Lower Back (Lumbar Spine) MRI (with and without contrast) at San Martin Hospital
8280 W Warm Springs Rd, Las Vegas, NV · CommonSpirit Health · · NPI 1528101284
$3,313.01
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.
$16,161.00
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.
$189.74 with CareMore vs $11,635.92 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 | $189.74 | ↓ -94% |
| BCBS - Anthem | Commercial|HMO | $351.13 | ↓ -89% |
| Humana | Medicare|All Plans | $394.69 | ↓ -88% |
| Aetna | Medicare|All Plans | $394.69 | ↓ -88% |
| BCBS - Anthem | Medicare|All Plans | $394.69 | ↓ -88% |
| Intermountain | Medicare|All Plans | $402.58 | ↓ -88% |
| United | Medicare|All Plans | $402.59 | ↓ -88% |
| Sierra Health Plan NV | Medicaid|All Plans | $414.24 | ↓ -87% |
| BCBS - Anthem | Commercial|PPO | $471.95 | ↓ -86% |
| United | Commercial|All Payer | $828.27 | ↓ -75% |
| Cigna | Commercial|PPO | $1,416.00 | ↓ -57% |
| Cigna | Commercial|All Other Plans | $1,416.00 | ↓ -57% |
| Health Plan of NV | Commercial|All Plans | $1,593.00 | ↓ -52% |
| Aetna | Commercial|All Other Plans | $1,621.81 | ↓ -51% |
| Aetna | Commercial|PPO | $1,621.81 | ↓ -51% |
| Sierra Health Options | Commercial|Prime | $1,912.00 | ↓ -42% |
| Sierra Health Options | Commercial|State of NV | $1,987.00 | ↓ -40% |
| Aetna | Commercial|HMO | $3,779.72 | ↑ +14% |
| United | Commercial|DH Employees | $4,848.30 | ↑ +46% |
| Health Services Coalition | Commercial|All Plans | $5,494.74 | ↑ +66% |
| Coventry | Commercial|All Plans | $8,080.50 | ↑ +144% |
| Teachers Health Trust | Commercial|All Plans | $9,490.00 | ↑ +186% |
| MultiPlan | Commercial|All Plans | $11,151.09 | ↑ +237% |
| United | Commercial|Options | $11,635.92 | ↑ +251% |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Churchill Community Hospital | Fallon | $2,926.43 | $1,438.32 – $5,310.72 |
| Siena Hospital | Henderson | $3,668.55 | $189.74 – $11,151.09 |