Northern Nevada Medical Center
Northern Nevada Medical Center in Sparks, NV charges 10.2x the Medicare reimbursement rate on average, with nearly half of analyzed procedures showing significant pricing variations.
Sparks, NV 89434 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.23x
Charge / Medicare rate
Max markup
14.6x
Worst procedure
Procedures analyzed
25
With pricing data
Outlier procedures
48%
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $74,716 | $37,358 | — | 14.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $181,962 | $90,981 | — | 12.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $68,211 | $34,105 | — | 12.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $87,712 | $43,856 | — | 12.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $115,978 | $57,989 | — | 11.7x |
| RENAL FAILURE WITH CC | 683 | $68,457 | $34,228 | — | 11.6x |
| CELLULITIS WITHOUT MCC | 603 | $70,935 | $35,467 | — | 11.3x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $163,063 | $81,531 | — | 11.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $127,295 | $63,648 | — | 11.2x |
| RENAL FAILURE WITH MCC | 682 | $129,305 | $64,652 | — | 11.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $81,606 | $40,803 | — | 10.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $148,155 | $74,078 | — | 10.4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $114,593 | $57,297 | — | 10.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $56,100 | $28,050 | — | 9.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $193,693 | $96,846 | — | 9.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $86,312 | $43,156 | — | 9.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $87,195 | $43,597 | — | 9.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $158,302 | $79,151 | — | 9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $308,333 | $154,166 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $78,536 | $39,268 | — | 9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $86,654 | $43,327 | — | 8.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $131,130 | $65,565 | — | 8.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $89,410 | $44,705 | — | 8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $111,932 | $55,966 | — | 7.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $208,947 | $104,474 | — | 5.7x |
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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.
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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