ER Visit (level 5, high severity) at Siena Hospital
3001 St Rose Pkwy, Henderson, NV · CommonSpirit Health · · NPI 1770626426
$1,397.42
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.
$6,156.00
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.
$158.84 with Sierra Health Plan NV vs $8,237.00 with Sierra Health Options — 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 | $158.84 | ↓ -89% |
| BCBS - Anthem | Medicare|All Plans | $677.59 | ↓ -52% |
| Aetna | Medicare|All Plans | $677.59 | ↓ -52% |
| Humana | Medicare|All Plans | $677.59 | ↓ -52% |
| CareMore | Medicare|All Plans | $691.14 | ↓ -51% |
| Intermountain | Medicare|All Plans | $691.14 | ↓ -51% |
| United | Medicare|All Plans | $691.15 | ↓ -51% |
| United | Commercial|DH Employees | $1,846.80 | ↑ +32% |
| Aetna | Commercial|HMO | $2,585.52 | ↑ +85% |
| Health Services Coalition | Commercial|All Plans | $2,893.32 | ↑ +107% |
| BCBS - Anthem | Commercial|HMO | $2,937.00 | ↑ +110% |
| Coventry | Commercial|All Plans | $3,078.00 | ↑ +120% |
| Aetna | Commercial|PPO | $3,447.36 | ↑ +147% |
| Aetna | Commercial|All Other Plans | $3,447.36 | ↑ +147% |
| MultiPlan | Commercial|All Plans | $4,247.64 | ↑ +204% |
| United | Commercial|Options | $4,432.32 | ↑ +217% |
| Teachers Health Trust | Commercial|All Plans | $4,617.00 | ↑ +230% |
| BCBS - Anthem | Commercial|PPO | $5,185.00 | ↑ +271% |
| United | Commercial|All Payer | $5,452.00 | ↑ +290% |
| Health Plan of NV | Commercial|All Plans | $5,551.00 | ↑ +297% |
| Cigna | Commercial|All Other Plans | $6,124.00 | ↑ +338% |
| Cigna | Commercial|PPO | $6,124.00 | ↑ +338% |
| Sierra Health Options | Commercial|Prime | $7,077.00 | ↑ +406% |
| Sierra Health Options | Commercial|State of NV | $8,237.00 | ↑ +489% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rose de Lima Hospital | Henderson | $1,760.62 | $158.84 – $7,207.00 |
| Banner Churchill Community Hospital | Fallon | $2,469.72 | $360.10 – $1,329.60 |
| San Martin Hospital | Las Vegas | $1,261.98 | $158.84 – $7,077.00 |