Sunrise Hospital and Medical Center
Sunrise Hospital and Medical Center in Las Vegas charges 14.6x the Medicare reimbursement rate on average, with 92% of analyzed procedures showing significant markup variations.
Las Vegas, NV 89109 · 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
14.63x
Charge / Medicare rate
Max markup
27.48x
Worst procedure
Procedures analyzed
132
With pricing data
Outlier procedures
91.7%
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 |
|---|---|---|---|---|---|
| FRACTURES OF HIP AND PELVIS WITH MCC | 535 | $350,144 | $175,072 | — | 27.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $503,857 | $251,929 | — | 21.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $313,006 | $156,503 | — | 20.6x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | 166 | $538,083 | $269,042 | — | 19.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $196,149 | $98,074 | — | 19.2x |
| PNEUMOTHORAX WITH CC | 200 | $138,289 | $69,145 | — | 18.8x |
| OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | 264 | $471,682 | $235,841 | — | 18.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $628,709 | $314,355 | — | 18.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $227,406 | $113,703 | — | 18.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $155,087 | $77,543 | — | 18.1x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $139,534 | $69,767 | — | 18.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $265,723 | $132,861 | — | 17.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $95,425 | $47,712 | — | 17.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $129,231 | $64,615 | — | 17.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $199,091 | $99,545 | — | 17.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $388,242 | $194,121 | — | 17.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $267,722 | $133,861 | — | 17.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $224,967 | $112,484 | — | 16.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $98,139 | $49,070 | — | 16.9x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $585,227 | $292,613 | — | 16.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $69,651 | $34,825 | — | 16.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $88,900 | $44,450 | — | 16.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $133,810 | $66,905 | — | 16.6x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $2,364,520 | $1,182,260 | — | 16.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $120,987 | $60,494 | — | 16.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $225,999 | $113,000 | — | 16.5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $449,245 | $224,623 | — | 16.5x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $752,661 | $376,331 | — | 16.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $126,352 | $63,176 | — | 16.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $120,705 | $60,352 | — | 16.4x |
| DIABETES WITH MCC | 637 | $186,950 | $93,475 | — | 16.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $117,510 | $58,755 | — | 16.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $310,978 | $155,489 | — | 16.3x |
| HYPERTENSION WITHOUT MCC | 305 | $94,332 | $47,166 | — | 16.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $201,441 | $100,721 | — | 16.3x |
| SEIZURES WITHOUT MCC | 101 | $108,573 | $54,286 | — | 16.3x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $108,790 | $54,395 | — | 16.1x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $197,702 | $98,851 | — | 16x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $156,986 | $78,493 | — | 16x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $222,172 | $111,086 | — | 15.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $269,595 | $134,798 | — | 15.9x |
| RENAL FAILURE WITH CC | 683 | $106,552 | $53,276 | — | 15.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $122,215 | $61,107 | — | 15.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $515,146 | $257,573 | — | 15.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $100,872 | $50,436 | — | 15.8x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $630,367 | $315,184 | — | 15.8x |
| DYSEQUILIBRIUM | 149 | $92,891 | $46,445 | — | 15.8x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $129,516 | $64,758 | — | 15.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $688,810 | $344,405 | — | 15.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $587,265 | $293,633 | — | 15.4x |
Showing 50 of 132 procedures
How SUNRISE 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