Arthrodesis big toe joint 28760 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

not published by hospital

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.

not published by hospital

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.

$545.29 with Sierra Health Plan NV vs $11,569.00 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 →

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 Plan NV Medicaid|All Plans $545.29
CareMore Medicare|All Plans $2,987.75
BCBS - Anthem Commercial|HMO $5,683.00
Humana Medicare|All Plans $7,895.11
Aetna Medicare|All Plans $7,895.11
BCBS - Anthem Medicare|All Plans $7,895.11
Intermountain Medicare|All Plans $8,053.01
United Medicare|All Plans $8,053.02
BCBS - Anthem Commercial|PPO $11,569.00
Coventry Commercial|All Plans not published by hospital
United Commercial|Options not published by hospital
MultiPlan Commercial|All Plans not published by hospital
United Commercial|DH Employees not published by hospital

Visitor-reported prices

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Arthrodesis big toe joint 28760 at other Nevada hospitals

Hospital City Cash price Negotiated range
Rose de Lima Hospital Henderson not published $545.29 – $8,053.02
San Martin Hospital Las Vegas not published $545.29 – $8,053.02

All Nevada hospitals for this procedure →