Breast punct aspir cyst, bil at Siena Hospital
3001 St Rose Pkwy, Henderson, NV · CommonSpirit Health · · NPI 1770626426
$241.53
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.
$1,064.00
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.
$41.58 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 | $41.58 | ↓ -83% |
| CareMore | Medicare|All Plans | $79.01 | ↓ -67% |
| United | Commercial|DH Employees | $319.20 | ↑ +32% |
| Coventry | Commercial|All Plans | $532.00 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $734.16 | ↑ +204% |
| United | Commercial|Options | $766.08 | ↑ +217% |
| Aetna | Medicare|All Plans | $777.59 | ↑ +222% |
| Humana | Medicare|All Plans | $777.59 | ↑ +222% |
| BCBS - Anthem | Medicare|All Plans | $777.59 | ↑ +222% |
| Intermountain | Medicare|All Plans | $793.14 | ↑ +228% |
| United | Medicare|All Plans | $793.15 | ↑ +228% |
| BCBS - Anthem | Commercial|HMO | $2,755.00 | ↑ +1041% |
| BCBS - Anthem | Commercial|PPO | $5,512.00 | ↑ +2182% |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rose de Lima Hospital | Henderson | $304.31 | $41.58 – $793.14 |
| Banner Churchill Community Hospital | Fallon | $140.18 | $112.84 – $416.64 |
| San Martin Hospital | Las Vegas | $218.12 | $41.58 – $793.14 |