Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at Siena Hospital
3001 St Rose Pkwy, Henderson, NV · CommonSpirit Health · · NPI 1770626426
$302.60
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.
$1,333.00
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.
$42.21 with Sierra Health Plan NV vs $5,512.00 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 Plan NV | Medicaid|All Plans | $42.21 | ↓ -86% |
| CareMore | Medicare|All Plans | $49.11 | ↓ -84% |
| Humana | Medicare|All Plans | $326.24 | ↑ +8% |
| Aetna | Medicare|All Plans | $326.24 | ↑ +8% |
| BCBS - Anthem | Medicare|All Plans | $326.24 | ↑ +8% |
| Intermountain | Medicare|All Plans | $332.76 | ↑ +10% |
| United | Medicare|All Plans | $332.77 | ↑ +10% |
| United | Commercial|DH Employees | $399.90 | ↑ +32% |
| Coventry | Commercial|All Plans | $666.50 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $919.77 | ↑ +204% |
| United | Commercial|Options | $959.76 | ↑ +217% |
| BCBS - Anthem | Commercial|HMO | $2,755.00 | ↑ +810% |
| BCBS - Anthem | Commercial|PPO | $5,512.00 | ↑ +1722% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rose de Lima Hospital | Henderson | not published | $42.21 – $332.77 |
| San Martin Hospital | Las Vegas | $273.27 | $42.21 – $919.77 |