Southern Hills Hospital and Medical Center
Southern Hills Hospital and Medical Center in Las Vegas, Nevada charges 11.6x the Medicare reimbursement rate across 73 analyzed procedures, with 67% showing significant pricing variations.
Las Vegas, NV 89148 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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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
11.61x
Charge / Medicare rate
Max markup
18.66x
Worst procedure
Procedures analyzed
73
With pricing data
Outlier procedures
67.1%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $268,489 | $134,244 | — | 18.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $87,969 | $43,984 | — | 17.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $321,101 | $160,550 | — | 16.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $56,575 | $28,288 | — | 16.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $133,631 | $66,815 | — | 15.9x |
| DYSEQUILIBRIUM | 149 | $76,896 | $38,448 | — | 15.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $109,995 | $54,998 | — | 15.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $190,562 | $95,281 | — | 15.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $95,004 | $47,502 | — | 14.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $65,377 | $32,688 | — | 14.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $80,995 | $40,498 | — | 14.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $80,976 | $40,488 | — | 14.3x |
| SEIZURES WITHOUT MCC | 101 | $96,049 | $48,024 | — | 14.1x |
| DIABETES WITH MCC | 637 | $128,008 | $64,004 | — | 13.8x |
| HYPERTENSION WITHOUT MCC | 305 | $69,666 | $34,833 | — | 13.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $78,470 | $39,235 | — | 13.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $159,841 | $79,921 | — | 13.4x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $388,044 | $194,022 | — | 13.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $48,867 | $24,434 | — | 13.3x |
| RENAL FAILURE WITH CC | 683 | $81,787 | $40,893 | — | 13x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $456,876 | $228,438 | — | 13x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $122,743 | $61,372 | — | 12.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $94,967 | $47,484 | — | 12.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $89,500 | $44,750 | — | 12.4x |
| SYNCOPE AND COLLAPSE | 312 | $82,573 | $41,287 | — | 12.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $547,715 | $273,858 | — | 12.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $88,218 | $44,109 | — | 12x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $141,738 | $70,869 | — | 11.9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $183,394 | $91,697 | — | 11.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $117,318 | $58,659 | — | 11.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $93,892 | $46,946 | — | 11.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $209,080 | $104,540 | — | 11.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $415,953 | $207,976 | — | 11.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $180,373 | $90,186 | — | 11.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $89,515 | $44,757 | — | 11.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $102,494 | $51,247 | — | 11.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $116,711 | $58,355 | — | 11.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $60,707 | $30,354 | — | 11.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $168,274 | $84,137 | — | 11.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $168,664 | $84,332 | — | 11.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $232,683 | $116,342 | — | 11.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $95,980 | $47,990 | — | 11.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $66,818 | $33,409 | — | 10.9x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $317,330 | $158,665 | — | 10.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $84,739 | $42,370 | — | 10.8x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $152,747 | $76,374 | — | 10.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $136,799 | $68,399 | — | 10.7x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $201,523 | $100,762 | — | 10.6x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $135,191 | $67,595 | — | 10.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $163,252 | $81,626 | — | 10.4x |
Showing 50 of 73 procedures
How SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER 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.
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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