MRI breast c- unilateral at San Martin Hospital
8280 W Warm Springs Rd, Las Vegas, NV · CommonSpirit Health · · NPI 1528101284
$767.52
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.
$3,744.00
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.
$118.62 with CareMore vs $2,695.68 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 | $118.62 | ↓ -85% |
| BCBS - Anthem | Commercial|HMO | $233.92 | ↓ -70% |
| Sierra Health Plan NV | Medicaid|All Plans | $254.62 | ↓ -67% |
| BCBS - Anthem | Medicare|All Plans | $267.14 | ↓ -65% |
| Aetna | Medicare|All Plans | $267.14 | ↓ -65% |
| Humana | Medicare|All Plans | $267.14 | ↓ -65% |
| Intermountain | Medicare|All Plans | $272.48 | ↓ -64% |
| United | Medicare|All Plans | $272.49 | ↓ -64% |
| BCBS - Anthem | Commercial|PPO | $314.41 | ↓ -59% |
| United | Commercial|All Payer | $517.79 | ↓ -33% |
| Aetna | Commercial|PPO | $672.13 | ↓ -12% |
| Aetna | Commercial|All Other Plans | $672.13 | ↓ -12% |
| United | Commercial|DH Employees | $1,123.20 | ↑ +46% |
| Health Services Coalition | Commercial|All Plans | $1,272.96 | ↑ +66% |
| Cigna | Commercial|PPO | $1,416.00 | ↑ +84% |
| Cigna | Commercial|All Other Plans | $1,416.00 | ↑ +84% |
| Aetna | Commercial|HMO | $1,566.44 | ↑ +104% |
| Health Plan of NV | Commercial|All Plans | $1,593.00 | ↑ +108% |
| Coventry | Commercial|All Plans | $1,872.00 | ↑ +144% |
| Sierra Health Options | Commercial|Prime | $1,912.00 | ↑ +149% |
| Sierra Health Options | Commercial|State of NV | $1,987.00 | ↑ +159% |
| Teachers Health Trust | Commercial|All Plans | $2,283.84 | ↑ +198% |
| MultiPlan | Commercial|All Plans | $2,583.36 | ↑ +237% |
| United | Commercial|Options | $2,695.68 | ↑ +251% |
Visitor-reported prices
Comments
MRI breast c- unilateral at other Nevada hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Churchill Community Hospital | Fallon | $759.02 | $393.12 – $1,451.52 |