Tobramycin peak therapeutic drug level at Siena Hospital
3001 St Rose Pkwy, Henderson, NV · CommonSpirit Health · · NPI 1770626426
$41.77
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.
$184.00
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.
$10.37 with BCBS - Anthem vs $132.48 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|HMO | $10.37 | ↓ -75% |
| BCBS - Anthem | Commercial|PPO | $10.37 | ↓ -75% |
| Sierra Health Plan NV | Medicaid|All Plans | $11.00 | ↓ -74% |
| BCBS - Anthem | Medicare|All Plans | $16.13 | ↓ -61% |
| Humana | Medicare|All Plans | $16.13 | ↓ -61% |
| Aetna | Medicare|All Plans | $16.13 | ↓ -61% |
| CareMore | Medicare|All Plans | $16.45 | ↓ -61% |
| Intermountain | Medicare|All Plans | $16.45 | ↓ -61% |
| United | Medicare|All Plans | $16.46 | ↓ -61% |
| United | Commercial|All Payer | $24.20 | ↓ -42% |
| Aetna | Commercial|HMO | $33.63 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $33.72 | ↓ -19% |
| Aetna | Commercial|PPO | $33.72 | ↓ -19% |
| Health Services Coalition | Commercial|All Plans | $41.78 | ↑ +0% |
| Teachers Health Trust | Commercial|All Plans | $50.90 | ↑ +22% |
| United | Commercial|DH Employees | $55.20 | ↑ +32% |
| Cigna | Commercial|PPO | $58.58 | ↑ +40% |
| Cigna | Commercial|All Other Plans | $58.58 | ↑ +40% |
| Coventry | Commercial|All Plans | $92.00 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $126.96 | ↑ +204% |
| United | Commercial|Options | $132.48 | ↑ +217% |
Visitor-reported prices
Comments
Tobramycin peak therapeutic drug level at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rose de Lima Hospital | Henderson | $52.63 | $10.37 – $126.96 |
| Banner Churchill Community Hospital | Fallon | $23.62 | $12.74 – $47.04 |
| San Martin Hospital | Las Vegas | $37.72 | $10.37 – $126.96 |