↓ -53%
Sierra Health Plan NV Medicaid|All Plans $7.74 ↓ -50%
Humana Medicare|All Plans $15.05 ↓ -3%
Aetna Medicare|All Plans $15.05 ↓ -3%
BCBS - Anthem Medicare|All Plans $15.05 ↓ -3%
Intermountain Medicare|All Plans $15.35 ↓ -1%
CareMore Medicare|All Plans $15.35 ↓ -1%
United Medicare|All Plans $15.36 ↓ -1%
United Commercial|DH Employees $20.40 ↑ +32%
United Commercial|All Payer $22.58 ↑ +46%
Health Services Coalition Commercial|All Plans $29.38 ↑ +90%
Aetna Commercial|HMO $31.38 ↑ +103%
Aetna Commercial|All Other Plans $31.47 ↑ +104%
Aetna Commercial|PPO $31.47 ↑ +104%
Coventry Commercial|All Plans $34.00 ↑ +120%
Teachers Health Trust Commercial|All Plans $35.80 ↑ +132%
MultiPlan Commercial|All Plans $46.92 ↑ +204%
United Commercial|Options $48.96 ↑ +217%
Cigna Commercial|All Other Plans $54.67 ↑ +254%
Cigna Commercial|PPO $54.67 ↑ +254%

Visitor-reported prices

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Anca screen with reflex to titer -quest at other Nevada hospitals

Hospital City Cash price Negotiated range
Rose de Lima Hospital Henderson $19.45 $7.19 – $54.67
Banner Churchill Community Hospital Fallon $31.68 $14.04 – $51.84
San Martin Hospital Las Vegas $13.94 $7.19 – $54.67

All Nevada hospitals for this procedure →