Knee MRI (with contrast) at San Martin Hospital
8280 W Warm Springs Rd, Las Vegas, NV · CommonSpirit Health · · NPI 1528101284
$3,010.02
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.
$14,683.00
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.
$291.14 with CareMore vs $7,225.92 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 |
|---|---|---|---|
| CareMore | Medicare|All Plans | $291.14 | ↓ -90% |
| BCBS - Anthem | Commercial|HMO | $353.67 | ↓ -88% |
| Sierra Health Plan NV | Medicaid|All Plans | $418.48 | ↓ -86% |
| BCBS - Anthem | Commercial|PPO | $475.36 | ↓ -84% |
| Humana | Medicare|All Plans | $873.16 | ↓ -71% |
| Aetna | Medicare|All Plans | $873.16 | ↓ -71% |
| BCBS - Anthem | Medicare|All Plans | $873.16 | ↓ -71% |
| Intermountain | Medicare|All Plans | $890.62 | ↓ -70% |
| United | Medicare|All Plans | $890.63 | ↓ -70% |
| Cigna | Commercial|PPO | $1,416.00 | ↓ -53% |
| Cigna | Commercial|All Other Plans | $1,416.00 | ↓ -53% |
| Health Plan of NV | Commercial|All Plans | $1,593.00 | ↓ -47% |
| United | Commercial|All Payer | $1,609.16 | ↓ -47% |
| Aetna | Commercial|All Other Plans | $1,826.12 | ↓ -39% |
| Aetna | Commercial|PPO | $1,826.12 | ↓ -39% |
| Sierra Health Options | Commercial|Prime | $1,912.00 | ↓ -36% |
| Sierra Health Options | Commercial|State of NV | $1,987.00 | ↓ -34% |
| United | Commercial|DH Employees | $3,010.80 | ↑ +0% |
| Health Services Coalition | Commercial|All Plans | $3,412.24 | ↑ +13% |
| Aetna | Commercial|HMO | $4,255.87 | ↑ +41% |
| Coventry | Commercial|All Plans | $5,018.00 | ↑ +67% |
| Teachers Health Trust | Commercial|All Plans | $6,121.96 | ↑ +103% |
| MultiPlan | Commercial|All Plans | $6,924.84 | ↑ +130% |
| United | Commercial|Options | $7,225.92 | ↑ +140% |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Churchill Community Hospital | Fallon | $1,929.19 | $999.18 – $3,689.28 |
| Siena Hospital | Henderson | $2,278.18 | $291.14 – $6,924.84 |