Spring Valley Hospital Medical Center
Spring Valley Hospital Medical Center in Las Vegas charges 15.0x the Medicare reimbursement rate across 68 analyzed procedures, with 96% showing significant price variations compared to other healthcare facilities.
Las Vegas, NV 89118 · Acute Care Hospitals · CMS Rating: 2/5
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
15.03x
Charge / Medicare rate
Max markup
27.57x
Worst procedure
Procedures analyzed
68
With pricing data
Outlier procedures
95.6%
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 |
|---|---|---|---|---|---|
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $162,337 | $81,168 | — | 27.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $230,392 | $115,196 | — | 21.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $145,138 | $72,569 | — | 20.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $119,936 | $59,968 | — | 20.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $110,654 | $55,327 | — | 20.6x |
| CHEST PAIN | 313 | $103,054 | $51,527 | — | 20.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $259,724 | $129,862 | — | 19.9x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $167,245 | $83,622 | — | 19.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $135,449 | $67,724 | — | 19.5x |
| HYPERTENSION WITHOUT MCC | 305 | $98,337 | $49,168 | — | 19.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $304,420 | $152,210 | — | 19.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $481,765 | $240,882 | — | 18.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $93,624 | $46,812 | — | 17.7x |
| DYSEQUILIBRIUM | 149 | $94,560 | $47,280 | — | 17.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $360,086 | $180,043 | — | 17.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $230,768 | $115,384 | — | 16.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $260,004 | $130,002 | — | 16.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $227,776 | $113,888 | — | 16.6x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $166,897 | $83,448 | — | 16.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $180,118 | $90,059 | — | 16.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $217,832 | $108,916 | — | 16.4x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $638,624 | $319,312 | — | 16.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $123,010 | $61,505 | — | 16.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $96,031 | $48,016 | — | 16x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $325,930 | $162,965 | — | 15.8x |
| RENAL FAILURE WITH CC | 683 | $94,927 | $47,463 | — | 15.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $102,250 | $51,125 | — | 15.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $584,384 | $292,192 | — | 15.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $145,708 | $72,854 | — | 15.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $229,919 | $114,960 | — | 15.1x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $492,698 | $246,349 | — | 15x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $79,042 | $39,521 | — | 15x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $397,853 | $198,926 | — | 14.6x |
| CELLULITIS WITH MCC | 602 | $161,400 | $80,700 | — | 14.5x |
| SEIZURES WITHOUT MCC | 101 | $83,011 | $41,505 | — | 14.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $150,314 | $75,157 | — | 14.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $133,499 | $66,750 | — | 14.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $167,091 | $83,545 | — | 14.1x |
| SYNCOPE AND COLLAPSE | 312 | $81,644 | $40,822 | — | 14.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $104,509 | $52,255 | — | 13.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $667,958 | $333,979 | — | 13.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $86,994 | $43,497 | — | 13.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $188,716 | $94,358 | — | 13.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $82,705 | $41,352 | — | 13.5x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $138,533 | $69,267 | — | 13.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $108,979 | $54,489 | — | 13.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $215,807 | $107,903 | — | 13.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $127,122 | $63,561 | — | 13.2x |
| RENAL FAILURE WITH MCC | 682 | $145,659 | $72,830 | — | 12.9x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $318,589 | $159,295 | — | 12.8x |
Showing 50 of 68 procedures
How SPRING VALLEY HOSPITAL 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