Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at San Martin Hospital
8280 W Warm Springs Rd, Las Vegas, NV · CommonSpirit Health · · NPI 1528101284
$365.11
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.
$1,781.00
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.
$56.37 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 | $56.37 | ↓ -85% |
| CareMore | Medicare|All Plans | $58.72 | ↓ -84% |
| Humana | Medicare|All Plans | $326.24 | ↓ -11% |
| Aetna | Medicare|All Plans | $326.24 | ↓ -11% |
| BCBS - Anthem | Medicare|All Plans | $326.24 | ↓ -11% |
| Intermountain | Medicare|All Plans | $332.76 | ↓ -9% |
| United | Medicare|All Plans | $332.77 | ↓ -9% |
| United | Commercial|DH Employees | $534.30 | ↑ +46% |
| Coventry | Commercial|All Plans | $890.50 | ↑ +144% |
| MultiPlan | Commercial|All Plans | $1,228.89 | ↑ +237% |
| United | Commercial|Options | $1,282.32 | ↑ +251% |
| BCBS - Anthem | Commercial|HMO | $2,755.00 | ↑ +655% |
| BCBS - Anthem | Commercial|PPO | $5,512.00 | ↑ +1410% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Churchill Community Hospital | Fallon | $381.46 | $204.62 – $755.52 |
| Siena Hospital | Henderson | $404.29 | $56.37 – $1,228.89 |
| Rose de Lima Hospital | Henderson | $509.37 | $56.37 – $1,228.89 |