X-ray surgical specimen at San Martin Hospital

8280 W Warm Springs Rd, Las Vegas, NV · CommonSpirit Health · · NPI 1528101284

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$381.30

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,860.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$20.14 with Sierra Health Plan NV vs $1,860.00 with Cigna — 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 →

Payer
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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
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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 $20.14 ↓ -95%
BCBS - Anthem Commercial|HMO $41.06 ↓ -89%
BCBS - Anthem Commercial|PPO $55.19 ↓ -86%
Aetna Commercial|PPO $109.96 ↓ -71%
Aetna Commercial|All Other Plans $109.96 ↓ -71%
Aetna Commercial|HMO $256.27 ↓ -33%
United Commercial|DH Employees $558.00 ↑ +46%
Humana Medicare|All Plans $605.97 ↑ +59%
Aetna Medicare|All Plans $605.97 ↑ +59%
BCBS - Anthem Medicare|All Plans $605.97 ↑ +59%
United Medicare|All Plans $618.09 ↑ +62%
Intermountain Medicare|All Plans $618.09 ↑ +62%
CareMore Medicare|All Plans $618.09 ↑ +62%
Health Services Coalition Commercial|All Plans $632.40 ↑ +66%
Coventry Commercial|All Plans $930.00 ↑ +144%
United Commercial|All Payer $1,086.50 ↑ +185%
Teachers Health Trust Commercial|All Plans $1,134.60 ↑ +198%
MultiPlan Commercial|All Plans $1,283.40 ↑ +237%
United Commercial|Options $1,339.20 ↑ +251%
Cigna Commercial|PPO $1,860.00 ↑ +388%
Cigna Commercial|All Other Plans $1,860.00 ↑ +388%

Visitor-reported prices

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X-ray surgical specimen at other Nevada hospitals

Hospital City Cash price Negotiated range
Banner Churchill Community Hospital Fallon $92.73 $44.98 – $166.08
Siena Hospital Henderson $422.22 $20.14 – $1,860.00
Rose de Lima Hospital Henderson $531.96 $20.14 – $1,860.00

All Nevada hospitals for this procedure →