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Mountainview Hospital

MOUNTAINVIEW HOSPITAL in Las Vegas charges 11.7x the Medicare reimbursement rate across 127 analyzed procedures, with 85% showing significant price variations above typical market rates.

Las Vegas, NV 89128 · Acute Care Hospitals · CMS Rating: 3/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

127 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 8.2x4.7x18.7x
11.7x
Medicare markup ratio
NV lowestMountainview HospitalNV highest
11.7x
Avg markup ratio
11.8x
Median markup
127
Procedures
85%
Outlier procedures
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Billing patterns — for-profit

For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.

Pricing grade

F

Very high

Avg markup vs Medicare

11.7x

Charge / Medicare rate

Max markup

20.55x

Worst procedure

Procedures analyzed

127

With pricing data

Outlier procedures

85%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$318,921$159,46120.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$168,690$84,34518.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$297,278$148,63918.7x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$69,573$34,78618.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$417,826$208,91316.2x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$1,091,394$545,69716.2x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$742,436$371,21816x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$120,269$60,13515.3x
RED BLOOD CELL DISORDERS WITHOUT MCC812$111,504$55,75215.3x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$95,075$47,53714.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$120,674$60,33714.9x
HYPERTENSION WITHOUT MCC305$91,392$45,69614.8x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$157,479$78,73914.8x
CHEST PAIN313$78,691$39,34514.7x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$156,443$78,22114.6x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$87,182$43,59114.4x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$100,777$50,38814.3x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$258,818$129,40913.9x
PERIPHERAL VASCULAR DISORDERS WITH CC300$117,212$58,60613.8x
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC673$405,586$202,79313.7x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$187,938$93,96913.7x
DIABETES WITH CC638$101,366$50,68313.7x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$118,490$59,24513.7x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT216$1,319,498$659,74913.5x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$87,518$43,75913.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$83,657$41,82913.5x
MEDICAL BACK PROBLEMS WITH MCC551$177,747$88,87413.5x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$441,009$220,50413.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$57,026$28,51313.4x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$260,461$130,23113.3x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$173,429$86,71513.2x
DYSEQUILIBRIUM149$74,705$37,35213.1x
MAJOR CHEST PROCEDURES WITH MCC163$523,141$261,57013.1x
OTHER VASCULAR PROCEDURES WITH CC253$285,222$142,61112.8x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$275,287$137,64312.8x
MAJOR CHEST PROCEDURES WITH CC164$296,628$148,31412.8x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$127,996$63,99812.6x
RENAL FAILURE WITH CC683$87,867$43,93412.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$213,033$106,51712.6x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$290,528$145,26412.5x
SEIZURES WITHOUT MCC101$96,074$48,03712.5x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$118,185$59,09212.5x
PERIPHERAL VASCULAR DISORDERS WITH MCC299$182,996$91,49812.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$510,601$255,30112.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$172,659$86,32912.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$140,449$70,22412.2x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$492,500$246,25012.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$99,826$49,91312.2x
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$214,456$107,22812.2x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$77,328$38,66412.2x

Showing 50 of 127 procedures

How MOUNTAINVIEW HOSPITAL compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?
Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.
Why do for-profit hospitals charge more than Medicare rates?
For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.
Does insurance typically pay the full hospital charge amount?
Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.
What should I know about billing differences between hospital types?
For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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