ER Visit (level 1, minor) at San Martin Hospital
8280 W Warm Springs Rd, Las Vegas, NV · CommonSpirit Health · · NPI 1528101284
$176.71
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.
$862.00
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.
$19.33 with Sierra Health Plan NV vs $5,452.00 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 |
|---|---|---|---|
| Sierra Health Plan NV | Medicaid|All Plans | $19.33 | ↓ -89% |
| Aetna | Medicare|All Plans | $97.31 | ↓ -45% |
| BCBS - Anthem | Medicare|All Plans | $97.31 | ↓ -45% |
| Humana | Medicare|All Plans | $97.31 | ↓ -45% |
| CareMore | Medicare|All Plans | $99.26 | ↓ -44% |
| United | Medicare|All Plans | $99.26 | ↓ -44% |
| Intermountain | Medicare|All Plans | $99.26 | ↓ -44% |
| United | Commercial|DH Employees | $258.60 | ↑ +46% |
| Aetna | Commercial|HMO | $362.04 | ↑ +105% |
| Health Services Coalition | Commercial|All Plans | $405.14 | ↑ +129% |
| Coventry | Commercial|All Plans | $431.00 | ↑ +144% |
| Aetna | Commercial|PPO | $482.72 | ↑ +173% |
| Aetna | Commercial|All Other Plans | $482.72 | ↑ +173% |
| MultiPlan | Commercial|All Plans | $594.78 | ↑ +237% |
| United | Commercial|Options | $620.64 | ↑ +251% |
| BCBS - Anthem | Commercial|HMO | $623.00 | ↑ +253% |
| Health Plan of NV | Commercial|All Plans | $644.00 | ↑ +264% |
| Teachers Health Trust | Commercial|All Plans | $680.98 | ↑ +285% |
| Sierra Health Options | Commercial|Prime | $815.00 | ↑ +361% |
| Sierra Health Options | Commercial|State of NV | $951.00 | ↑ +438% |
| BCBS - Anthem | Commercial|PPO | $1,179.00 | ↑ +567% |
| Cigna | Commercial|PPO | $1,240.00 | ↑ +602% |
| Cigna | Commercial|All Other Plans | $1,240.00 | ↑ +602% |
| United | Commercial|All Payer | $5,452.00 | ↑ +2985% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Churchill Community Hospital | Fallon | $123.20 | $46.80 – $172.80 |
| Siena Hospital | Henderson | $195.68 | $19.33 – $815.00 |
| Rose de Lima Hospital | Henderson | $246.54 | $19.33 – $832.00 |